TRACKS ADULT AMBULATORY CARDIAC …...PEDIATRIC MEDICINE ACUTE CARE (PMAC)ONCOLOGY (PHO) 7th Floor 43 1:4 Infant to adolescent care, including: . spinal fusions . cystic fibrosis

ADULT

CARDIAC STEPDOWN

ADULT

CRITICAL CARE

PEDIATRIC

ACUTE CARE

ADULT

ACUTE CARE MEDICINE

ADULT

ONCOLOGY

PEDIATRIC

CRITICAL CARE

ADULT

ACUTE CARE SURGICAL

BEHAVIORAL

HEALTH WOMEN’S

HEALTH

Version date: March 10, 2020

VUMC

PATIENT CARE

TRACKS WITH

UNIT DESCRIPTION

If viewing electronically,

click TRACK TITLE

for direct access to

track page with

unit descriptions.

ADULT

AMBULATORY

ADULT

AMBULATORY


click on unit card

to view

unit web page for

more information.

VANDERBILT HEART & VASCULAR INSTITUE

20+ heart clinics across Tennessee & Southern Kentucky

Full spectrum heart conditions, including:

• aortic disease

• arrhythmias

• congenital heart defects

• coronary heart disease

• heart attack (myocardial infarction)

• heart failure

• heart valve diseases

• high blood pressure

• vascular conditions and diseases

• heart and vascular treatments

Full range of heart and vascular

treatments, including:

• angioplasty and stent placement

• cardiac catheterization

• cardio-oncology

• cardiac surgery

• coronary artery bypass

• heart transplant

• heart valve repair or replacement

surgery/ vascular surgery

• pacemakers and implantable

cardioverter defibrillators (ICDs

• Ventricular assist device (VAD)

VANDERBILT-INGRAM CANCER CENTER

VUMC Campus and clinics across Tennessee & Southern Kentucky

Cancer care specialties, including:

• blood cancers

• bone cancers and sarcomas

• brain tumors

• breast cancer

• childhood cancers

• endocrine tumors

• gastrointestinal cancers

• gynecologic cancers

• head and neck cancers

• lung cancer

• neurofibromatosis

• pancreatic cancer

• prostate cancer

• skin cancers

• spine and nervous system cancer

• testicular cancers

• urological cancers

Cancer treatments, including:

• chemotherapy

• clinical trials

• immunotherapy

• integrative medicine

• precision medicine

• radiation therapy

• regional cancer therapy

• stem cell transplant

• surgery

https://www.vanderbilthealth.com/heart/

https://www.vicc.org/

ADULT

CARDIAC

STEPDOWN

UNITS (units located

at Vanderbilt

University Hospital

or adjacent

building)


click on unit card

to view

unit web page for

more information.

1:3 1:4 22

Cardiovascular care, including:

· pre- and post-open heart surgery

· valve repair and replacement

· heart failure

· heart transplant

· myocardial infarction

· heart arrhythmias

· ventilator and pulmonary artery

catheter support

1:3 1:4 29

Cardiac care, including:

· vascular disorders (such as

aneurysms, amputations)

· congestive heart failure



· pre-op cardiothoracic surgeries

1:3 36

Cardiac care, including:

· ventricular assist devices (VADs)

· heart transplants

· total artificial hearts

· pre- and post-coronary artery

bypass and valve surgeries

· advanced heart failure

· chest pain


1:3 22

Care of patients with vascular

disorders, including:

· aneurysms

· amputations

· congestive heart failure



· pre- and post-op cardiothoracic

surgeries

· pacemaker exchanges

1:4 1:4

CARDIOVASCULAR PROGRESSIVE CARE

5 South VUH

VASCULAR 7 North VUH

CARDIOLOGY STEPDOWN

8 South VUH

VAD & HEART TRANSPLANT

7 Medical Center East (MCE)

https://ww2.mc.vanderbilt.edu/vanderbilt-nursing/41772




1:4 1:5

ACUTE CARE OF THE ELDERLY (ACE)

7 Round Wing

Care of adult patients with a

variety of medical conditions

and complex social stressors,

focusing on:

· high risk for recurrent

health issues

· interdisciplinary approach

· reducing the use of

emergency rooms for

routine care

FAMILIAR FACES MEDICINE

3 Round Wing

Care for individuals with

complex conditions,

including:

· respiratory

· gastrointestinal

· renal

· neurological

· psychiatric

· cardiac

· infectious diseases

1:4 1:5

ADULT ACUTE MEDICINE

8 North VUH/5C at VCH

MEDICINE CARDIAC STEPDOWN

8 Medical Center East

Care for adult observation

patients with complex

medical conditions,

including:

• respiratory

• gastrointestinal

• renal

• neurological

• psychiatric

• cardiac

• infectious diseases

VANDERBILT OBSERVATION UNIT (TOBS)

7 South VUH


complex conditions,

including:

· respiratory

· gastrointestinal

· renal

· neurological

· psychiatric

· cardiac



6 Round Wing


complex conditions,

including:

· respiratory

· gastrointestinal

· renal

· neurological

· psychiatric

· cardiac



4 Round Wing

Care for those aged 65 and

older, including:

· cognitive impairment

· loss of mobility

· varied medical, surgical,

cardiac, and neurological

conditions


complex conditions,

including:

· respiratory

· gastrointestinal

· renal

· neurological

· psychiatric

· cardiac (CHF, chest pain,

arrhythmia, pre/post cath)


· insulin drips

17

22 1:4 1:5 14 1:4

37

1:5

Care for admitted patients

and lower acuity ER

patients with complex

conditions, including:

· respiratory

· gastrointestinal

· renal

· neurological

· psychiatric

· cardiac


· cardiac monitoring

ED C-POD

1st Floor TVC

33

Care for patients nearing

the end of life with a focus

on holistic care, including:

· symptom management

· life goals

· plans of care that value

the patient, families

wishes, and culture

PALLIATIVE CARE/ MEDICINE

5 Round Wing

1:4 16 1:4 1:5 16 1:4 1:5 14

27/12

1:3 1:4

ADULT ACUTE CARE

MEDICINE UNITS

(units located at Vanderbilt University Hospital or adjacent building;

Round Wing units are located at Medical Center

North [MCN])

If viewing electronically, click on unit card to view unit

web page for more information.










ADULT

ACUTE CARE

SURGERY


at Vanderbilt

University Hospital

or adjacent

building)


click on unit card

to view

unit web page for

more information.

1:3 1:4

SURGICAL STEPDOWN

9 North VUH

Care of patients requiring

post-operative care for

surgical procedures,

including:

· urology

· GYN surgery

· other surgical services

SURGICAL SPECIALTIES 9 South VUH

Care for patients with

disorders of the kidney, liver,

pancreas, including:

· end-stage liver/kidney

disease

· surgical weight loss

· peritoneal dialysis

· pre- through post

transplant of the kidney,

liver, pancreas

1:2

TRANSPLANT & SURGICAL CARE

6 Medical Center East

Care of patients with

neurological disorders,

including

· open, closed head injuries

· strokes

· craniotomies

· seizures

· encephalopathy

· Parkinson’s disease

· Multiple Sclerosis

· meningitis

· epilepsy monitoring

NEUROLOGY/ EPILEPSY

6 North VUH

Care of patients with spinal

conditions, including:

· spinal disorders requiring

surgical and non-surgical

treatments

ORTHO/ SPINE

6 South VUH

Care of patients requiring

surgical intervention,

including:

· thoracic surgery

· surgical oncology

· emergency general

surgery

· lung transplant

· plastics

· bariatrics

· oncology

37

27

20

1:4 1:6 22

27

ORTHOPAEDIC/ ORTHOPAEDIC TRAUMA

7 Critical Care Tower (7T3)

Post-operative care,

including:

· total joint replacement

· bone and soft tissue

tumor resections

· ortho trauma care for

traumatic injuries

· surgical weight loss

patients

1:4

Traumatic injuries involving

multiple body systems care,

including:

· trauma rehabilitation

· traumatic brain Injury

· accidental trauma injuries

TRAUMA STEPDOWN

10 South VUH

17

1:4 1:5

1:4 1:5

1:4 1:5

35

1:3 1:4








ADULT

CRITICAL

CARE


at Vanderbilt

University Hospital

or adjacent

building)


click on unit card

to view

unit web page for

more information.

