Unit 65 Neurology and Family Practice

Description of Unit

Unit 65 Family Practice/EMU is a 36-bed adult inpatient unit located on the sixth floor, section 5 of the Patient Services Building the North Tower of UF Health Shands Hospital. The unit consists of 12 private and 12 semi-private rooms including two negative pressure isolation rooms. Four of the private beds are designated as the Epilepsy Monitoring Unit (EMU), patients are admitted to these beds electively for continuous EEG monitoring to aid in further diagnosis and treatment of their epilepsy. The unit has the capability to centrally monitor patients continuous pulse oximetry. Unit 65 is a remotely monitored telemetry unit.Placing confused patients near the nurse’s station or providing a private room for end of life care patients are examples of accommodating special care requirements. Care is provided 24 hours per day, 7 days per week. Our occupancy rate is 90%.

Description of Patient Populations

Unit 65 primarily serves the Family Medicine and EMU services, but also provides off-service boarding for services such as MHS, MIN, and MGI). Patients are admitted to Unit 65 from Admissions as scheduled appointments, Emergency Department, UF Health Clinics, and as hospital-to hospital referrals. Patients are admitted for a wide array of medical diagnoses. The age of the population served include adult, middle adult and older adult. The average length of stay varies depending on the diagnosis and the patient’s state of health.

Nursing Care

Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of patients requiring acute care from admission to discharge.  Emphasis is on the holistic delivery of care and focuses on the importance of a head to toe assessment. Patient/family members are primary recipients of education and teachings as well as viewed as collaborators in the delivery of their care. Patient and family education emphasizes the identification of risk factors, lifestyle changes, rehabilitation efforts, and discharge planning. The 65 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 focus on the care of the patient across the continuum from admission to discharge with the goal to return the patient to the optimum level of health for them. Nursing care includes but is not limited to, assessment, diagnosis, planning, treatment, and evaluation, pain management, ambulation/physical activity, and nutritional support as required by patient condition, infection control, medication administration, basic skin care, and management of medical IV lines, drains, and tubes. Nursing staff are certified to care for patients requiring continuous telemetry

Health Care Team

The Family Medicine Group provides leadership for the unit. The faculty, physician’s assistants, and residents provide 24-hour medical care of the medical/surgical patients. The emphasis is on a collaborative approach in the progression of care with the intent of decreasing length of stay. Multidisciplinary, comprehensive care of patients and families on the unit is provided by medicine, nursing, physical therapist, occupational therapist, respiratory therapist, TPN nurse, CWOCN’s, social work services, case management, pastoral care, food and 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 Leader with support from a unit based Unit Assistant and central Administrative Assistant and operates under the supervision of an AVP of Nursing Services. 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. The unit emphasizes degree advancement and national certification. Registered nurses, Licensed Practical Nurses, and Patient Care Assistants provide direct nursing care.  Support Technicians provide clerical support to the unit and mobility/ambulation support for patients.

The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan.

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