Service Unit/Floor Descriptions
The Care Management Department serves all patient populations at WVUH. The department, consisting of nurses, medical social workers, and other key members, work collaboratively with the patient’s multidisciplinary team of physicians, bedside nurses, therapy services, and other members of the healthcare team to ensure insurance companies approve the patient’s hospital stay, and that any services the patient may require for a safe discharge are approved and arranged.
Ruby Memorial Hospital
10 East (10E)
10 East is a fast paced acute care/step-down unit that is a part of the WVU Medicine Heart and Vascular Institute. Our staff specialize in the care for cardiology, cardio-thoracic surgery, and vascular surgery patients. The bed capacity is 31 with 13 floor and 18 step-down. The nurse to patient ratio is 1:5 for the floor and 1:3 for the step-down. Types of patients on this unit include chest pain, rule out MIs, acute MIs, dysrhythmias, HF, post-op coronary artery bypass grafting, CEA, AAA repairs, endovascular procedures, ICDs, PTCA/Stent, and post-op lungs. The unit houses the telemetry surveillance center, which is responsible for monitoring up to 300 in-house patients. Our team includes RNs, Clinical Associates, Unit Clerks, and Cardiac Monitor Technicians.
10 West (10W)
10 West is a step down unit that is part of the WVU Heart and Vascular Institute. Unit Specialty is Cardiology, Heart Failure, and Medicine patients. Bed capacity is 25 beds. (When the new tower comes we will be 24 beds). The nurse to patient ratio is 1:3. Types of patients include, CHF, chest pain, AMI, PTCA/stent, post-op coronary artery bypass grafting, dysrhythmia, ICDs, vascular, dialysis, and trauma patients.
9 East/9 East Step Down/Epilepsy Monitoring Unit (9E)
Unit specialty is neurology and neurosurgery. The bed capacity is 32 with 14 acute care, 12 step-down beds, and 6 epilepsy-monitored beds (EMU). The nurse to patient ratio is 1:5 in acute care, 1:5-6 in EMU, and 1:3 in the step- down unit. 9 East is the acute stroke unit and is a key component of the WVU Stroke Center. Types of patients on 9 East include those with stroke, seizures, traumatic and non-traumatic head bleeds, brain tumors with craniotomies, spinal surgeries, and other rare, fascinating neurological diseases. The EMU is a central component of our Level 4 Epilepsy Center, utilizing state-of-the-art technology and video EEG to assess and treat both adult and pediatric patients.
9 West/Oncology Center (9W)
Unit specialty is adult hematology/oncology. The bed capacity is 20. The nurse to patient ratio is 1:5. Types of patients on this unit include leukemia, lung cancer, Hodgkin’s disease, Non-Hodgkin’s disease, lymphomas, breast cancer, triage care, and supportive care for neutropenic fevers and outpatient services such as dressing changes, injections, (G-CSF injection), blood transfusion, and lab draws.
Blood and Marrow Transplant Unit (BMTU)
Unit specialty is adult oncology transplantation. The bed capacity is 12. The nurse to patient ratio is 1:3. Types of patients on this unit include Autologous and allogeneic transplantation, stem cell transplantation, matched unrelated donor transplantation, and syngeneic transplantation. Other services include: high dose chemotherapy, total body irradiation, Leukapheresis, and stem cell apheresis. In addition, outpatient services (BMOP patients) are provided including but not limited to apheresis, transplantation, dressing changes, intravenous line care, blood transfusions, injections, and lab draws. Unit specialty is adult oncology transplantation. The bed capacity is 12. The nurse to patient ratio is 1:3. Types of patients on this unit include Autologous and allogeneic transplantation, stem cell transplantation, matched unrelated donor transplantation, and syngeneic transplantation. Other services include high dose chemotherapy, total body irradiation, Leukapheresis, and stem cell apheresis. In addition, outpatient services (BMOP patients) are provided including, but not limited to, apheresis, transplantation, dressing changes, intravenous line care, blood transfusions, injections, and lab draws.
The Observation unit is unique among the medical/surgical nursing units. With 10 beds, the Observation unit is designed for patients with anticipated hospital stays less than 24 hours. Our nurse to patient ratio is 1:5-6. Patients are assigned to the Observation unit based on diagnosis and admission criteria. Assignments can be a wide range of services both medical and surgical such as medicine, cardiology, pain, ENT, extended recovery, etc. Our patient care team includes RNs, clinical associates, and unit clerks dedicated to quality patient care in a fast-paced setting.
8 East (8E)
8 East is a 34-bed Med/Surg unit with Telemetry. Nurses on this unit often have the opportunity to care for patients with complex acute and chronic medical conditions such as chest pain, kidney diseases, cystic fibrosis, COPD, diabetes, wound care, pneumonia, and other chronic medical conditions. The unit is a fast-paced and exciting environment that strives to deliver quality patient care. The nurse to patient ratio is 1:5-6.
