Department Profiles

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Cardiac and Vascular Catheterization Laboratory

Unit Specifics

  • State of the art digital lab and adult patients with:
    • Coronary artery disease
    • Peripheral vascular disease
    • Valvular disease
    • Congestive heart failure
    • Chronic pain
    • Electrical conduction defects

 

Facility and Technology

  • 3 Suites
  • State of the art digital cardiac and vascular imaging
  • Flat plate imaging
  • Images store via computerized network
  • Active interventional radiology services
  • Computerized charting

 

Procedures

  • Heart catheterization
  • Permanent pacemaker insertion
  • Percutaneous transluminal angioplasty
  • Biventricular pacemakers for coronary, renal and peripheral
  • Thrombus extraction vascular disease
  • Stent implantation
  • Ablation therapy-multiple modalities
  • AICD implantations
  • TIPSS procedures
  • Kyphoplasty
  • Vertebroplasty
  • Intravascular Embolization
  • Venous Access

Staffing

  • Team consists of:
    • Registered Nurses
    • Radiology Technologists
    • Cardiovascular Technologists

 

Career and Educational Opportunities

  • Ability to cross train in scrub, x-ray and monitoring roles
  • Educational funds to attend conferences and seminars
  • No holidays or weekends; except call
  • Monthly cardiac cath conference

 

Collaboration and Teamwork

  • Relaxed atmosphere
  • Autonomous and highly trained staff
  • Self scheduling and call rotation
  • Excellent collaborative relationship between Cardiologists, Radiologists, and Staff

Cardiovascular Unit

Unit Specifics

  • 8 Bed Unit – Caring for patients requiring cardiac and vascular care and support in a critical care setting.

 

Patient Population

  • Acute MI
  • Cardiac Catheterization Procedures, diagnostic and interventional
  • Vascular lab procedure
  • Cardiac surgical procedures

 

Staffing Ratios

  • Based upon an acuity system

 

Collaboration and Teamwork

  • Critical Care Medical Director
  • Dedicated, highly trained, experienced and respected Cardiovascular Critical Care Nurses
  • Respiratory Therapy
  • Social Services
  • Integrated Case Managers

 

Equipment and Technology

  • Pre and postoperative care of the open heart surgery patient, in the Universal Bed Concept – Cardio-One
  • Intra Aortic Balloon Pump
  • Ventilators
  • Invasive Hemodynamic Monitoring
  • Vasoactive Medication Management

 

Career and Educational Opportunities

  • Staff education through ongoing in-services, self-paced learning packets, outside educational programs.
  • Tuition Reimbursement
  • Individualized orientation with qualified preceptors.
  • Critical care educators at the bedside
  • Monthly physician lectures
  • Variety of self learning modules available

Emergency Department

Unit Specifics

  • 18 Bed Emergency Department, treating a wide variety of patients; from the non-emergent patient to the critically ill patient
  • 6 Bed Fast Track for non-emergent patients.
  • 1:00 am -11:30 pm. – Staffed with a Registered Nurse, Physician or Physician’s assistant
  • 5 bed Observation Unit –  Staffed with a Registered Nurse and a CNA
  • Over 33,000 visits a year

 

Staffing

  • Registered Nurse
  • Physician Staffing

 

Staffing Ratios

  • Variable from 1:1 to 1:6 depending on acuity

 

Ancillary Staff

  • ER Techs
  • CNAs
  • Unit Clerks

 

Career & Educational Opportunities

  • Staff education through ongoing in-services, self-paced learning packets, outside educational programs
  • Individualized orientation with qualified preceptors
  • New Graduate Program

Intensive Care Unit

Unit Specifics

  • The Intensive Care Unit is a 16 bed unit, caring for patients requiring in-depth monitoring and support in a critical care setting.

