Medical / Surgical (Unit 75)
75 MS is a 36-bed inpatient adult medical unit located on the north wing of the seventh floor in the Patient Services Building. The unit consists of 14 private rooms, including 2 negative isolation rooms, and 11 semi-private rooms. The 2 isolation rooms were constructed with negative air flow capabilities. Capability exists to monitor patients with continuous pulse oximetry to a central monitor in the nursing station as well as remote telemetry to monitored on unit 74 nursing station. Average bed occupancy is 81%.
Patient Population
Patients are admitted to 75Med with general medical conditions that require in-patient hospitalization. The unit serves a home base from the hospitalist services of Silver/Green Teams. The services of 75Med have a strong statewide referral base accepting patients as hospital-to-hospital transfers as well as admitting patients from the Emergency Department for acute illnesses. Common admitting diagnoses include chronic obstructive pulmonary disease (COPD), diabetes, acute infections, pancreatitis, gall bladder disease, morbid obesity, pneumonia, sickle cell crisis, end stage renal disease and other medical conditions.
Nursing Care
Nursing care is focused on the assessment, diagnosis, planning, treatment and evaluation of cardiac and medical patients from admission to discharge with emphasis on cardio-pulmonary assessment, airway management, patient/family education and support, and initiation of the rehabilitation process.
The 75 Med 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, JPs, Duvalls; respiratory management including pulse oximetry, oxygen therapy and chest tubes; cardiac management including 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, pancreatic drains, NGs; medication management, safety precautions and patient/family education and support.
Health Care Team
A general medical physician who is a professor in the Department of Medicine serves as the Medical Director for 75 Med. The Internal Medicine services consist of attending physicians, fellows, chief residents, residents, interns, physician assistants, ARNPs and medical students. Scheduling of rotations is maintained through the Department of Medicine. Patient Care Resource Managers and Case Managers serve as liaisons between the Internal Medicine medical staff and multidisciplinary team, providing continuity of care for medical patients from admission through clinic follow-up. Available support services for 75 Med patients include: Respiratory Therapy, Physical Therapy, Occupational Therapy, Nutrition Services, Enterostomal Therapy as well as Patient and Family services. Collaboration is fostered by weekly patient care conferences attended by nursing staff, medical staff, Patient and Family Services personnel, Rehabilitation Services staff (PT, OT, Communication Disorders when indicated) and Dietitians as well as by participation in daily service rounds.
The nursing management structure consists of a Nurse Manager and Clinical Leader with support from a central Administrative Coordinator. 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, Licensed Practical Nurses and Patient Care Assistants provide nursing care. Unit clerks provide clerical support for the direct patient caregivers. The Registered Nurse is responsible for guiding care of the patient based upon an individualized plan. Nursing care delivered by PCAs is coordinated under the direction of the Registered Nurse.
Meet the Manager
Debbie Pittman
Nurse Manager
Unit 75
If you’d like more information about nursing opportunities on Unit 75, call 352.265.8000. Or, you can call Jodi Matts, nurse recruiter, at 352-265-0441 ext. 85388 or email her at mattsj@shands.ufl.edu .