8 West (8W)
Unit specialty is Medical/Surgical step-down and telemetry unit. The bed capacity is 34. Unit provides a higher level of care for patients requiring 24-hour hemodynamic monitoring. Medical care includes patients with complex acute or chronic medical conditions and patients recovering from surgery. Nurse to patient ratio is 1:3 for step-down beds and 1:5-6 for floor status. Patient population includes medical/surgical specialties such as ENT, cardiac, pulmonary, renal, gastrointestinal, genitourinary, and endocrine disorders.
8 North East (8NE)
Unit specialty is medical/surgical/trauma and bariatric step-down. 8 Northeast has 24 private rooms with state-of-the-art monitoring capabilities, with 4 rooms that are specifically designed to provide better comfort for the bariatric population. The nurse to patient ratio is 1:3. Types of patients include complex medical patients, traumatic injuries, general surgical interventions, and complex wounds. This unit provides a higher level of care for patient requiring 24 hour hemodynamic monitoring.
7 East (7E)
7 East is a 33-bed acute medical/surgical unit. As an intricate part of the state’s premier level one trauma centers, 7 East specializes in the care of complex traumatic surgery patients as well as other surgical disciplines such as general surgery, oncology surgery, plastic surgery, and breast reconstruction surgery. The unit distinguishes itself in the care of bariatric surgery patients and is designated as one of the state’s Bariatric Centers of Excellence. 7 East offers exceptional learning opportunities and a supportive work environment. The nurses and physicians work collaboratively with other disciplines to meet the needs of a complex and diverse patient population.
7 West (7W)
7 West is a 32-bed medical-surgical and hospice inpatient unit. The nurse to patient ratio is 1:5-6. The unit is telemetry equipped. Types of patients on 7W include chest pain, renal failure, endocarditis, chronic obstructive pulmonary disease, urinary tract infections, cystic fibrosis, pneumonia, pancreatitis, and mental status changes to name a few. We now offer conversion to inpatient hospice program for symptom management. Our primary service is Med Hospitalists, and the physicians are located on the unit. Our unit is a fast-paced environment, one from which to learn new skills. We take pride in the accomplishments of our staff and encourage personal and professional growth. We provide a supportive work environment. The physicians and nurses work together collaboratively with other disciplines to meet the complex needs of our patients. We strive to deliver exceptional patient care.
7 North East (7NE)
7NE is a 22-bed, all private room orthopaedic unit. This is a fast-paced unit specializing in the post-surgical care in one of the seven orthopaedic services WVU Medicine offers such as total joints, oncology, trauma, spine, ankle, shoulder, hand, and sport injuries. Our interdisciplinary team comprised of physicians, residents, nurses, physical therapist, occupation therapist, physician assistants, and care management has helped us achieve the accreditation of a Joint Commission Disease-Specific Care Certification Joint Replacement – Hip, Joint Replacement – Knee in October 2014. Additionally, we offer a private gym for the therapy needs of our patients. With a 1:4-6 nurse to patient ratio our patients receive aggressive treatment/therapy with the goal of the majority of patients to return home. A six-week, structured orientation allows our nurses to develop their skills in caring for the orthopaedic patient population and starts them off on the right foot towards achieving their Orthopaedic Nurse Certification.
WVU Medicine Children’s
6 East/Pediatrics (6E)
Unit specialty is acute care for pediatric patients. The bed capacity is 29. The nurse to patient ratio is 1:3 or 1:4. Types of patients include general pediatrics, oncology, surgical, cardiac, cystic fibrosis, trauma, orthopedic, neurology, neurosurgery, cardio-thoracic surgery, and many others.
Pediatric Intensive Care Unit (PICU)
Unit specialty is complex cardiac and neurosurgery and trauma. The bed capacity is 19, which includes ICU and step-down beds. The nurse to patient ratio is 1:2 and 1:1 for ICU and 1:3 for step down. Types of patients include post-op, medical/surgical management of all pediatric sub-specialties.
Neonatal Intensive Care (NICU)
Unit specialty is the critical care management of infants from birth to discharge. The bed capacity is 39 with a mix of intensive and intermediate care. The nurse to patient ratio is 1:2 and 1:1 for intensive, 1:3 for intermediate. The types of patients include premature and high-risk newborns and infants requiring medical and/or surgical interventions.
Maternal and Infant Care Center (MICC)
Unit specialty is maternity care from viability through delivery. The unit consists of 8 LDR/5 LDRP, and 17 antepartum/postpartum rooms. The nurse to patient ratio is 1:6 for pre/post-delivery and 1:1-2 for labor and triage.