 

Patient Population

  • Multi-System Patients
  • Respiratory Compromised Patients
  • Acute MI
  • Critically Ill patients requiring additional support and monitoring
  • Cardiac Catheterization Procedures, diagnostic and interventional
  • Vascular lab procedure
  • Complex post operative patients

 

Staffing Ratios

  • Based upon an acuity system

 

Collaboration and Teamwork

  • Critical Care Medical Director
  • Dedicated, highly trained, experienced and respected Critical Care Nurses
  • Respiratory Therapy
  • Integrated Case Managers
  • Social Services
  • Monitor Tech support

 

Equipment and Technology

  • Vasoactive Medication Management
  • Intra Aortic Balloon Pump
  • CRRT (continuous renal replacement therapy)
  • Ventilators
  • Invasive Hemodynamic Monitoring
  • Specialized infusion Pumps

 

Career and Educational Opportunities

  • Staff education through ongoing in-services, self-paced learning packets, outside educational program
  • Individualized orientation with qualified preceptors
  • New Graduate Program
  • Tuition Reimbursement

Medical/Oncology

Unit Specifics

  • This 44 bed unit’s primary purpose is to provide acute nursing care to all medical, infectious, geriatric and oncology patients 16 years of age or older.
  • Patients are either direct admissions from physicians’ offices, the emergency department, intra-hospital transfer and inter-organizational transfer, such as Minden Emergency/Urgent Care admissions.
  • RN assessment is initiated within twelve hours with reassessment and ongoing interventions per standards. Reassessments and interventions are individualized per patient needs, utilizing the nursing process, collaborating with physicians and ancillary departments.

 

Staffing

  • The team consists of Registered Nurses, LPN’s, Certified Nurse Assistants and Unit Clerks.
  • Ratio of nurse to patient is approximately 4/5 patients; we have 24/7 CNA coverage, with the CNA taking 8-10 patients on days and 10-12 on nights.  Average length of stay is 3 days.

 

Education

  • To keep up with the ever changing medical field and to expand skill levels, we provide ongoing educational opportunities for our nursing staff.

 

Career Opportunities

  • We offer Apprentice Nurse opportunities, as well as New Graduate nurse positions yearly; successfully placing our apprentice nurses into graduate nurse positions within the Unit.  We have training programs for our graduate nurses to ensure a successful transition to the RN role.

Medical Imaging/Radiology

Unit Specifics

  • Diagnostic X-ray – Fully digital department including PACS, which includes equipment from GE, Philips, Konica CR readers McKesson PACS/RIS.  Mixtures of out patient and inpatient services are performed daily, including surgical procedures and fluoroscopy.  Staffed 24 hours a day.
  • Computerized Tomography – We currently operate a single slice and 4-slice GE CT’s in two different outpatient clinics and in the Regional medical center we have an 8-slice and 16-slice GE scanners.  These are busy departments with the Regional medical center staffed 24/7.
  • MRI – 1.5T GE Signa, with excite software in a very aesthetically pleasing suite.  Mixtures of inpatient and outpatient procedures are performed daily.  Regular staffing from 7am to 7 pm.
  • Nuclear Medicine – 2 dual head cameras by Philips.  A busy department which staffs 3 technologists daily, performing an array of services general nuclear medicine, nuclear cardiology, nuclear endocrinology and Brach therapy.
  • Ultrasound – A very busy department which includes OB, small parts, and vascular ultrasound procedures.  We have all GE Logic 9 machines to perform a mixture of inpatient and outpatient procedures.
  • Mammography – A growing program which includes digital mammography and CAD diagnostics.

 

Staffing

  • The team consists of registered technologists, clerical personnel, PACS administrators, student technologists and transporters.

 

Education

  • Continued Education is offered online.

Surgical Services

Unit Specifics

  • The Surgical Unit has 4 state of the art surgical suites and 2 CVOR suites providing complex surgical care along with 14 PACU Phase I bays and 10 Phase II/PreOp bays providing individualized patient care based on complexity of acuity.

 

High Tech Skills Necessary

  • Ability to work in an environment that is self-directed, fast paced, yet relies on working as a team with other healthcare providers

 

Surgery

  • Knowledge of AORN Standards
  • Knowledge of surgical equipment and instrumentation
  • Knowledge of decontamination, processing and sterilization of surgical instrumentation
  • Perianesthesia
  • Knowledge of ASPAN Standards
  • Knowledge of patient assessment and discharge planning
  • Knowledge of respiratory and hemodynamic monitoring equipment

 

Communication and Collaboration

  • The patient care team is composed of the Circulating RN, Scrub RN or Surgical Technologist and Perianesthesia Nurse working in collaboration with the Surgeon and the Anesthesiologist to develop a plan of care consistent with the mission, vision, and philosophy of the Carson Tahoe Regional Medical Center.

