adult acute care medicine - unc medical center · adult acute care medicine name of unit acute care...

Adult Acute Care Medicine

Name of Unit Acute Care Medicine (3 West)

Patient Population: Patient population includes the specialization in the care of nephrology, gastroenterology, hepatology, and general medicine adult patients.

Number of Beds 26 Beds

Nurse/Patient Ratio 1:5

Additional Info/Highlights

3West offers excellent learning opportunities for nurses to develop their skills and integrate clinical assessments with complex pharmaceutical and diagnostic data in a fast-paced environment.

Name of Unit Acute Care Unit (4West)

Patient Population: Adult medical-surgical population who may benefit from an extended observation period. This unit provides an alternative to discharge or hospital inpatient admission.


Nurse/Patient Ratio 1:4-5


The environment is fast-paced, facilitating admissions, treatments, transfers, and discharges. It is one of three units that make up the Emergency Services Transition Units (ESTU) team and flexibility to rotate and work in any of the three units is ideal.

Name of Unit Pulmonary/Infectious Disease - 6 Bedtower (6BT)

Patient Population: Patient population includes adult medicine patients with pulmonary or infectious diseases. The patient population of 6 BT includes, but is not limited to, patients requiring medical care for COPD, pneumonia, asthma, cystic fibrosis, as well as those patients with AIDS, meningitis, and sepsis.




RNs have competency in administering chemotherapies and biotherapies for non-oncology conditions. 6BT is also the landing zone for pulmonary hypertension patients, as UNCH is a newly accredited center for pulmonary hypertension care.

Name of Unit Geriatric Medicine - 8 Bedtower (8BT)

Patient Population: Patient population includes Geriatric and General Medicine patients which includes, but is not limited to, patients requiring medical treatment and diagnostic evaluations of both acute and chronic diseases with physiological and cognitive age related changes.



Additional 8 Bedtower utilizes a multi-disciplinary approach in a patient and family

Info/Highlights centered care environment. We also work closely with the Palliative Care Team. We provide a supportive work atmosphere with nurses committed to excellent health care and collegial interactions. In addition, we also enjoy a top tier employee satisfaction rating!

Adult Acute Care Surgery

Name of Unit GI Surgery Acute Care (4 Anderson North)

Patient Population: Primary population is focused on bariatric surgery patients and on patients who require surgical procedures/treatments for gastrointestinal disease.

Number of Beds 20 beds



Our medical teams are nationally recognized for their cutting-edge surgical procedures and treatments of gastrointestinal disease. Average length of stay is 5-7 days. Utilizes an innovative practice, “Partners in Practice” model of care, which pairs a licensed RN with a certified nursing assistant who together assume the care of 6 patients.

Name of Unit Transplant Unit - 5 West (5W)

Patient Population: Abdominal Transplant/Urology/Plastic Surgery: The surgical population includes abdominal transplant which encompasses liver/kidney/pancreas transplant patients, plastic surgery including reconstructive grafts and tissue injuries, and surgical urology including cystectomies, nephrectomies, and other urological procedures. The medicine population includes patients that have diagnoses of end-stage liver and end-stage kidney disease as well as post-transplant patients, who have hospitalizations related to their transplant.




Our unit is a leading performer (#1 in the hospital) for patient satisfaction. We are truly a medical/surgical unit - & care for both populations.

Name of Unit Orthopedic/Trauma - 5 Bedtower (5BT)

Patient Population: Orthopedic and Trauma unit - Patient populations include complex and blunt trauma injuries, multiple orthopedic fractures, and orthopedic trauma.




AACN Silver Beacon Excellence Award winning unit.

Name of Unit Acute Burn/Wound - 5 East (5E)

Patient Population: Patient population consisting of acute level burn, wound, and plastic surgery patients.




5 East functions partly as an extension of the NC Jaycee Burn Center caring for adult acute care patient with burn injuries.

Name of Unit GI Surgery Acute Care - 6 East (6E)

Patient Population: Patient population includes GI surgery and general surgery acute care patients.




Our medical teams are nationally recognized for their cutting-edge surgical procedures and treatments of gastrointestinal disease. Average length of stay is 5-7 days. Utilizes an innovative practice, “Partners in Practice” model of care, which pairs a licensed RN with a certified nursing assistant who together assume the care of 6 patients.

