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Where Nurses Work

Inpatient care

St. Dominic Unit

Unit/Department Description: This inpatient care unit's staff offers unparalleled care for a variety of illnesses and conditions, with special training in caring for patients with a cancer diagnosis. A 20-bed unit with all private rooms, St. Dominic is staffed by a team of registered nurses, including many who have earned local and national chemotherapy and oncology nursing certifications, plus other clinicians specializing in cancer care. Our Saint Dominic inpatient care unit offers high-level patient care and a genuine sensitivity to the issues that accompany a cancer diagnosis. Many staff nurses on St. Dominic are career oncology nurses with 10 to 25-plus years at Saint Anne’s, creating a family-like atmosphere. Nurses on St. Dominic serve as mentors for nursing students attending local colleges and universities. Many of these students later join the team as a result of their positive experiences. Several serve on hospital committees dedicated to research and continuous improvement of quality care.

Nursing Care Delivery Model: St. Dominic uses the collaborative practice model, which is a team based approach including primary and associate nurses to ensure continuity of care. It also involves nursing assistants, a health unit coordinator, case manager, oncologist and other interdisciplinary team members.

St. James (North 1)

Unit/Department Description: St. James (North 1) is a 20-bed surgical/orthopedic unit with private rooms.  It provides primarily post-operative care to a general and orthopedic surgical population. Our staff have more than 225 combined years of experience and are specifically trained to care for the surgical patient. A clinical leader outside the assignment functions as a resource who assists the physician, staff, and patients and supports the staff in patient care. Our caring staff understands that a nurse-patient relationship is key to a speedy recovery.

Nursing Care Delivery Model: On St. James (North 1), we use primary nursing in which we strive to provide patients with continuity of care. A nurse is responsible for coordinating care for the same group of patients and is teamed with an off-shift nurse to optimize the best patient experience throughout the patient’s stay here.

St. Jude Intensive Care Unit (ICU)

Unit/Department Description: The intensive care unit is a 12-bed, combined medical/surgical intensive care unit staffed with RNs, certified nursing assistants, and health unit coordinators. The average patient to nurse ratio is 2:1. All rooms are private.

Nurses care for critically ill patients with a specialization in the care of patients with septic shock and respiratory failure. The unit has been VAP-free (ventilator associated pneumonia) for more than seven years. The nursing staff is part of the rapid response team and code 99 team. All nurses are BLS and ACLS prepared. Orientation to the ICU is individualized to the nurse and combines a clinical and didactic component. Ongoing specialized education is developed to educate nurses on critical care procedures, technology and pathophysiology of critical diagnoses. Currently, 33 percent of the nursing staff has achieved CCRN certification by the AACN. The philosophy of our ICU is to nurture and support staff throughout the novice to expert continuum.

Nursing Care Delivery Model: The intensive care unit has developed a model of nursing that we named partnership nursing. In an effort to help balance and share workload and provide the safest care, each nurse is paired with another nurse or partner. This mini nursing team knows each other's patients and provides assistance to each other when needed. This model allows the nurse to have a resource to assist with repositioning, cosigning meds, transferring to another unit and procedures. It promotes collaboration. It allows the novice nurse to feel supported. This approach fosters the notion of team and cohesiveness. Using the partnership nursing model supports our philosophy that as an ICU nurse, you are never alone. You always have another nurse supporting you. Partnership nursing encompasses many of the traditional models of care but has been individualized to our needs to maximize both nurse satisfaction with the work environment and delivery of care while maintaining the highest standards for quality of care, safety and patient satisfaction.

In an effort to help balance and share the workload for the nurses, we have developed a "buddy system" where the charge nurse assigns teams, usually consisting of two RNs per team. We identify them as team A, B, or C on the patient assignment board and take into account the acuity and workload of each assignment. This team approach allows the nurse to have a resource to collaborate with and allows the nurses to work together toward a common goal of providing quality comprehensive nursing care. The nurses report to one another on their patient's condition and plan of care allowing for an effective and safe handoff report during coverage of break time and meals. This model also allows for a resource to assist with turning and repositioning, procedures and tasks, medications, admissions, and transfers.

