5 East Medical/Surgical
Description of Unit
The 5-East Unit is a 24-bed adult inpatient surgical unit located on the 5th floor in the South Tower of UF Health Shands Hospital. The unit consists of twenty-four private rooms, including two negative pressure isolation rooms and two rooms for morbidly obese patients. Monitoring capabilities include continuous pulse oximetry on the unit and continuous remote cardiac telemetry monitoring from 5-West. Patients requiring bed assignments are based upon patient safety concerns – i.e. placing confused patients and patients at risk for falls near the nursing station as available. Nursing care is provided 24 hours per day, 7 days per week. Budgeted bed occupancy is 85% with an ADC of 20.32, HPPD of 9.1, HPWI of 6.5, and acuity of 1.4.
Description of Patient Populations
The services of 5-East have a strong statewide referral base accepting patients as hospital-to-hospital transfers as well as admitting patients from the Emergency Department for acute illnesses. Patients are admitted to 5-East following operative procedures for cancers and other diseases of the abdomen, colon, pelvis, breast and gastrointestinal disorders. Common admitting diagnoses include breast cancer, pancreatic cancer, pancreatitis, colorectal cancer, liver cancer, gall bladder disease, abdominal abscess, small bowel obstruction and morbid obesity. The ages of patients served include older teenagers, adults, middle adults, and geriatrics.
Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of patients requiring acute care. The 5-East 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 patient controlled analgesia; wound management including Vacuumed Assisted Closure Systems, JPs, Duvals; respiratory management including pulse oximetry, oxygen therapy and chest tubes; cardiac management including remote telemetry; nutritional management including TPN, DHT-tube/G-tubes, J-tubes, ostomies, NGs; medication management including electrolyte infusions; blood product infusions; safety precautions and patient/family education and discharge support.
Health Care Team
The General Surgery and Surgical Oncology services (PBS, CRS, MIS, BMS) consist of attending physicians, fellows, chief residents, residents, interns, physician assistants, ARNPs and medical students. Multidisciplinary, comprehensive care of patients and families on 5-East are provided by medicine, nursing, social work services, case management, pastoral care, food and nutritional services, pharmacy, rehab services, and other health care providers as indicated by the patients’ health status and identified needs.
The nursing unit management structure consists of a Nurse Manager and Clinical Leader. Additional unit support is provided by the Unit Assistant. Unit staff includes Registered Nurses, Patient Care Assistants and Support Techs. The unit leadership group promotes autonomous, accountable nursing practice by supporting staff involvement in unit practice decision making. The department of nursing staff is provided training experiences to attain and maintain competence as defined by the unit/role specific job descriptions and the departmental education plan. Registered Nurses and Patient Care Assistants provide hands-on nursing care. Support Techs provide clerical support for the direct patient caregivers and are involved with patient ambulation/mobilization. The Registered Nurse is responsible for guiding care of the patient population based upon an individualized care plan.