8 East Medical Oncology

Description of Unit

Unit 8E Oncology/Medicine is a 24-bed adult inpatient unit located on the eighth floor in the South Tower of UF Health Shands Hospital. The unit consists of twenty four private HEPA filter rooms, including two negative isolation rooms. Monitoring capabilities include continuous pulse oximetry on the unit and continuous remote cardiac telemetry monitoring from Unit 5W Patients requiring close monitoring are assigned near the nursing station. Average bed occupancy is 80%.

Description of Patient Populations

Patients are admitted to Unit 8E from Admissions as scheduled appointments, Emergency Department, UF Health Clinics, and as hospital-to hospital referrals. Patients are admitted for common medical diagnoses include hematological/oncological and immunosuppression. Some of these diagnoses include lymphoma, lung cancer, breast cancer, osteogenic sarcoma, soft tissue sarcoma, acute and chronic leukemias and pre and post bone marrow transplant. Ages of patients served include adult, middle adult and older adult. The average length of stay is 4.67 days.

Nursing Care

Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of patients requiring acute care. The 8E 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, chemotherapy and electrolyte infusions; blood product infusions; safety precautions and patient/family education and support.

Health Care Team

The Unit Chief of 8E Medicine is appointed by the Chief of Hematology/Oncology Division. The Hem/Onc Service consists of attending physicians, fellows, chief residents, residents, interns, Physician assistants, ARNPs and medical students. Scheduling of rotations is maintained through the Department of Medicine. Patient Care Resource Managers, Case Managers and Transplant Coordinators serve as liaisons between the Hem/Onc staff and multidisciplinary team, providing continuity of care for medical patients from admission through clinic follow-up.  Available support services for Unit 8E patients include: Pharmacy, Respiratory Therapy, Physical Therapy, Occupational Therapy, Nutrition Services, Enterostomal Therapy as well as Patient and Family services. 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.

The nursing management structure consists of a Nurse Manager and Clinical Leader with support from a Unit Assistant. 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 nursing care. Support Techs provide clerical support for the direct patient caregivers. The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan.

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