Name of Unit Neuroscience Acute Care - 6 Neurosciences (6NSH)

Patient Population: Patient population consisting of medical and surgical patients with an age range from young adult to geriatric; admissions from predominately Neurology, Neurosurgery and Otolaryngology/Head & Neck Surgery


Nurse/Patient Ratio 1:5 Day & Night


JCAHO certified Primary Stroke Center acute care unit

Name of Unit Surgical Oncology Acute Care - 7 Neurosciences (7NSH)

Patient Population: Surgery acute care unit specializing in providing exceptional care for patients with gastrointestinal, breast, endocrine and head/neck cancers




Utilizes an innovative practice, “Partners in Practice” model of care, which pairs a licensed RN with a certified nursing assistant who together assume the care of 6 patients.

Adult Oncology

Name of Unit General Oncology - 4 Oncology (4 Onc)

Patient Population: Patient population includes patients requiring medical treatment and diagnostic evaluations of both solid tumor and hematological malignancies and the management of the side effects of their treatment.


Nurse/Patient Ratio 1:3 or 1:4


The nurses on 4 oncology are highly skilled and manage not only the technical aspects of caring for an oncology patient but the emotional support as well. A typical patient is receiving transfusions, antibiotic therapy, electrolyte support and other side effect management. Our nursing staff works together as a part of large interdisciplinary team including physicians, pharmacists, a chaplain, recreational therapists, physical therapists, a dietician and care managers.

Name of Unit Bone Marrow Transplant Unit (BMTU)

Patient Population: Patient population includes adult patients undergoing transplant for

hematologic cancers, solid tumors, metabolic diseases and blood

disorders. These patients often receive transfusion and electrolyte management and antibiotic therapies.




The BMTU is a very team-focused environment in which good communication and patient care are highly valued. The BMTU utilizes a multi-disciplinary approach to caring for our patients. As a BMTU nurse, you will have the opportunity to apply a vast array of skills in the process of caring for patients that you have the opportunity to get to know over admission periods that often last weeks to months in duration.

Heart & Vascular Acute and Critical Care

Name of Unit CardioVascular Acute Care - 5 Anderson (5 And)

Patient Population: Patient population specializes in the care of Cardiology, Thoracic and Vascular patients. Post-surgical Vascular includes amputations, lower extremity bypass grafts, and aortic/thoracic aneurysm repairs. Post-surgical Thoracic includes Lobectomies, Lung and Esophageal resections. Cardiology includes both medicine and surgical to include patients with diagnosis of Congestive Heart Failure, NSTEMI, pre and post cardiac catheterizations with and without interventions.




Our health care teams are led by renowned physicians who are among the country’s leaders who pioneered national standards for endovascular aneurysm surgery.

Name of Unit 3 Anderson/ Intermediate Coronary Care Unit (3 And/ICCU)

Patient Population: Patients on this unit include myocardial infarction, heart failure, and arrhythmia. Also included in our care are pre and post cardiac catheterization and electrophysiology procedures such as pacemaker placement, implantable cardioverter-defibrillator placement and ablation. All nurses on the unit rotate through the ICCU and are experienced with multiple vasoactive infusions and invasive devices, including arterial lines and chest tubes

Number of Beds 19 acute care and 6 progressive care = 25 beds total

Nurse/Patient Ratio 1:4 Days Acute and 1:3 ICCU 1:5 Nights Acute and 1:3 ICCU


AACN Gold Beacon Excellence award winning unit. The cardiac telemetry system for the hospital is also located within this unit.

Name of Unit Cardiothoracic Step-down Unit (CTSU)

Patient Population: Patient population specializes in the care of post-surgical cardiac and thoracic patients consisting of post-coronary artery bypass grafts (CABGs), heart valve repair/replacements, ventricular assist device patients, heart transplants, lung transplants, aortic/thoracic aneurysm repairs, and esophageal and thoracic surgeries.




Nurses manage patients with ventricular assist devices, including those used for destination therapy and bridge to transplant. Our Cardiothoracic Stepdown Unit offers nurses broad opportunities for education, responsibility, and professional growth while working with patients who need specialized care.

