Unit 64 Medicine

Description of Unit

Unit 64 Medicine is a 36-bed adult inpatient unit located on the sixth floor in the UF Health Shands Hospital. The unit consists of twelve private rooms and twelve semi-private rooms with two of private rooms having negative airflow isolation capability and/or radiation implant capability. Monitoring capabilities include continuous pulse oximetry for 24 patients and telemetry monitoring for 24 unit-based patients. 64 also remotely monitors additional 48-patients on Units 74 & 75. Special care requirements are accommodated such as placing confused patients near nurses’ station and providing private room to patient with privacy needs such as in end of life situations. Care is provided 24 hours per day, 7 days per week. Budgeted ADC 31.96.

Description of Patient Population

Common medical diagnoses of adult patient admitted to this unit include heart failure, chest pain, sickle cell, pneumonia, COPD, diabetes and autoimmune diseases. The primary admitting services are the academic internal medical teams (Blue, Orange, Gold). Ages of patients served include adult, middle adult and older adult. The average LOS is 3.51 days.

Nursing Care

Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of patients requiring acute care. The 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 Vacuum Assisted Closure Systems, JPs, Duvals; respiratory management including pulse oximetry, oxygen therapy and chest tubes; cardiac management including remote 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; medication management including immunosuppression, and electrolyte infusions; blood product infusions;  safety precautions and patient/family education and support.

Health Care Team

The Unit Chief Medicine Resident is appointed each year by the Chairman and Program Director and has finished an Internal Medicine Residency here at UF Health. The faculty, and residents provide 24-hour medical care and scheduling or rotations is maintained through the Department of Medicine.  Multidisciplinary, comprehensive care of patients and families on Unit 64 is provided by physicians, nursing staff (RNs, PCAs, MSTs), patient care resource managers, social workers, case managers, pastoral care, food & nutritional services, pharmacy, rehab services, and other health care providers as indicated by the patient’s health status and identified needs.

The nursing management structure consists of a Nurse Manager and Clinical Nurse Leader with support from a Unit Assistant. Registered nurses on Unit 64 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 ability, willingness, and interest to work with the age-appropriate patients including adult, middle adult and older adult.

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

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