Abbreviations used:

ICU = Intensive Care Unit

SD = Stepdown

HR = Holding Room

1:1 1:2 27

CARDIOVASCULAR INTENSIVE CARE (CVICU) 5 North VUH

Care of patients who have

sustained major trauma to

their body, including:

. head

. neck

. spinal cord

. abdominal

. orthopedic

TRAUMA INTENSIVE CARE (TICU)

10 North VUH

Care for critically ill surgical

patients, including:

· multisystem organ

dysfunction, failure

· sepsis

· liver transplant recovery

· vascular surgeries

1:2 1:3

SURGICAL INTENSIVE CARE (SICU)

9 Critical Care Tower

1:2 35

MEDICAL INTENSIVE CARE(MICU)

8 Critical Care Tower

Care for patients with

neurological disorders,

including:

· acute ischemic,

hemorrhagic stroke

· subdural, epidural

hematoma

· subarachnoid hemorrhage

· seizures

· Guillain-Barré syndrome

· Myasthenia Gravis

exacerbation

1:2 1:3

NEUROLOGY/NEUROSURGERY INTENSIVE CARE (NIC) 6 Critical Care Tower

Care of patients in

emergency situations.

Level 1 Trauma & Burn

Center:

· comprehensive stroke

and chest pain center

· regional referral center

1:4

ADULT EMERGENCY DEPARMENT (ED)

1st Floor VUH

Care of patients after

elective or emergent

surgical procedures,

including:

· recovery from anesthesia

· vital signs monitoring

· pain control regimen

· transfusion of blood

products

VOR HOLDING ROOM/ PACU

3rd Floor VUH

Level 1 Burn Center

providing adult and

pediatric care, including:

· continuum of care from

ICU to stepdown, through

discharge

· thermal, chemical and

electrical burns

· frostbite and hypothermia

· dermatological conditions

· reconstructive surgery

VUMC REGIONAL BURN CENTER (BURN) 11 South VUH

Cardiovascular care,

including:

· pre- and post-vascular,

cardiac surgery

. heart failure

. cardiac dysrhythmias

. structural heart disease

. post-cardiac arrest

. ECMO

. heart, lung transplant

. therapy devices

Care for critically ill medical


· acute respiratory failure

· Acute Respiratory Distress

Syndrome (ARDS)

· multisystem organ system

failure

· sepsis

· drug overdoses

· gastrointestinal bleeds

· diabetic ketoacidosis

· hypertensive crisis

ICU = 23 SD = 12

ICU = 23 SD = 12

45-92

HR = 23 PACU = 39 Bays

PACU = 1:2

HR = 1:4

ICU = 1:2

1:2 1:3 31

ICU = 8 SD = 15

SD = 1:3









ADULT

ONCOLOGY


at Vanderbilt

University Hospital

or adjacent

building)


click on unit card

to view

unit web page for

more information.

Care for patients with oncologic,

hematologic, and benign

hematologic associated care,

including:

· solid tumors

· leukemia

· lymphoma

· sickle cell anemia

HEMATOLOGY/ ONCOLOGY 11 North VUH

Hematology/oncology progressive

care, including:

· benign and malignant hematologic

malignancies

· myelosuppression/stem cell

transplant

· oncologic tumor symptom

management

· stem cell, adoptive cellular therapies

MYELOSUPPRESSION/ STEM CELL TRANSPLANT 10 Critical Care Tower

27 1:3 35 1:3-5







BEHAVIORAL

HEALTH


at Vanderbilt

Psychiatric Hospital)


click on unit card

to view

unit web page for

more information.

1:6 16

Care for adult patients with

diagnoses, including:

· substance misuse disorders

· acute medical detoxification

· dual diagnosis

1:6 24



· major affective disorders

· anxiety disorders (including

PTSD & OCD)

· depression

· dementia

1:5 28

Care for children and

adolescents with diagnoses,

including:

· ADHD

· autism

· oppositional defiance disorder

· depression

· psychosis

1:6

Care for adult patients being

evaluated to determine the

appropriate psychiatric

level of care.

1:6 24



· schizophrenia

· bipolar disorder

· catatonic disorders

· schizoaffective disorder

· depressive disorders

· psychotic features

VPH 1

Vanderbilt Psychiatric Hospital

VPH 2


VPH 3


PSYCHIATRIC ASSESSMENT SERVICES


VPH CHILD & ADOLESCENT


1:6 14

Care for adult patients who

voluntarily seek treatment for


· schizophrenia

· bipolar disorder

· catatonic disorders

· schizoaffective disorder

· depressive disorders

· psychotic features

VPH 4


8-24

https://www.vanderbilthealth.com/psychiatrichospital/

https://www.vanderbilthealth.com/psychiatrichospital/







PEDIATRIC

ACUTE

CARE


at Monroe Carell Jr.

Children’s Hospital

at Vanderbilt)


click on unit card

to view

unit web page for

more information.