Name of Unit Cardiac Intensive Care Unit (CICU)

Patient Population: Patient population specializes in the management of patients with a variety of cardiac conditions including: myocardial infarction, hypothermia s/p arrest, acute decompensated heart failure/ cardiomyopathy, pre and post cardiac transplant, LVAD workup and readmissions, cardiogenic shock, unstable dysrhythmias, complicated ablations, trans-aortic valve repairs and multi-organ system failure.




CICU Charge nurse also carries the code pager, responds as part of the Adult Rapid Response Team and Cardiac Response Team throughout the hospital

Name of Unit Cardiothoracic Intensive Care Unit (CTICU)

Patient Population: Patient population specializes in the care of post-surgical cardiac and thoracic patients. The main population served consists of coronary artery bypass grafts (CABGs), heart valve repair/replacements, heart and lung transplants, ventricular assist devices including ECMO, aortic/thoracic aneurysm repairs, and complicated esophageal and thoracic surgery patients.




CTICU nurses are educated to successfully manage and care for patients with advanced hemodynamic monitoring and supportive devices such as pulmonary artery catheters, temporary and permanent pacemakers, and ventricular assist devices.

Adult Medical/Surgical Progressive and Critical Care

Name of Unit Medicine Progressive Care Unit (MPCU)

Patient Population: Patient population includes adult patient admissions from 8 different medicine services with an age range from young adult to geriatric. Primary medicine services admitting to MPCU include pulmonary and infectious diseases, renal, liver and GI patients, oncology and hematological diseases, geriatrics, general medicine and family medicine.




The MPCU provides an intermediate level of care between the intensive care setting and the acute care medical units. RNs have the opportunity to attend classes to gain competency in administering chemotherapies for oncology patients.

Name of Unit Medical Intensive Care Unit (MICU)

Patient Population: Patient population include patients with diagnoses (but the unit is not limited to) sepsis, drug overdose, DKA, renal failure, liver failure, respiratory failure, ARDS, GI bleed, pneumonia, COPD, pancreatitis, and intracranial hemorrhage.




The MICU has a rapidly growing oncology patient population which offers RNs the additional experience of developing oncology critical care sub-specialty skills. The MICU provides support for the Medicine Service Adult Rapid Response Team (RRT) by designating a first-responder RN during all shifts who responds to RRT calls from the designated areas.

Name of Unit Intermediate Surgical Care Unit (ISCU)

Patient Population: Patient population includes step-down level of care to all general surgery services as well as Neurology, Neurosurgery, Otolaryngology, Plastics, Gynecology, and Urology patients




ISCU is also a primary unit for the UNCH Stroke Program

Name of Unit Surgical/Trauma Intensive Care Unit (STICU)

Patient Population: Primary patient populations include trauma, abdominal transplant, GI surgery, acute care general surgery, ENT, plastics, and gynecologic surgery.




Open Access for Acute Care General Surgery. AACN Gold Beacon Excellence Award winning unit.

Name of Unit Neurosciences Intensive Care Unit (NSICU)

Patient Population: Patient population includes Neurology and Neurosurgery patients




NSICU is a Level One Trauma Unit and part of the UNCH Stroke Program. NSICU nurses participate in the UNCH Brain Attack Team (BAT) providing neuro-critical care nurse rapid response for hospitalized patients suspected with stroke.

Name of Unit NC Jaycee Burn Center

Patient Population: Patient populations include burn injured acute care and critical care patients with major skin disorders of all ages.


Nurse/Patient Ratio 1:1, 1:2, 1:3


The Burn Center provides care along the full continuum of the most critically injured through acute and into the rehabilitation and reconstructive phases of burn injury and survival. In addition, the Burn Center conducts clinical and basic science research, which contributes to our understanding of survival and recovery from serious burn injuries.

Emergency Department

Name of Unit Emergency Department (ED)

Patient Population: Patient population includes patients ranging from minor illnesses and injuries to critical medical and trauma patients to neonates to elderly. Care is also provided to psychiatric/behavioral health patients.


Nurse/Patient Ratio


Level I Trauma Center and Comprehensive Stroke center serving as NC’s primary referral hospital as well as serving as the community hospital for Chapel Hill/Orange County. The ED sees over 70,000 patients per year.

