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Unit 11-5 Neurosurgery

Description of Unit

Unit 11-5 Neurosurgery is a 24-bed adult inpatient unit located on the eleventh floor in the Patient Services Building. The unit consists of twenty four private rooms, including two negative pressure isolation rooms. Monitoring capabilities include continuous pulse oximetry on the unit and continuous remote cardiac telemetry monitoring from Unit 54. Patients requiring close monitoring are assigned near the nursing station. Average bed occupancy is 22.70.

Description of Patient Populations

Patients are admitted to Unit 11-5 from 82 NSICU as transfers, Emergency Department, UF Health Clinics, and as hospital-to hospital referrals. Patients are admitted for common medical diagnoses and neurological conditions which may include intra-cerebral hemorrhage, subarachnoid hemorrhage, subdural hematoma, trigeminal neuralgia, brain tumor, head injury, spinal cord injury etc. Ages of patients served include adult, middle adult and older adult. The average length of stay on unit 11-5 is 3.97 days.

Nursing Care

Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of patients requiring acute care. The 11-5 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 consist of:  pain management including patient controlled analgesia; wound management including Vacuum Assisted Closure Systems, lumbar drains, ventriculostomies, JPs, Duvals; respiratory management including pulse oximetry, tracheostomies, oxygen therapy and chest tubes; cardiac management including remote telemetry; 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; medication management including heparin infusions, electrolyte infusions; blood product infusions to include IVIG;  fall and safety precautions and patient/family education and support.

Health Care Team

The Neurosurgery Medicine services consist of attending physicians, fellows, chief residents, residents, interns, PA’s, ARNP’s and medical students. Scheduling of rotations is maintained through the Department of Medicine.  Patient Care Resource Managers, Case Managers and Social Services function as liaisons between the Neurosurgery medical staff and multidisciplinary team, providing continuity of care for medical patients from admission through clinic follow-up. Available support services for Unit 11-5 patients include: Pharmacy, Respiratory Therapy, Physical Therapy, Occupational Therapy, Nutrition Services/Dietician, Ostomy/Wound Care, Pastoral Care as well as Patient and Family services. Collaboration is fostered by weekly interdisciplinary patient care conferences attended by nursing staff, medical staff, Patient and Family Services personnel and support staff indicated above.

The nursing management structure consists of a unit-based Nurse Manager, Clinical Leader and Unit Assistant with support from a central Administrative Coordinator. The unit leadership group promotes autonomous, accountable nursing practice by supporting staff involvement in unit practice decision making. Nursing staff is provided training experiences to attain and maintain competence as defined by the unit/role specific job descriptions and the Hospital Plan for Nursing Care. Registered Nurses, Licensed Practical Nurses, and Patient Care Assistants provide nursing care. Support Techs provide secretarial and patient mobility support to the direct patient caregivers. The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan. Patient Care Assistants and Support Techs meet the basic requirements for their positions and function in accordance with their unit-based job description, as described in the Hospital Plan for Nursing Care. The nursing management structure consists of a Nurse Manager and Clinical Nurse Leader with support from a unit based Unit Assistant and central Administrative 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. Support Techs provide secretarial and patient mobility support to the direct patient caregivers. Patient Care Assistants and Support Techs meet the basic requirements for their positions and function in accordance with their unit-based job description, as described in the Hospital Plan for Nursing Care. The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan.

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