A charge nurse usually assumes a normal patient load. The charge nurse acts as a coordinator of the staffing team inclusive of the RNs, nursing assistants and health unit coordinator. The role includes knowing the condition and plan of care for all patients on the unit, collaborating with nursing administration for staffing needs, and assigning team members to specific patients based on acuity, skills and expertise of the RN and continuity of care for the patient. The charge nurse helps to create a safe, cooperative teamwork environment using good communication skills, coordination, delegation, decision making and problem solving with the members of the team.

The RN is responsible for planning, organizing and performing all aspects of care with the nursing assistant’s help with direct patient care. This provides the RN with the highest degree of autonomy and defines clear lines of responsibility and accountability.

The RN plans and communicates with all disciplines on a consult basis or during our daily interdisciplinary rounds consisting of nursing, the intensivist, pulmonary, dietary, case management, pharmacy, pastoral care and social service. This forum provides an opportunity to communicate patient needs, establish goals, develop a plan and evaluate progress with the entire interdisciplinary team on a daily basis. The collaboration of care between the RN and the physician in the ICU is valued and respected between both parties and embraces the important elements of our model of nursing care, which includes communication, quality care and a collaborative team approach.

St. Mary Unit

Unit/Department Description: Located in the hospital's newest patient pavilion, St. Mary is a 20-bed medical/surgical unit with all private rooms. It is staffed by a team of registered nurses who range from newly graduated to 30-plus years of experience. Medical/surgical diagnoses are the most common admissions to a hospital. Several nurses have obtained certification in medical/surgical nursing showing their dedication to the largest nursing specialty. Several nurses on St. Mary serve as mentors for nursing students attending local colleges and universities. Many of these students later join the team as a result of their positive experiences. Several serve on hospital committees dedicated to research and continuous improvement of quality care.

Nursing Care Delivery Model: St. Mary uses the continuity care model. This encompasses a clinical leader, primary and associate nurses who collaborate with interdisciplinary team members. This team includes, but is not limited to, nursing assistants, health unit coordinators, case management, therapists, pastoral care, and physicians.

St. Nicholas (Pediatrics)

Unit/Department Description: As the area’s only dedicated inpatient pediatric unit, we care for patients ranging from newborn to 21 years of age. Our child-friendly, 24-bed St. Nicholas unit offers a comforting environment specially designed for children and their families. Committed to providing family-centered care, Saint Anne’s pediatric nurses are highly educated and dedicated, many holding specialty certification. Many of our pediatric nurses provide a valuable service to the community through participation in parenting classes, safe sitter classes, health fairs and other events.

Nursing Care Delivery Model: Collaborative team practice. The patients and their families are collaborators with the health care team. We must work together and have mutual respect for everyone’s contributions and communications. Collectively, we can make a difference in the patient’s outcome.

Sacred Heart (Telemetry)

Unit/Department Description: Located in the hospital's newest patient pavilion, Sacred Heart (Telemetry) is a 20-bed acute care unit specializing in heart monitoring and specialized heart care. The telemetry unit, which offers all private rooms, also contains a dialysis room for inpatient dialysis services, serving all inpatient units. The telemetry unit employs registered nurses, certified nursing assistants, certified nurse technicians and unit health coordinators.

Nursing Care Delivery Model: “Caring Partnerships” is based on Nursing’s belief that a patient and family’s physical and spiritual comfort is central to healing and wellness. Healing and wellness are defined by the patient and/or family. Nursing works within a collaborative interdisciplinary care partnership (patient, family, nurse, nursing assistant, physician, care managers, social workers, dietitians, occupational therapists, physical therapists, respiratory services, spiritual care workers and other hospital services) to deliver excellent care ensuring that the best patient outcomes are achieved by every patient, every time.

St. Anthony Geriatric Psychiatry Program

Unit/Department Description: The inpatient geriatric psychiatry unit is a 16-bed secure unit that provides acute psychiatric treatment for older adults by a multidisciplinary team. Family members are encouraged to participate in treatment planning. Flexible visiting hours are provided so that family members can have easy access to visiting their loved ones.