Hillsborough Hospital

Name of Unit Medical-Surgical Intensive Care Unit (2 Bedtower)

Patient Population: This unit provides adult inpatient care for critical care patients for both medical and surgical admissions. This is a mixed unit caring for patients requiring intensive care, step-down and medical telemetry. Nurses in this unit also provide hospital-wide support for clinical emergencies.

Number of Beds 18 (9 ICU/Step-down, 9 medical telemetry)

Nurse/Patient Ratio 1:2 ICU level, 1:3-4 step-down level, 1:4-5 medical telemetry level


UNC Health Care Hillsborough Campus is a brand new community hospital which is an extension of UNC Medical Center focusing on many of our elective surgical programs. The 68 bed facility will combine a community hospital culture with the innovative procedures and care for which the UNC Medical Center is known.

Name of Unit Medical-Surgical Acute Care Unit (3 Bedtower)

Patient Population: This unit provides adult acute inpatient services for both surgical and medical admissions. Surgical patient population includes Hip/Knee Joint Replacements, Spine, and Urology admissions.

Number of Beds 25



UNC Health Care Hillsborough Campus is a brand new community hospital which is an extension of UNC Medical Center focusing on many of our elective surgical programs. The 68 bed facility will combine a community hospital culture with the innovative procedures and care for which the UNC Medical Center is known.

Neonatal Critical Care Center

Name of Unit Newborn Critical Care Center (NCCC)

Patient Population: Patient population includes medically fragile preterm or ill newborns that require medical and surgical care.


Nurse/Patient Ratio 1:1 - 1:3


There is a strong focus on family-centered and developmentally appropriate care. We offer advanced therapies including body cooling, high frequency ventilation, inhaled nitric oxide and numerous pediatric subspecialties.

Obstetrics/Women’s Health

Name of Unit Antepartum (3 Women’s)

Patient Population: Patient population consists of high risk antenatal patients experiencing complications during pregnancy or postpartum. In addition, patients also consist of post-op benign gynecology and postpartum couplet patients.


Nurse/Patient Ratio 1:2, 1:3


Level III Referral Center. Care may be provided to patients with severe pre-eclampsia, diabetes, IV magnesium, and substance abuse.

Name of Unit Maternity Care Center (5 Women’s & Newborn Nursery)

Patient Population: Private room unit providing care for the postpartum patients utilizing the couplet care model, with an emphasis on Patient and Family Centered Care. Infant Rooming-In supported. Medical Care overseen by the Department of Pediatrics and Pediatric Nurse Practitioner’s, The Department of Obstetrics and Gynecology, Family Practice, and Midwives.


Nurse/Patient Ratio 1 RN to 3-4 Couplets

Additional

Info/Highlights

Level III Referral Center, Baby Friendly Designated, 24hr Lactation Consultant coverage, Magnet Certified, Doula Program, North Carolina Maternity Center Breast Feeding Friendly 5 Star Award, IBCLC Care Award

Name of Unit GYN/ GYN Oncology – (6 Women’s)

Patient Population: The primary patient population consists of Gynecology and Radiation

Oncology patients. The remaining patient population consists of benign gynecology, postpartum, and Med-Surg patients.




Provides care to patients with acute and chronic medical and surgical problems. Administers and cares for patients receiving chemo and radiation therapy.

Pediatric Acute and Critical Care

Name of Unit 5 Children’s Intermediate Care

Patient Population: Patient population includes pediatric cardiology, hematology/oncology, bone marrow transplant and pulmonary patients ranging from ages: 2 days through 21 years. The unit provides care for other acutely ill children requiring intermediate level nursing care.


Nurse/Patient Ratio 1:3 for intermediate care patents and 1:4 for acute care patients


The nursing staff focuses on the care of pediatric patients with long term illnesses and the developmental needs of the hospitalized child.

Name of Unit General Acute Care - 6 Children’s (6CH)

Patient Population: Patient population includes the care of general pediatrics ranging in age from infancy through 21 years. Specialties of care include gastrointestinal, neurology, nephrology, endocrine, metabolic, and some pulmonary patients.



Additional The unit has a four bed Epilepsy Monitoring Unit

Name of Unit Labor & Delivery

Patient Population: As a level III referral center, UNCH sees both low-risk obstetrical patients as well as a large number of complex cases including sever pre-eclampsia, hemoglobinopathies, and fetal anomalies/ fetal loss. In addition to laboring patients, Labor & Delivery provides care to high-risk antepartum patients as well as the immediate postpartum couplet.

