5 West Trauma/Lung Transplant

Description of Unit

Unit 5 West Trauma/Lung Transplant is a 24-bed inpatient unit located on the 5th floor of the South Tower of UF Health Shands Hospital. The unit includes twenty-four medical/surgical private rooms, including two negative isolation rooms. Monitoring capabilities include continuous telemetry and pulse oximetry monitoring. Care is provided 24 hours per day, 7 days per week. Average bed occupancy is 91%

Description of Patient Populations

The Primary admitting services for Unit 5 West consist of Trauma /Emergency (TRE) and Lung Transplant services.  Common medical diagnoses of adult patients admitted to this unit include various trauma cases including but not limited to multiple traumas from motor vehicle crashes, craniofacial trauma, thoracic and neck trauma, head injuries, orthopedic trauma, stab wounds, gunshot wounds, spinal cord injuries and status post-surgical procedures including lung transplant, bowel resection, ulcerative colitis, abdominal trauma, and emergency surgery (appendectomy, cholecystectomy, small bowel obstructions). Patient population includes adolescents (15 years of age and older), adult, and geriatric. The average length of stay is 2.36.

Nursing Care

Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of preoperative, postoperative, nonsurgical and trauma patients from admission to discharge with emphasis on cardiovascular monitoring, airway management, patient/family education and support, post-operative and post-trauma care, and initiation of the rehabilitation process. The 5 West unit/role specific job descriptions identify the patient populations/common diagnoses served, equipment utilized, skills required to perform treatments/procedures, clinical parameters monitored, safety precautions initiated, and emergency events encountered. Nursing activities consist of: pain management including epidural and patient controlled analgesia; wound management including Vacuum Assisted Closure Systems, JPs, Duvals; respiratory management including pulse oximetry, oxygen therapy and chest tubes; cardiac management including telemetry; neurological management including TLSO braces, cervical devices, and spinal stabilization; orthopedic management including traction, splints/cast care; nutritional management including TPN, NG-tube/G-tube/J-tube feedings; assessment and management of abdominal/GI drainage systems including G-tubes, J-tubes, NGs; medication management, safety precautions and patient/family education and support.

Health Care Team

The Directors of Trauma Surgery and Lung Transplant services provide leadership for the unit. The faculty, physician’s assistants, and residents provide 24 hour medical care of the med/surg patients. Multidisciplinary, comprehensive care of patients and families on 5 West are provided by medicine, nursing, social work services, case management, pastoral care, food & nutritional services, pharmacy, rehab services, and other health care providers as indicated by the patient’s health status and identified needs.

Lung transplant coordinators serve as liaisons between the pulmonary medical staff and multidisciplinary team, providing continuity of care for lung transplant patients from admission through clinic follow-up.  Collaboration is fostered by weekly patient care conferences attended by nursing staff, medical staff, Patient and Family Services personnel, Rehabilitation Services staff (PT, OT when indicated) and Dieticians as well as by participation in daily service rounds.

Nursing management for the unit consists of registered nurses in the positions of Nurse Manager and Clinical Coordinator. Additional unit support is provided by the Unit Assistant. Unit staff includes registered nurses, patient care assistants, and clerk monitor technicians.

Registered nurses on the unit meet the basic requirements for Registered Nurse staff and function in accordance with the unit-based job description, as described in the Hospital Plan for Nursing Care. Additional unit requirements for registered nurses includes completion of the telemetry course, a positive attitude toward family-centered care, and the ability, willingness, and interest to work with the age-appropriate patients including adolescent, adult and geriatric.

Patient care assistants and Monitor support techs meet the basic requirements for their positions and function in accordance with their unit-based job description, as described in the Hospital Plan for Nursing Care.

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