Service Unit/Floor Descriptions

10 East (10E) – Neuro Step Down Unit

Neuro Step Down Unit is an exciting, unique, and intellectually challenging work environment, specializing in the care of neurosciences patients. The bed capacity is 31 containing 15 dedicated Step Down beds, 10 “swing” beds (flexing from Step Down to Acute level of care), and 6 Epilepsy Monitoring Unit (EMU) beds. The nurse to patient ratio is 1:3 in Step Down; 1:4-5 with Acute level of care, and 1:5-6 in the EMU. Types of patients include those with stroke, epilepsy, brain tumor, neuromuscular disease, craniotomy, traumatic brain injury, and spine surgery. Neuro Step Down patients require specialized care and monitoring of external ventricular drains, lumbar drains, and drips to manage blood pressure and cerebral pressure. The EMU is a central component of the only NAEC Level 4 Epilepsy Center in the state, providing 24-hour video EEG surveillance to both adult and pediatric patients. The 10 East nursing staff is part of the interdisciplinary Stroke Team, and plays a key role in maintaining WVU Medicine’s Primary Stroke Center Certification. 10 East provides exceptional learning opportunities, a comprehensive orientation program and a supportive work environment for newly-hired nurses. The physicians and nurses work collaboratively along with other disciplines to meet the complex needs of our patient population.

10 West (10W) – Neurosciences Acute Care and Observation patients

This unit has 24 beds (14 floor beds, and 10 observation beds) and is a medical/surgical unit that specializes in the care of neurology and neurosurgical patients. Our patients include those with acute stroke, TIA, brain tumor, and subarachnoid hemorrhage. The surgical patient population consists of those with spine surgery or brain surgery for trauma, tumor, hemorrhage, infection, or functional abnormality. Patients with rare neurological disorders such as Guillain-Barre´ Syndrome, meningitis, and Myasthenia Gravis receive their specialized care here. 10 West is two units in one – cohorting acute-care beds and observation beds, with staff members that have specialized training to ensure that Neurosciences patients receive evidence-based care with a team approach. There are exceptional learning opportunities, a comprehensive orientation program and a supportive work environment for newly-hired nurses. 10 West Neurosciences Unit is a crucial part of the WVUH Primary Stroke Center and plays a key role in maintaining WVU Medicine’s Primary Stroke Center Certification. The physicians and nurses work together collaboratively with other disciplines such as physical therapists, occupational therapists, speech and language pathologists, registered dieticians, social workers, and clinical care coordinators to meet the complex needs of our diverse patient population.

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 orthopedic 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 Orthopedic Nurse Certification.

9 East (9E) Oncology

9 East is a 34 bed surgical oncology unit that cares for both floor and step down patients. 9 East specializes in the care of the complex surgical oncology, gynecologic oncology, urologic oncology, ENT, plastic surgery and breast reconstruction surgery patient. As part of the WVU Cancer Institute service line, staff on this unit work closely with the physicians to coordinate the complex plan of care of these patients. Nurse to patient ratio is 1:3 for step-down beds and 1:5 for floor status.

9 West/ (9W) Oncology Center

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 breast cancer, lung cancer, GI cancers, leukemia, Hodgkin’s and Non-Hodgkin’s lymphoma, triage care and supportive care for neutropenic fevers and symptom control. In addition outpatient services are provided for dressing changes, intravenous line care, injections, infusion therapy, 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, matched unrelated donor transplantation, cord blood transplantation and syngeneic transplantation. Other services include: high dose chemotherapy, therapeutic leukopheresis, and stem cell apheresis. In addition, outpatient services are provided for dressing changes, intravenous line care, infusion therapy, blood transfusions, injections, and lab draws.

Observation Unit

The Observation unit is unique among the medical/surgical/telemetry nursing units. The observation unit will have 24 beds on two separate units 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 RN’s, 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. Our unit is a fast paced and exciting environment that strives to deliver quality patient care. Our 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. 8NE has 24 private rooms with state of the art monitoring capabilities with four 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.

Dialysis

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 6:30 am- 7 pm; Tuesday, Thursday and Saturday 7 am – 6 pm. 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.

7 East (7E)

7 East is a 33-bed acute medical/surgical unit that consists of 24 floor beds and nine step-down beds. 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, 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. The nurses and physicians work collaboratively with other members of the health care team to provide for the needs of a complex and diverse patient population. 7 East offers exceptional learning opportunities and a supportive work environment.

7 West (7W)

7 West is a 32 bed medical-surgical and hospice inpatient unit. The nurse to patient ratio is 1:4-6. 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 offer conversion to inpatient hospice program for symptom management, allowing the nurse to experience a multitude of pain control and sedation drips. Our primary service is Med Hospitalists and the physicians are located on the unit. The physicians and nurses, along with other disciplines, work together collaboratively to meet the complex needs of our patients. 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 champion the Shared Governance model giving front line staff the capacity to make decisions and provide input for practice and policy changes. We provide a supportive work environment and utilize preferential scheduling. We boast a welcoming environment and encourage an open line of communication with management. We strive to deliver exceptional quality patient care.