 

Career & Educational Opportunities

  • Career Advancement Program (Cap) & Tuition Reimbursement
  • Staff education through ongoing in-services, self-paced education modules, educational seminars and conference

Surgical/Orthopedic Unit

Unit Specifics

  • This unit is a multi-diversified 27 bed post surgical unit, all private rooms
  • Due to their unique surgical needs most patients that arrive to this unit are of a higher acuity.

 

Staffing

  • The department has employees of different skill and educational levels and embraces the team approach
  • Registered Nurses (RNs) are the primary care givers, with Licensed Practical Nurses (LPNs) and Certified Nursing Assistants (CNAs) rounding out the team
  • The nurse to patient ratio is extremely generous.  Average daily assignments range from 4:1 to 5:1 with 2-3 nursing assistants to support the nursing staff
  • A full-time unit clerk helps facilitate the organization of the unit
  • Self-scheduling is offered.

 

Education

  • To keep up with the ever changing medical field and to expand skill levels, we provide ongoing educational opportunities for our nursing staff.

 

Career Opportunities

  • With a vast assortment of patient types and medical surgical needs, the variety of this unit provides a solid base for those RN’s who wish to enhance their skills and embrace challenges
  • We also offer an excellent preceptor-ship for new grads and a solid orientation for those who are already experienced
  • This unit does not lack for variety in all nursing skills.

Telemetry Unit

Unit Specifics

  • The 23 bed Telemetry Unit provides skilled, progressive nursing care to the medical/surgical patient, who is clinically stable but requires continuous cardiac monitoring.
  • Patients are either direct admissions from physicians’ offices, the emergency department, intra-hospital transfer and inter-organizational transfer and extended care facilities.
  • The primary diagnosis may include, but are not limited to: Cardiac Patients with CHF, unstable angina, respiratory patients with impending respiratory failure; medical/surgical patients requiring increased observation; post partum obstetric patients and adolescence patients requiring increased observation and treatment.
  • Utilizing the nursing process, the Telemetry staff collaborates with physicians, patients and ancillary departments to facilitate a continuum of care.

 

Staffing

  • The team consists of Registered Nurses, LPN’s, Certified Nurse Assistants, Unit Clerks and Monitor Techs.
  • Ratio of nurse to patient is approximately 4/5 patients; we have 24/7 CNA coverage.  Average length of stay is 2-3 days.

 

Education

  • To keep up with the ever changing medical field and to expand skill levels, we provide ongoing educational opportunities for our nursing staff.

 

Career Opportunities

  • We offer Apprentice Nurse opportunities, as well as New Graduate nurse positions yearly; successfully placing our apprentice nurses into graduate nurse positions within the Unit.  We have training programs for our graduate nurses to ensure a successful transition to the RN role.

Women and Children’s Center

Unit Specifics

  • The Women & Children’s Center consists of 12 beds in the OB Department; including 8 private labor, delivery, recovery and postpartum rooms (LDRP), 4 private rooms for post cesarean section patients and 1 operating room suite for cesarean sections.
  • The pediatric ward is 8 beds with centralized monitoring and a treatment room.

 

Services Offered

  • LDRP
  • Operating suite located in the OB department
  • Full service childbirth education program
  • Lactation consultants on staff
  • Couplet care for our new moms and babies
  • ome Visit Program for the new mom and infant
  • Fully equipped nursery for stabilization and can transport if necessary.
  • entralized monitoring – OB Department & Peds
  • State-of-the-art equipment
  • OB triage room
  • Breast feeding warm-line

 

Education

  • Active staff education and training programs taking the nurse apprentice to new grad in Mother/Baby positions; with further training to Labor Services for qualified individuals.
  • To keep up with the ever changing medical field and to expand skill levels, we provide ongoing educational opportunities for our nursing staff.

 

Career Opportunities

  • We offer Apprentice Nurse positions, as well as New Graduate nurse positions yearly, successfully placing several of our apprentice nurses into graduate nurse positions within Women & Children’s and Pediatrics.  We have training programs for our graduate nurses to ensure a successful transition to the RN role.