Position Highlights: NT4 Ortho-Urology Surgical Unit
Number of beds on unit: 41
Patient population (age, diagnosis, specifics about unit): NT4 is 41- bed unit specializing in the care of acute ortho and urology surgical patients. We are DNV certified for our hip and knee replacement surgeries. Surgical patients on this unit includes limb trauma patients, as well low acuity medical patients. With Carle being a level trauma center most regional trauma patients will be admitted to this unit.
Nurse to Patient ratio: 1:4-6
Department culture and resources: North Tower 4 is a fast paced throughput unit that highly collaborates with physical and occupational therapists. The average length of stay for most patients is a max of three days, so staff can experience the entire recovery process of the patient. We focus on being a team to provide the best and safest care to our community. Our patients appreciate the kind and positive reassurance they receive from our staff. Additionally resources for the unit include: a full-time educator, part-time educator, 2 nurse supervisors, a manager, and charge nurses.
Frequent nursing skills/equipment used: Wound Vacs, JP drains, Buck's tractions, external fixators, lift equipment, orthotic devices (boots, slings, walker, etc), chest tubes, Foley/IV/Mediport insertions, Central line care and lab draws, Nursing prioritization, IV pumps, PCA pumps, Feeding pumps, SCDs, Telemetry monitoring, Patient connection
Passes all medications, hangs IV piggybacks and fluids, excluding IV Push meds.
Charts assessments on assigned patients, given that an RN has charted the initial assessment.
Charts on care plans, which the RN has opened. As needed will have RN open new care plans.
Communicates with physicians/APPs to receive orders and coordinate care for patient.
Complete dressing changes as needed.
Complete trach care as needed.
Insert and care for NG tube and feedings through NG tube.
Care for and change ostomy.
Reinforce education and discharge instructions.
If applicable, completes annual education as assigned to comply with DNV Hip and Knee Replacement Program requirements.
Passes all medications, hangs IV piggybacks and fluids, excluding IV Push meds
Charts assessments on assigned patients, given that an RN has charted the initial assessment.
Charts on care plans, which the RN has opened. As needed will have RN open new care plans
Communicates with physicians/APPs to receive orders and coordinate care for patient.
Complete dressing changes as needed
Complete trach care as needed
Insert and care for NG tube and feedings through NG tube