Unit 54 Medical Surgical Cardiac Care
Description of Unit
Unit 54 is a 36-bed inpatient medical/surgical cardiac unit located on the 5th floor, section 4 of the PSB. The unit consists of 16 Intermediate Care (IMC) beds and 20 medical/surgical beds, including two negative pressure isolation rooms. Monitoring capabilities include continuous telemetry monitoring, bedside monitoring for 16 IMC patients, continuous pulse oximetry, and continuous telemetry monitoring for 36 patients requiring telemetry on other medical-surgical units. Average bed occupancy is 86%
Description of Patient Populations
Patients are admitted to Unit 54 from Admissions as scheduled appointments, Emergency Department, CICU/CCU, 24 IMC, UF Health Clinics and hospital-to-hospital referrals. Patients admitted to the unit are those with a cardiac medical – surgical diagnosis including those requiring cardiac catheterization for intervention and/or diagnostic testing. Ages of patients served include adult, middle adult and older adult. The average length of stay is 2.94.
Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of patients requiring acute care. The Unit 54 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 analgesia and epidural analgesia; wound management including Vacuum Assisted Closure Systems, JPs, Duvals; respiratory management including pulse oximetry, oxygen therapy, chest tubes, and tracheostomies; cardiac management including telemetry, epicardial pacing, and Ventricular Assist Devices; 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, NGs; medication management including immunosuppression and inotropic, antiarrythmic and electrolyte infusions; blood product infusions; safety precautions and patient/family education and support.
The Medical Director for 54 IMC is a cardiology attending physician, who is board certified in Internal Medicine and Cardiovascular Disease. The cardiology and cardiothoracic services consists of attending physicians, fellows, chief residents, residents, interns, Physician assistants, ARNPs and medical students. Scheduling of rotations is maintained through the Department of Medicine or Department of Cardiothoracic Surgery. Case Managers and Transplant Coordinators serve as liaisons between the Cardiology staff and multidisciplinary team, providing continuity of care for patients from admission through clinic follow-up. Available support services for patients include: Pharmacy, Respiratory Therapy, Physical Therapy, Occupational Therapy, Nutrition Services, Enterostomal Therapy as well as Patient and Family services. Collaboration is fostered by nursing staff participation in daily service rounds.
The nursing management structure consists of a Nurse Manager and Clinical Nurse Leader with support from a Unit Assistant. 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. Monitor support technicians provide cardiac monitoring and clerical support for the direct patient caregivers as well as mobility assistance for the patients. The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan.