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Unit 45 Pediatrics

Description of the Unit

45 Pediatrics is a 35-bed (13 private and 11 semi-private) inpatient unit located on the east wing of the fourth floor in the North Tower of UF Health Shands Hospital. Within the 35 floor beds, there are 4 private, negative air flow isolation rooms. Four beds are equipped for continuous EEG monitoring. All beds can accommodate continuous pulse oximetry and remote telemetry monitoring.

Family centered care is provided to patients on the unit, allowing for one parent to be with their child 24 hours per day. A family resource room is available for families to congregate, and access information or communicate via internet. A family room, sponsored by Ronald McDonald® House, located on the 10th floor, offers a place for families to relax, prepare and eat meals, contact family members, and sleep in the hospital.

Description of Patient Populations

45 Peds is a medical and surgical pediatric unit. The patients admitted to unit represent all of the surgical, medical and sub-specialty services, such as general pediatrics, oncology, hematology, pulmonology, gastroenterology, endocrinology, immunology, cardiology, neurology, orthopedics, cardio-thoracic surgery, neurosurgery, ENT, trauma and burn injuries and general surgery. Children admitted to 45 Pediatrics range in age from neonates to young adults.

Common medical procedures and therapies performed on the unit include lumbar puncture, peripherally-inserted central catheters, blood administration, chemotherapy, intravenous therapy, and oxygen therapy.

The average daily census for the floor is 21.7 patients per day with an average length of stay of 2.64 days. The unit is operational 24 days per 7 days per week.

Nursing Care

Nursing staff is committed to providing family centered, age appropriate and innovative patient care through the assessment, diagnosis, planning, treatment and evaluation, and education of patients from admission to discharge.  The 45 Pediatrics nursing staff meets the basic requirements for Registered Nurse (RN), Licensed Practical Nurse (LPN) and Patient Care Assistant (PCA), and function in accordance with the unit-based job descriptions as described in the Hospital Plan for nursing care. The Registered Nurse is responsible for developing an individualized plan of care in conjunction with the other healthcare professionals. Nursing care delivered by LPNs and PCAs is delegated by the Registered Nurse.

Additional unit requirements for the staff to prepare them to care for acutely ill children are met through a competency based unit orientation program. Following orientation, specific additional educational objectives are met according to the staff nurses’ ability and annual performance appraisal.

Support Techs meet the basic requirements for their positions and function in accordance with their unit-based job descriptions, as described in the Hospital Plan for Nursing Care. Techs support the clerical needs of the multi-disciplinary staff and team within the patient care environment and the mobility needs of the patients.

 Health Care Team

The Medical Director for the unit is appointed by the Chief of Pediatrics and is a board certified Pediatrician. The medical team consists of attending physicians, fellows, chief residents, residents, interns, physician assistants, ARNPs and medical students. In addition to the nursing and medical staff, the multi-disciplinary team for patients on 45 Pediatrics also consists of: licensed social workers, case managers, child life specialist, respiratory, physical and occupational therapists, pharmacist, dieticians, and wound and skin nurses.

The nursing management structure for the unit consists of a Nurse Manager and Clinical Leader with support from a Unit Assistant. The management team provides training experiences to attain and maintain staff competence as defined by the unit and role specific job descriptions and the departmental education plan.

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