Medical/Surgical Intensive Care (MICU/SICU)
Unit specialty is surgery/medicine. The bed capacity is 12 for SICU and 19 in MICU. The nurse to patient ratio is 1:2-1 per criteria. Types of patients include trauma, neurosurgery, vascular, general surgery, general medicine, stroke, pulmonary, metabolic disease, and renal disease.
Ruby Memorial Hospital/WVU Heart and Vascular Institute
Cardiac Care/Cardio-Thoracic Intensive Care (CTU/CCU)
Unit specialty is cardiology and cardio-thoracic surgery. The bed capacity is 16. The nurse to patient ratio is 1:2-1 per criteria. Types of patients include myocardial infarction, cardiac procedures, cardiac disorder and post-operative CABGs, valves, and thoracotomies.
Unit specialty is surgical services inclusive of open-heart preparation and recovery for operative patients. There are 18 main ORs and 1 hybrid interventional room, 30 main recovery, 8 outpatient ORs, 2 cystoscopy suites, 55 pre/post outpatient recovery, and 4 endoscopy suites. Types of patients include surgical services for adults and children from T&As to open-heart surgery. Additional services provided are pain procedures and recovery of patients after interventional radiology.
The Renal Dialysis unit is a 10-bed treatment area. Our nurse to patient ratio is 1:3. We provide inpatient and outpatient services to adult and pediatric clients. We perform hemodialysis, peritoneal dialysis, continuous renal replacement therapy, and therapeutic plasma exchange for patients. Our hours of operation are Monday, Wednesday, and Friday 6:30a-7p; Tuesday, Thursday, and Saturday 7a-6p. A dialysis nurse is available on call after hours. As part of our outpatient commitment, we are a member of the Mid-Atlantic Renal coalition (MARC). MARC is a Region 5 End-Stage Renal disease network contracted by the Centers for Medicare & Medicaid Services (CMS) to monitor and improve the quality of care provided at dialysis units throughout West Virginia, Virginia, Maryland, and the District of Columbia.
Emergency Department (ED)
The Emergency Department provides around-the-clock, comprehensive emergency care to adult and pediatric patients. Services include the Level I Trauma Center, Primary Stroke Center, and Medical Command, and Emergency Air Transport. The department has 32 treatment rooms and state-of-the-art resuscitation rooms. A 15-room expansion is planned for 2016. The Emergency Department has more than 48,000 patient visits a year.
Chestnut Ridge Center (CRC)
Chestnut Ridge Center’s specialty is psychiatric/mental health treatment and chemical dependency treatment. The center consists of Inpatient Adult unit, Inpatient Dual treatment unit (adults with substance use accompanied by mental health concerns hospitalized for short term care), Chestnut Ridge intensive, partial hospitalization (day hospital), and an Assertive community treatment program. Voluntary and involuntary patients are served in the acute settings. CRC also has an acute adolescent unit and two adolescent male residential programs.
Mary Babb Randolph Cancer Center (MBRCC)
Unit specialty is adult outpatient oncology services. There are 30 treatment rooms in the infusion center while renovations in the clinic to expand from 17 exam rooms to 32 exam rooms and 3 procedure rooms are underway. Types of patients include patients with primary diagnosis of breast cancer, lung cancer, lymphomas, hematological disorders, brain tumors, and leukemia. The clinic also provides services to gynecology/oncology, surgical/oncology, dermatology for skin cancers and MOHS surgery, blood and marrow transplantation/hematologic malignancies, and hematology/oncology. The clinic provides multidisciplinary clinics for lung and breast cancers, blood and marrow transplantation/hematologic malignancies, and brain tumors. Other services include colposcopy, blood transfusion, lab draws, line care, chemotherapy administration, injections, and fluid hydration.
Ambulatory Services consists of 14 clinics that see patients for their primary or specialty care needs. Our clinics include Internal Medicine, Family Medicine, Pediatrics, OB/GYN, Orthopaedics, Surgery, Neurology, Neurosurgery, Otolaryngology, and Medical Specialties. Nurses work within a care team environment with the provider and other clinical support staff. The nurse has several different roles within the clinic setting, allowing for a variety of learning opportunities.
Nursing Resource Pool/Per Diem Nurses
Resource Pool Nurses are assigned to work on critical care or medical surgical units based on their skill set. The Per Diem Program is organized to provide a group of readily available employees to supplement staffing needs. Employees will be contracted to work on a per diem basis, for one of the following: Unit Based Per Diem or Resource Pool Per Diem. The resource Pool Per Diem has 4 cluster options – ICU, Medical/Surgical, Children’s Hospital, and Cardiac.