Unit 10-5 Burn/Plastic/Neurology/GI

Description of Unit

Unit 10-5 Burn/Plastics/Neurology/GI-Medicine is a 24-bed adult inpatient unit located on the tenth floor in the Patient Services Building. The unit consists of twenty private rooms and two semi-private rooms with one of the private rooms having reverse airflow/isolation capability. Monitoring capabilities include continuous pulse oximetry and cardiac telemetry.

Description of Patient Populations

Patients are admitted to Unit 10-5 as transfers from ICU units, Emergency Department, the Recovery room, Burn Center OR/Clinics, direct admissions from the lobby/clinic, and as hospital-to-hospital referrals. Patients are admitted for treatment of burns (up to and including 20% TBSA Burns from heat, radiation, electrical, and/or chemical), surgical flaps wounds, reconstructions, scar revisions, neurology diagnoses (Ischemic and Hemorrhagic stroke, seizure disorders, Myasthenia Gravis, optic neuritis, Gillian barre syndrome, seizure disorders), and Gastrointestinal (GI)-Medicine/Hepatology-Biliary diagnoses (including but not limited to: hepatitis, cirrhosis, hepatic encephalopathy, jaundice, end stage liver disease (ESLD), chronic rejection of liver transplantation, pancreatitis, diverticulitis, Crohn’s Disease, abdominal pain, GI Bleed, and Inflammatory/Irritable Bowel Disease (IBS), ulcerative colitis, cholelithiasis, cholestasis, acute/chronic liver failure, pancreatitis). Ages of patients served include adult, middle adult and older adult.

Nursing Care

Nursing care is focused on the assessment, planning, treatment and evaluation of preoperative, postoperative, and rehabilitative patient needs. Nursing activities consist of: pain management including patient controlled analgesia and epidural; wound management including Vacuum Assisted Closure (VAC) Systems, JPs, Duvals; respiratory management including pulse oximetry, oxygen therapy, chest tubes; cervical collar care, IV management including PIVs, PICCs, and other Central Venous Catheters; telemetry; nutritional management including TPN, NG-tube/G-tube/J-tube feedings; assessment and management of abdominal/GI drainage systems including G-tubes, J-tubes, ostomies, NGs; skin care including assessment and management of burn injuries (chemical, thermal, and/or bomb/blasts); assessment of and care of surgical wounds/skin flaps/skin grafts; care of the stroke patient, fall prevention program initiatives, close observation (behavioral and/or safety related) and along with patient/family education.

Health Care Team

The patient’s primary service faculty, fellows, and residents provide 24-hour care, 7 days a week for the 10-5 patients. Available support services for Unit 10-5 patients include: Pharmacy, Respiratory Therapy, Rehabilitation services (PT, OT, SPL), Food and Nutrition Services, social/case management services, Pastoral Care as well as Patient and Family services. Multi-disciplinary collaboration is fostered and determined by the medical, nursing, and supportive needs of the patients and families.

The nursing management structure consists of a unit-based Nurse Manager, Clinical Leader and Unit Assistant. The unit leadership group promotes autonomous, accountable nursing practice by supporting staff involvement in unit practice decision making. Nursing staff is provided training experiences to attain and maintain competence as defined by the unit/role specific job descriptions and the Hospital Plan for Nursing Care. Registered Nurses, Licensed Practical Nurses, and Patient Care Assistants provide nursing care. Support Techs provide secretarial and patient mobility support to the direct patient caregivers. The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan. Patient Care Assistants and 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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