Download Unit Profile - 8C

Unit Profile - 8C
Nurse Manager
Supervisor
Clinical Nurse
Specialist
Educational Nurse
Coordinator
Brief Description of
the Unit
Deborah Eastman, M.S., R.N.
Robin Russell, R.N.
936-6201 / Pager 34638
615-2694 / Pager 78316
Deb Spilak, B.S.N., R.N.
936-6202 / Pager 78340
Christina Reames M.S., R.N. 232-6415 / Pager 35405
8C is a 32-bed adult medicine and surgical unit. Nursing activities focus on the
post-operative patient, which includes care of wound and incisions, ostomies,
surgical drains, enteral tube feedings, fluid/electrolyte balance, and airway and
pain management. The patient care team also includes respiratory therapy,
physical therapy and dieticians.
Primary Services
1. Urology (SUA)
2. General Surgery Endocrine (GSE)
3. Surgery Oncology (SON)
4. University Family Medicine (UFM)
5. Dermatology (MFH)
6. Gynecology – Surgery (GY1, GY2)
7. Anesthesia – Pain (ANS)
Patient Demographics
Patients on 8C range from young adults to the elderly and are from diverse racial,
cultural and religious backgrounds. Patients experience a variety of nursing
needs related to mobility, pain, nutrition, elimination, airway disruption,
psychological support, oncological issues, body image, and complex family/other
psychosocial situations.
Common Medication
(Categories of Drugs)
Common Procedures
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Pain medications: Hydrocodone, Dilaudid, Oxycodone, Fentanyl patch,
Morphine, Toradol
Antiemetics: Zofran, Compazine, Phenergan
Antibiotics: Ampicillin, Vancomycin, Clindamycin, Piperacillin, Cefazolin
Anticoagulants: Heparin, Lovenox, Coumadin
Bowel function: Colace, Senna, Miralax
GI tract: Protonix, Zantac, Reglan
Cardiac & blood pressure: Norvasc, Cardura, Imdur, Labetalol,
Hydralazine, Atenolol
Insulin
Potassium
Magnesium
Blood products
Foleys
Nasogastric tube
Dobhoffs
Jackson-Pratts
Ostomies
Epidurals
PCA pumps
Sequential compression devices
(SCDs)
Various orthotics, traction
Bladder scanning
Point-of-care testing (e.g. capillary
blood glucose, hem occult blood)
CT Scans
X-rays of the abdomen and chest
Specialty areas of patient care on 8C
include:
• IV insulin and heparin therapy
• Insulin therapy based on nutritional
needs
• Blood product transfusion (e.g.
PRBC, platelets, fresh frozen
plasma)
• PCA’s
• Safety interventions as required by
patient condition (e.g. alcohol
withdrawal, delirium, dementia)
• Comfort measures, pain relief
• Nutritional therapy
• Radical cystectomy with ileal
conduit or neobladder
• DeLancey Protocol
• Laparoscopic partial nephrectomy
Common Medical
Diagnoses
1.
Prevalent medical/surgical diagnoses are many including: colo-rectal and
multiple endocrine disorders requiring surgical intervention –
thyroidectomies, parathyroidectomies, adrenalectomies, pancreatectomies.
2.
Common Urology diagnoses include : bladder cancer, renal neoplasm, open
partial nephrectomy, neurogenic bladder,
Chronic dermatology patients have diagnoses of psoriasis, cutaneous T-cell
lymphoma and other chronic skin diseases that are both benign and
malignant.
Family Medicine is a general medicine service with a wide range of medical
diagnoses including pneumonia, CHF, GI bleeding, COPD, DVT, urosepsis,
etc.
Other diagnoses : cellulitis, gastritis, ulcerative colitis, diverticulitis, total
abdominal hysterectomy, colon resection, colovesical fistula, gastric
adenocarcinoma and alcohol withdrawal
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Common Precautions
and Safety Measures
• Intermittent straight cath
• Continuous bladder irrigation
1. Falls precautions
2. All isolation precautions – VRE, MRSA, C- diff, respiratory, droplet, neutropenic
3. Spine precautions
4. Chemotherapy
5. Suicide
6. Seizure
7. Pandemic
8. Elopement precautions