Unit 75 Medicine
Description of Unit
75 MS is a 36-bed inpatient adult medical unit located on the north wing of the seventh floor in the Patient Services Building. The unit consists of 14 private rooms, including 2 negative isolation rooms, and 11 semi-private rooms. The two isolation rooms were constructed with negative air flow capabilities. Capability exists to monitor patients with continuous pulse oximetry to a central monitor in the nursing station as well as remote telemetry to monitor on unit 64 nursing station. The average bed occupancy is 91.57%
Description of Patient Populations
Patients are admitted to Unit 75 MS with general medical conditions that require in-patient hospitalization. The unit serves a home base for the hospitalist Services. The services of Unit 75 Medicine have a strong statewide referral base accepting patients as hospital-to-hospital transfers and admissions from the Emergency Department. Common admitting diagnoses include chronic obstructive pulmonary disease (COPD), diabetes, acute infections, pancreatitis, gall bladder disease, morbid obesity, pneumonia, sickle cell crisis, end stage renal disease and other medical conditions. Average length of stay for patients is 4.14
Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of cardiac and medical patients from admission to discharge with emphasis on cardio-pulmonary assessment, airway management, patient/family education and support, and initiation of the rehabilitation process. The 75 Medicine 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, Duval drains; respiratory management including pulse oximetry, oxygen therapy and chest tubes; cardiac management including 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, ostomy care, pancreatic drains, NGs; medication management, safety precautions and patient/family education and support.
Health Care Team
The Hospitalist service serves the patient population for unit 75. Patient Care Resource Managers and Case Managers serve as liaisons between the Hospitalist medical staff and multidisciplinary team, providing continuity of care for medical patients from admission to outpatient follow-up. Available support services for Unit 75 Medicine patients include: Respiratory Therapy, Physical Therapy, Occupational Therapy, Nutrition Services, Wound and Ostomy care, as well as Patient and Family services. Collaboration on the unit is fostered by daily patient care conferences attended by nursing staff, medical staff, Patient and Family Services personnel and additional disciplines as needed.
The nursing management structure consists of a Nurse Manager and Clinical Leader with support from a central Administrative Coordinator. Department of Nursing staff provides training experiences to attain and maintain competence as defined by the unit/role specific job descriptions and the departmental education plan. Registered Nurses, Patient Care Assistants, and Support technicians provide care for all patients. Support technicians provide a dual role in their responsibilities such as clerical support for the direct patient caregivers and directing the mobility program on the unit. The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan. Nursing care delivered by PCAs is coordinated under the direction of the Registered Nurse.