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Unit 44 Pediatrics/Intermediate Care

Description of Unit

44 Pediatrics/Intermediate Care (IMC) is a 35 bed inpatient unit located on fourth floor in the south wing of the north tower of UF Health Shands Hospital. The unit consists of 11 Intermediate beds (5 private with 2 negative air flow and 3 semi-private), and 26 acute beds (6 private and 13 semi-private). Within the 26 acute beds, 2 are private, negative air flow isolation rooms and 2 private, hard-wired epilepsy monitored beds.

Each 11 IMC bed has a bedside monitor capable of continuous heart rhythm, respiratory, pulse oximetry and non-invasive blood pressure monitoring. The IMC patients can be monitored within the rooms, remotely from each IMC work station, and centrally at the nursing station. Centralized continuous pulse oximetry, telemetry, and seizure monitoring is provided in the nursing station for patients in the acute beds.

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

Description of Patient Populations

44 Pediatrics IMC is primarily a surgical pediatric unit. Patients admitted to unit represent the surgical and sub-specialty pediatric services, such as Pediatric Surgery, Trauma, Burns, Neurosurgery, Congenital Heart Surgery, Urology, Orthopedics, Cardiology and Neurology. Children admitted to this unit range in age from newborn to young adult.

Common medical procedures and therapies performed within the unit include intravenous therapy, oxygen therapy, EKG monitoring, peripherally-inserted central catheter, vaso-active infusions, lumbar puncture, and blood administration.

The average daily census for the IMC is 7.6 patients per day with an average length of stay of 4.28 days. The average daily census for the acute beds is 16.1 patients per day with an average length of stay of 2.02 days. The unit is operational 24 hours per day, 7 days per week.

Nursing Care

The nursing staff is committed to providing family centered, age appropriate and innovative patient care through the assessment, diagnosis, planning, treatment, evaluation and education of patients from admission to discharge. The 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 patients’ other healthcare professionals. Nursing care delivered by LPNs and PCAs is delegated by the Registered Nurse.

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

Monitor Support Technicians (MST) 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. MST staff supports the needs of the multi-disciplinary staff and team within the patient care environment.

Health Care Team

A board certified pediatrician, who is an assistant professor in the Department of Pediatrics, College of Medicine at the University of Florida is the medical director for the IMC, EMU and general unit beds. The medical team is comprised of the Attending, Fellow, Chief Resident, Resident or Intern Physicians, Physician Assistant, Nurse Practitioner and medical students. In addition to the nursing and medical staff, the multi-disciplinary team for patients also consists of: Licensed Social Worker, Child Life Specialist, Case Manager, Respiratory, Physical and Occupational therapists, Pharmacist, Dietician, and Wound-Skin nurses.

The nursing management structure for the unit consists of a Nurse Manager and Clinical Leader. The management team provides training experiences to maintain staff competency as defined by the unit and role specific job descriptions, and the departmental education plan. A Unit Assistant provides administrative support to the unit management team and functions under the direction of the nurse manager.

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