Career Center > Nursing Careers > Medical Surgical Nursing Units


Medical Surgical Nursing Units 



Acute Hemodialysis
Bay Medical Center’s AHDU is a hospital-based unit providing acute hemodialysis to adolescent and adult patients. The patients are categorized as having acute renal failure or end stage renal disease and many have multiple medical diagnoses.
The majority of our patients are in the 20 to 75 year range. Their treatment regimen require close monitoring and prompt nursing intervention when necessary, to ensure a safe and comfortable treatment.
 
The AHDU nurse utilizes the following nursing diagnostic and therapeutic modalities to facilitate patient care:
  • Patient assessment pre, during, and post dialysis
  • Dialysis equipment assessment pre, during, and post dialysis
  • Vascular access care and venipuncture
  • Hemodialysis technology theory including:
    • Fluid and electrolyte balance in general and pertaining to hemodialysis theory.
    • Hemodynamic monitoring pertaining to dialysis machine functions.
  • Non-invasive blood pressure monitoring; invasive blood pressure monitoring in the ICU’s in collaboration with the ICU nurse
  • Medication administration
  • Anticoagulation therapy
  • Safety Management
  • Psychosocial care
  • Patient and Family education
  • Infection Control
  • Dietary and nutritional education and/or consult dietician if needed
General Surgery Unit
The General Surgery Nursing unit focuses on the treatment of adult and geriatric patients requiring care for medical surgical conditions. The diagnoses of patients cared for in this unit includes, but is not limited to, surgery involving the ears, nose and throat, general abdominal surgery, colon surgery, and urological surgeries. The nursing unit provides continuous, around-the-clock patient care by a staff of nurses trained to care for general medical surgical patients. In the event the General Surgery Nursing department is full and no beds are available, General Surgery patients are overflowed to the Ortho/Neuro nursing department. The General Surgery Nursing unit also receives overflow patients from other medical nursing units as needed. 
 
All members of the medical staff can admit to the General Surgery Nursing unit with the exception of pediatricians. Beds are made available to general surgery patients first and then overflow medical patients are placed as beds allow. 
 
What makes General Surgery such a special place to work? That’s easy. We have a fantastic team of nurses, physicians, and social services who collaborate with support services to provide Five Star hospital care to our surgical patients. Our goal is to, not only serve the physical needs of our patients, but to also provide support and education to the patients and their families.
 
Ortho/Neuro Unit
The Ortho/Neuro Nursing unit is a 23-bed, inpatient medical surgical nursing unit, which focuses on the treatment of adult and geriatric patients. The diagnoses of patients cared for in this unit include, but is not limited to orthopedic surgery, spine surgery, cranial surgery, neurological diagnosis including seizures, CVA, TIA, and altered mental status. The nursing unit provides continuous around the clock patient care by a staff of nurses trained to care for Ortho Neuro patients. 
 
In the event that the Ortho/Neuro nursing department is full and no beds are available Orthopedic and Neurology patients are overflowed to the General Surgery Department. The Ortho/Neuro nursing unit also receives overflow patients from other medical nursing units as needed. All members of the medical staff can admit to the Ortho/Neuro Nursing with the exception of pediatricians. Beds are made available to Ortho/Neuro patients first and then overflow medical patients are placed as beds allow. 
 
We are proud that Bay Medical is the first hospital in Florida to be certified by the Joint Commission on Accreditation of Hospitals (JCAHO) as a Center of Excellence in Stroke Care. We are honored to be an integral part of the Bay Medical Stroke Center. We are ranked Top 10% in the nation for Overall Orthopedic Services and have been recognized as a Hip & Knee Replacement Center of Excellence.
 
Patients coming to the Ortho/Neuro unit can feel comfortable in knowing that they are in good hands, and that our nursing staff is second to none. Come join our award-winning team. 
 
Medical Unit
Medical unit consists of 42 monitored patient care beds and is located on the 3 South nursing floor. The patient population is adults (18-65 and older) with age-specific competencies completed annually. 
 
The Medical unit nurses work collaboratively with admissions, bed board, intensive care units, laboratory, radiology, physical therapy, pharmacy and other medical/surgical units moving patients through the continuum of care.
 
Because many of our patients need ongoing medical care upon discharge from our unit, our nurses work closely with the Medical unit case manager, who is an integral part of our Medical unit leadership team, in conjunction with our charge nurses, unit supervisor, unit manager and unit nursing educator. We send many of our discharged patients to skilled nursing units, long-term acute care, rehabilitation, DME, home heath care and psych follow up. We also do additional referrals for our indigent care patients through the hospital financial services.
 
On the Medical unit, we understand that our patients and their families are at the heart of everything we do. We strive to include the family in the care of the patient, and support and educate the family as well as the patient.
 
What makes the Medical unit stand out amongst other units is that working on 3 South is like being at Cheers, where everybody knows your name and is willing to help out. A wonderful group of professionals with a focus on customer care.

Pulmonary Unit
Pulmonary unit and is housed on the 2 South Nursing floor and is co-managed with the Stepdown unit. The Pulmonary unit consists of 18 monitored patient care beds The patient population is adults (18-65 and older) with age-specific competencies completed annually. 
 
Nurses who work on the Pulmonary unit provide excellent care to patients and their families in a caring, compassionate manner. We are able to provide that quality through our collaboration with each other, our doctors and support departments, particularly the Respiratory Services staff. Bay Medical is ranked among the Top 5% of hospitals in the nation for Overall Pulmonary Services and has been a recipient of Quality Respiratory Care Recognition by the American Association of Respiratory Care.
We are proud that the Pulmonary and Stepdown units were chosen to be the hospital’s orientation unit (“SMART U” which stands for successful mentoring and rapid transitioning unit) for newly-hired med/surg nurses. While on the SMART U, nurses are oriented to Bay Medical nursing practices, with particular attention paid to their training needs for our ongoing implementation of electronic medical records.
 
January 2010, we began orienting our first group of graduate nurses (GN’s) who will remain on the unit for approximately six weeks before transitioning to their new home units. We expect that most experienced nurses will only need to be in the SMART U for about two weeks. However, we tailor orientation to meet the individual training needs for each orientee.
 
We consider our mission to be two-fold: first and foremost, we provide excellent hospital care for our patients; and second, we serve as a training unit that fosters nursing excellence for our newly-hired nurses in a way that smoothes their transition into employment as part of the Bay Medical family of healthcare providers. 
 
Stepdown Unit
The Stepdown unit is housed on the 2 South Nursing floor and is co-managed with the Pulmonary unit. The Stepdown unit consists of 23 monitored patient care beds, with the capability to care for long term tracheotomy ventilator patients, who need continued weaning or placement in a lower level care facility, and post-operative spinal surgeries. The patient population is adults (18-65 and older) with age-specific competencies completed annually.
 
The Stepdown unit and is housed on the 2 South Nursing floor and is co-managed with the Pulmonary unit. Nurses who work on the Stepdown unit provide excellent care to patients and their families in a caring, compassionate manner. We are able to provide that quality through our collaboration with each other, our doctors and support departments, particularly the Respiratory Services staff.