From the Editor

e5651521-0a79-4662-9408-c8f0e9d97393This issue brings you resources about shoulder pain and related treatments.

Our Student Spotlight features Jennifer Riportella, who has now worked four medical missions specializing in pediatric surgery.You’ll also find job listings, a billing and reimbursement tip, and other resources below.  Enjoy!

Julie Lancaster, Editor

 Surgical News

One of our own, Nancy Foust, Director of Student Support, will be having a Mumford Procedure this week. It is not only important for Nancy to regain her full range of motion to be able to address our student’s needs, but also to continue to pursue her passion of showing her Saddlebred horse, Trinket. Please send well-wishes her way.We are providing some educational information below. Please click on the links below for YouTube videos on shoulder pain and a couple of common procedures to relieve the pain.

Shoulder Pain – Everything You Need To Know
Rotator Cuff Tutorial – Anatomy Tutorial
Rotator Cuff Repair – Arthroscopic Surgery
Mumford Procedure – Distal Clavicle Excision

Perioperative Puzzle

Here is an opportunity to test your knowledge on shoulder anatomy and the Mumford Procedure, after watching the educational online videos listed above.


Click here for the puzzle and clues, and a link to the answers.

 Job Front

Click here for the RNFA Job postings we’ve collected for you this month!

Student Spotlight: Jennifer Riportella


While attending a SutureStar summit in Denver last summer as part of their RNFA program, Jenni Riportella and Erin Brenner (featured in our Aug. 2011 issue) became instant friends.

“After introducing ourselves to the class we discovered that we both have a passion for pediatric surgery and missions,” Jenni says. “We shared stories and one thing led to another and just a few months later we served on my first cardiac mission together.”

Jenni has served two pediatric cardiac mission trips to Ecuador with ICHF (International Children’s Heart Foundation). She has also worked in El Salvador, on pediatric cleft palate and plastic reconstruction cases, with Austin Smiles.

Click to read more about Jenni and see photos.

iPad App of the Month

Stryker Flipchart is a patient education iPad app designed to help orthopedic specialists explain a hip, knee or shoulder replacement procedure to patients who are either scheduled for surgery or contemplating total joint replacement.


Do you have questions about implementing an RNFA team or becoming an RNFA?

Try the following links. If you do not find the answers you need, please call us at 1-800-922-7747. We would be happy to discuss any questions you may have and discuss the benefits of having an RNFA team–you will please staff, surgeons and administrators!
Prerequisites for becoming an RNFA

Surgical Skills Workshops

Billing and Reimbursement Tip

Question: What procedures do insurance companies reimburse?

Answer: Here is a link to the American College of Surgeons 2011 Study  (caution: this list includes more than 2000 procedures and is over 100 pages long). All procedures are listed with 3 columns to show the need for a first assistant “almost always,” “sometimes,” or “almost never”. Although there is no guarantee of reimbursement, you increase your chances of being reimbursed when billing for the cases that “require” or “sometimes require” a first assistant.
If you have any billing or reimbursement questions, please email [email protected].