Medical / Surgical / Transplant (Unit 95)
Unit 95 is a 36-bed inpatient adult medical surgical unit located on the east wing of the ninth floor in the Patient Services Building.
The unit consists of 12 private rooms, including the VIP suite, a negative isolation room, and 12 semi-private rooms. Capability exists to monitor patients with continuous pulse oximetry to a central monitor in the nursing station and remote cardiac telemetry to Unit 54. Average bed occupancy is 92%.
Patients are admitted to 95MS following operative procedures for kidney, pancreas, liver transplants and other diseases/ procedures of the gastrointestinal (GI) and hepatic/biliary systems. General medicine and general surgery patients are also admitted to 95. The services of 95MS 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. Common admitting diagnoses include but are not limited to hepatitis, cirrhosis, hepatic encephalopathy, jaundice, end stage liver disease, renal failure, acute/ chronic rejection, pancreatitis, diverticulitis, Crohn’s disease, ulcerative colitis, abdominal pain, nausea/vomiting, GI bleed, inflammatory bowel disease.
Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of preoperative and postoperative patients and non surgical patients from admission to discharge with emphasis on gastrointestinal and nutritional assessment, airway management, patient/family education and support, post-operative care, and initiation of the rehabilitation process.
The 95 MS 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 and epidural analgesia; wound management including Vacuum Assisted Closure Systems, JP and Duval drains; 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, pancreatic drains, NGs; prevention of post-operative complications and skin breakdown, medication management, safety precautions and patient/family education and support.
Health Care Team
The Transplant Surgery, Gastrointestinal Medicine, and General Medicine services consist of attending physicians, fellows, chief residents, residents, interns, physician assistants, and medical students. Scheduling of rotations is maintained through the Department of Surgery and the Department of Medicine. Transplant Coordinators, Patient Care Resource Managers and Case Managers serve as liaisons between the Surgical staff, Medical staff and multidisciplinary team, providing continuity of care for patients from admission through clinic follow-up. Available support services for 95 MS patients include: Transplant Coordinators, Respiratory Therapy, Physical Therapy, Occupational Therapy, Nutrition Services, Wound 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, Communication Disorders when indicated) and Dietitians as well as by participation in daily service rounds.
The nursing management structure consists of a Nurse Manager and Clinical Coordinator with support from a Unit Assistant and central Administrative Coordinators. 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. Unit clerks provide clerical support for the direct patient caregivers. The Registered Nurse is responsible and accountable for guiding care of the patient based upon an individualized plan. Nursing care delivered by the PCA is coordinated under the direction of the Registered Nurse. The unit leadership group promotes autonomous, accountable nursing practice by supporting staff involvement in unit practice decision making.
Meet the Manager