Unit 94 Medicine Intermediate Care

Description of Unit

The 94 Medicine IMC/ICU of UF Health Shands Hospital is a 30-bed unit and includes monitoring capabilities at each bedside. 94IMC/ICU provides treatment for patients requiring complex stabilization and care. These patients are admitted from the Emergency Department, referred from other hospitals, patients on med-surg units requiring a higher level of care or who have had a worsening in condition, and patients requiring complex cardiovascular or pulmonary management and intervention. A team of healthcare workers, admitting Attending Physicians, Residents and Interns as well as specialists as requested by the primary teams, nurses, social workers and ancillary personnel work together to provide this excellent care and service.

Description of Patient Populations

Monitoring capabilities include, but are not limited to: ventilator management, EKG monitoring, invasive hemodynamic monitoring, pulse oximetry, temperature, and continuous cardiac output via Flo Trac. The patient population consists of multiple medical diagnoses including sepsis, pneumonia, COPD, respiratory failure, pre & post transplant, drug overdoses, renal failure, GI Bleed, infectious diseases and cancer.

Nursing Care

Nursing care is focused on the assessment, diagnosis, planning, treatment, and evaluation of patient’s frequent intervention in treatment. Nursing activities include hemodynamic monitoring, fluid and electrolyte monitoring, vasoactive and inotropic therapy, respiratory management, specialized wound care, nutritional therapy, medication management, and comfort/sedation measures. Patient and family education and emotional support related to the patient’s condition and treatment is an essential element in the nursing care provided.

Health Care Team

Care is provided to patients 24 hours a day/ 7 days a week.  Scheduling of rotations is maintained through the Department of Medicine.

Nursing Management for the unit includes a Nurse Manager, Lilia Febre-Viera, Clinical Leader, Jessica Birkett, and Unit Assistant, Carly Mitchell. Department of Nursing Staff is provided training experiences to attain and maintain competence as defined by the unit/role specific job descriptions and departmental education plan. Monitor Support Techs provide clerical support and central monitor support for the direct patient caregivers. The Registered Nurse is responsible for guiding care of the patient based upon the individualized plan.