1:4

Pediatric medicine care for patients

from birth to adolescents, including:

. epilepsy monitoring

. Neonatal Abstinence Syndrome

(NAS)

. peritoneal dialysis

PEDIATRIC MEDICINE ACUTE CARE (PMAC)

7th Floor

1:4 43

Infant to adolescent care, including:

. spinal fusions

. cystic fibrosis

. transplants

. orthopedic procedures

. neurosurgery

. cleft palates

. eating disorders

. behavioral health

. feeding disorders

. craniotomies

PEDIATRIC SURGERY, TRAUMA, ADOLESCENT MEDICINE (PSTAM)

8th Floor

30

Hematologic and oncologic care for

patients ranging from newborns to 24

years, including:

. benign and malignant diagnoses

. bone marrow, stem cell transplant

. sickle cell and anemia

. radioactive therapy

PEDIATRIC HEMATOLOGY & ONCOLOGY (PHO)

6th Floor

Pediatric cardiac care, including:

. medically managed cardiac

conditions

. post-operative cardiac surgery

. congenital and acquired heart

conditions

PEDIATRIC CARDIOLOGY (PCARD) 10th Floor

1:3 42

1:3 1:4 19

https://www.childrenshospitalvanderbilt.org/







PEDIATRIC

CRITICAL

CARE


at Monroe Carell Jr.

Children’s Hospital

at Vanderbilt)


click on unit card

to view

unit web page for

more information.

42 +

Pediatric Level 1 Trauma Center &

Comprehensive Regional Pediatric

Center. Care of patients from birth to

18 years of age, including:

. emergency medical care

. trauma resuscitation

. urgent care

. STAT responses within hospital and

surrounding 250 yards

1:1

Birth to 18+ years of age surgical

procedure care, including:

. otolaryngology

. urology

. ophthalmology

. neurosurgery

. orthopedics

. craniofacial reconstruction

. plastics

. renal, liver

. transplant

PEDIATRIC EMERGENCY DEPARTMENT

1st Floor

CHILDREN’S PERIOPERATIVE SERVICES 3rd Floor

PEDIATRIC HOLDING ROOM/POST ANESTHESIA CARE UNIT (HR/PACU)

3rd Floor

98

Level IV, regional NICU that provides

care to critically ill neonates.

1:1 1:2

Care of patients birth to 18 years with

cardiac diagnoses, including:

. heart defects

. acquired heart disease

. surgically repaired or medically

managed congenital heart

diseases

1:1 1:2 31

Critical care of patients birth to 18

years of age with various medical and

surgical conditions, including:

. Level 1 trauma

. respiratory

. sepsis

. burn

. transplant

. cardiovascular

. oncology

. neurology

PEDIATRIC CARDIAC INTENSIVE CARE (PCICU)

10th Floor

NEONATAL INTENSIVE CARE UNIT (NICU)

4th Floor

PEDIATRIC INTENSIVE CARE UNIT (PICU)

5th Floor

OPERATING ROOMS

Care of patients from birth to 18 years

of age requiring pre-procedure and

post-anesthesia care, including:

. simple to complex surgical

procedures

. inpatient and outpatient

ratios vary

16 HOLDING

= 22 PACU = 26

1:2

HOLDING = 1:4 PACU = 1:2

19-23










WOMEN’S

HEALTH


at Vanderbilt

University Hospital)


click on unit card

to view

unit web page for

more information.

LABOR & DELIVERY 4th Floor VUH

Pre- and post-obstetrical care for


. mothers with complex diseases

. high risk pregnancy

. pre-eclampsia and eclampsia

. multiple gestations

. cardiac care

. placental abnormalities

. fetal loss/ grief support

. natural labor support

. IDDM and gestational diabetes

. fetal surgery

MOTHER BABY OBSTETRICS UNIT (MBO) 4th Floor Medical Center East

Personalized postpartum care

and pre/post-operative care for

women, including:

. mothers with complex diseases

. couplet care

. stable antepartum patients

. pain management

. lactation support

. fetal monitoring

. grief support

. gynecological diagnoses or other

short-stay surgeries

1:6

26

32 adult

18 infants 1:1 1:2 1:3 1:5 1:4 1:3



Documents

TRACKS ADULT AMBULATORY CARDIAC …...PEDIATRIC MEDICINE ACUTE CARE (PMAC)ONCOLOGY (PHO) 7th Floor 43 1:4 Infant to adolescent care, including: . spinal fusions . cystic fibrosis