6 Southeast (6SE) Pediatrics

Unit specialty is acute care for pediatric patients. The bed capacity is 32. The nurse to patient ratio is 1:3 or 1:4. Types of patients include the following: general pediatrics, oncology, surgical, cardiac, cystic fibrosis, trauma, orthopedic, neurology, neurosurgery, cardio-thoracic surgery, and many others.

6 East (6E) Women’s Health

The clinical inpatient unit provides a full range of inpatient health services designated specifically for women. It includes specialized medical-surgical nurses, with ob-gyn experience led by a visionary nurse manager. The patient population includes newborns, women pre- and post- delivery as well as other health issues facing women.

Pediatric Intensive Care Unit (PICU)

The Pediatric Intensive Care Unit is a 19 bed unit located within Children’s Hospital. The PICU provides care for critically ill infants and children through the age of 18. We also provide services to young adults with developmental disabilities and adult patients with congenital conditions. The PICU is home to the only two pediatric cardiothoracic surgeons in West Virginia. Our nurses are highly specialized in caring for all infant and children including those requiring open heart surgery and children with traumatic injuries. PICU physicians also provide sedation services to pediatric patients, which allow children to tolerate procedures that are often uncomfortable. Our patients come from throughout West Virginia and the surrounding states of Maryland, Ohio, Pennsylvania, and Virginia.

Newborn 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 eight 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 Intensive Care Unit (MICU)

Unit specialty is critical care medicine with some surgery and neuro critical care overflow. The bed capacity is 28. The nurse to patient ratio is 1:2-1 per criteria. Types of patients include general medicine, pulmonary, metabolic disease, and renal disease.

Surgical Intensive Care Unit (SICU)

SICU is a 12 bed unit. The nurse to patient ratio is 1:2-1 per criteria. Specialty is surgery/trauma. We will care for trauma, general surgery, vascular, and orthopedic patients.

Neuroscience Critical Care Unit (NCCU)

Unit specialty is neurology/neurosurgery. The bed capacity is 10. The nurse to patient ratio is 1:2-1 per criteria. Types of patients include neurological and neurosurgical.

9 Southeast (9SE)

9 South East is a dynamic cardiac unit that receives telemetry patients, heart failure patients, heart attacks, dysrhythmias, cardiac interventional and open-heart surgery patients. This unit develops nurses to take the full range of Heart and Vascular Institute patients and assist in their leadership journey. There are a total of 32 beds on 9 SE that can accommodate step-down, telemetry and floor patients. The nurse to patient ratio is 1:3. 9 SE was one of the first units that opened in the Heart and Vascular Tower in January 2016. It has a modern flare. It has wonderful views. It has a floor plan of 3 nursing stations that allows the nurse to have all of their needed supplies, medications, and patient needed services right there within close proximity to the patient.

10 Southeast (10SE)

10 South East is a fast paced acute care/step-down unit that is a part of the WVU Medicine Heart 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.

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.

Cardiac Observation/Reference Unit

Unique unit that provides care to a host of different cardio-vascular patients with different acuity needs. The unit stabilizes patients that may be observation who need certain IV drips to prevent admission to the hospital and improve the quality of life such as heart failure patients. The Cardiac Observation Unit closely monitors and cares for patients that may be having chest pain that could lead to a cardiac non-invasive procedure such as an echo or an invasive procedure such as an angiogram or invention in the cath lab or hybrid unit. Also in this unit, the patient may be transferred from a referral facility to stabilize and then go to a procedure or an OR area such as a potential aortic aneurysm. The nurse working in this unit must be willing to learn 12-lead EKGs, know medications, able to rescue patients that may need quick assessments, know basic BLS and ACL , provide patient education, and assist with timely follow-up in an ambulatory area for further work-up. The leadership team in the Cardiac Observation Unit is a dynamic team that invests in development of the employees. The nurse working in this area will be a part of a team of advanced practice professionals and an interventional attending. This Cardiac Observation Unit will provide the nurse opportunity to work at the fullest scope of their practice and be supported by a team that will assist them in their knowledge base to provide the best patient experience.

Peri-Operative Services

Unit specialty is surgical services inclusive of open-heart preparation and recovery for operative patients. There are 18 main ORs and one hybrid interventional room, 30 main recovery, eight outpatient ORs, two cystoscopy suites, 55 pre/post outpatient recovery and four endoscopy suites. Types of patients include surgical services for adults and children from T&A’s to open-heart surgery. Additional services provided are pain procedures and recovery of patients after interventional radiology.

Emergency Department (ED)

The Emergency Department provides 24/7/365, comprehensive emergency care across the life span. Incorporated in the unit is the Jon Michael Moore Trauma Center, a Level I Adult Trauma center seeing over 4000 trauma patients per year. The ED is also an entry point for the Stroke Center, Heart and Vascular Institute, and WVU Medicine Children’s Hospital. Over 48,000 total patients are seen annually. Patients and their families can expect to receive comprehensive, age-specific, family-centered care in an environment that supports the philosophy of the Emergency Department in a state of the art facility.

Ambulatory Services

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

Mary Babb Randolph Cancer Center (MBRCC)

Unit specialty is adult outpatient oncology services. There are 30 treatment rooms in the newly completed infusion center while renovations in the clinic to expand from 17 exam rooms to 32 exam rooms and three 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.