Number of beds 15 labor rooms; 5 triage rooms; 3 ORs; 2 recovery rooms

Nurse/Provider Ratio 1:1; 1:2

Additional

Info/Highlights

RN will be responsible for labor care, delivery, recovery, circulating c-sections, and PACU. Baby Friendly; Nitrous Oxide; Maternal-Centered Cesareans; Doula program.

Info/Highlights

Name of Unit Pediatric Surgery Acute Care - 7 Children’s (7CH)

Patient Population: Patient population includes the care of general surgeries for pediatrics ranging in age from birth through adolescence. Specialties includes general pediatric surgery, traumas, ear/nose/throat, neurosurgery, oral-maxillofacial, orthopedics, urology, burns and transplant cases.


Nurse/Patient Ratio


The unit also cares for medicine and oncology pediatric patients.

Name of Unit Pediatric Intensive Care Unit (PICU)

Patient Population: Patient population includes critically ill children from neonates up to 18 years of age who require intensive monitoring and nursing care. Patients represent all medical and surgical specialties.




All RN nursing staff collaborates with a variety of interprofessional team members to provide excellence in patient- and family-centered care. The PICU is an ECMO center for neonatal and pediatric patients.

Psychiatry Service

Name of Unit Acute Psych - 3 Neurosciences (3NSH)

Patient Population: Patient population includes adult patients over 18 years of age with psychotic disorders. Our unit specializes in helping psychotic disorder patients develop an evidence based plan of care that will lead to a productive life both while receiving treatment on the unit and after discharge.


Nurse/Patient Ratio 1:4 Days 1:5 Nights


The nursing staff strives to provide a rich therapeutic patient environment while identifying symptoms which negatively impact the patient’s life, developing a plan to reduce these symptoms, and educating the patient about their illness. The care provided within the unit is individualized and structured with a focus on patient safety and medication management.

Name of Unit Geriatric/Crisis/Perinatal - 4 Neurosciences (4NSH)

Patient Population: 4 NSH North is a Psychiatric Crisis Unit – Patient population are aged 18 to 55, have short length of stays and often have co-existing substance abuse issues. 4 NSH South is a Geropsychiatry Unit – Patient population are generally over 55 years of age, medically and psychiatrically complex. 4 NSH Perinatal is a unit devoted to women of childbearing age with peripartum or postpartum depression.

Number of Beds North-Crisis - 15 Beds : South-Gero – 12 Beds : Peri – 3 beds

Nurse/Patient Ratio 1:5 on Crisis ; 1:4 on Gero ; 1:3 Perinatal


Patients come from across the nation seeking treatment on the perinatal unit as it is a one of a kind unit for postpartum depression.

Name of Unit Child Adolescent Unit - 5 Neurosciences Hospital (5NSH)

Patient Population: 5 NSH North is an Adolescent Psychiatry Unit with patient population from ages 13-17. 5 NSH South is a Child Psychiatry Unit with patient population of children ages 4-12.

Number of Beds 5 NSH North – 14 Beds / 5 NSH South – 8 Beds

Nurse/Patient Ratio Adolescent/North-1: 4-6 Child/South-1: 4


Patients come from across North Carolina to this unit

Name of Unit Eating Disorders Unit (EDU)

Patient Population: Patient population includes patients of all ages with eating disorders (typically longer-stay unit).




Patients come to this unit from across the United States, primarily Virginia, North Carolina and South Carolina.

Name of Unit Wakebrook Inpatient Unit

Patient Population: Patient population includes those with psychotic disorders. We also accept patients with a variety of behavioral health diagnoses, including dementia, depression, bipolar disorder, and substance abuse. Patients must be at least 18 years of age and meet medical criteria. Average length of stay is 11 days. Though the unit currently has a capacity of 16, it will expand in May 2016 to 28 beds.

Number of Beds 16 beds (28 beds after 5/2016)

Nurse/Patient Ratio 1-5-6

Additional

Info/Highlights

Robust interdisciplinary programming in place. Improvements are currently underway with the planned initiation of training for staff to use

of the Recovery Model for treatment and milieu management. Additionally, we will add a second outdoor space, a new gardening therapy area and new sensory tools in the next year to enhance the patient experience and quality of care.

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