The partial hospital program is a five-day program for older adults who are not in need of hospital level of care. The intensive outpatient program is a less intensive program that is a half-day program three times a week. These day programs also comprise a multidisciplinary treatment team model. We provide care to geriatric patients in a very nurturing and caring environment.

Nursing Care Delivery Model: Modified Primary Care. The RN works in collaboration with a nursing assistant to provide optimal level of psychiatric and medical nursing care.

Outpatient Care

Cardiovascular Lab

Unit/Department Description: Our expert multispecialty vascular team in the CV Lab provides diagnosis and treatment for arterial and venous conditions, including: peripheral arterial disease, deep vein thrombosis, uterine fibroid embolization impaired dialysis access, and port implantation. Saint Anne’s Vascular Center also participates in regional vascular trials and participates as a member of the vascular study group to report and evaluate clinical outcomes to further improve our care.

Nursing Care Delivery Model: We work together with the patient and referring physicians to coordinate personalized treatment plans for all patients. Our team is composed of registered nurses and radiology technologists who work with board-certified specialists whose practice focuses specifically on vascular disease (cardiology, radiology, vascular medicine or vascular surgery). Our RNs and radiology technologists are specially educated to care for the patient, pre-, during, and post-procedure.

Case Management

Unit/Department Description: We provide an interdisciplinary approach to coordinating care involving the attending/primary care physician, clinicians in a variety of settings, the patient and the family. The case manager complements this health care team, balancing patient/hospital advocacy, knowing third party payer issues for provision of quality patient care in the appropriate setting, and using the appropriate resources.

Center for Wound Healing

Unit/Department Description: We provide inpatient consultation and education to patients and staff regarding wound, ostomy and foot care. We provide interventions and support to patients with wounds and ostomies.

Day Surgery Center

Unit/Department Description:16 patient rooms/bays.

Population of patients we treat: Outpatient and inpatient surgical/diagnostic procedures include orthopedics; urology; vascular; gynecology; plastic surgery; neurosurgery; ear; nose; and throat; dental surgery; general surgery (e.g., abdominal, gall bladder) and endoscopy (colonoscopy, gastroscopy, ERCP). We also specialize in caring for pediatric surgical patients.

Nursing Care Model: “Primary Care at Each Phase of Care.” On the day of surgery, a nurse in the Day Surgery Center prepares the patient for his/her procedure. The nurse updates and confirms the information obtained at PAT, assesses the patient prior to surgery, confirms NPO status, and follows through the surgeon's orders. The nurse ensures that the patient is prepared for the operating room.

Diagnostic Cardiology (EKG and Echo)

Unit/Department Description: We offer a multimodality approach to care including non-invasive cardiac testing (EKGs, echocardiograms, Holter monitor testing, stress tests, stress echoes), traditional open surgery when indicated, and the latest in minimally invasive treatment options, to safely and effectively treat vascular disease.

Nursing Care Delivery Model: Our team is composed of registered nurses who work together as a team to provide quality patient care.

Emergency Department

Unit/Department Description: The Emergency Department is a multidisciplinary center that provides emergency care to the Greater Fall River community. The emergency department is located on the first floor on the main campus of Saint Anne’s Hospital. Care is provided for both pediatric and adult patients. The emergency department serves patients seven days a week, 24 hours a day. Express Care is open 10 a.m. to 10 p.m. for non-emergent care. Saint Anne’s is a recognized stroke center. The emergency department is staffed with full-time physicians who are board-certified in emergency medicine and advanced cardiac life support. The nursing staff has special training to work in the emergency department. Several of the nurses are certified in emergency nursing. The nurses are prepared in advanced cardiac life support and pediatric advanced life support, trauma, and triage. Support staff include LPNs, paramedics, emergency room technicians, health unit coordinators and trained volunteers who are patient greeters.

Nursing Care Delivery Model: The Emergency Department practices team nursing. Our team consists of nurses, techs and health unit coordinators who work in collaboration with physicians, social workers and paramedics. Our team provides patients and their families with physical, emotional and spiritual care they need when they are most vulnerable. The Emergency Department team works quickly and efficiently to recognize life threatening conditions, stabilize, minimize pain, educate and aide in preventing further injury or illness with a positive outcome for the patient.

Endoscopy

Unit/Department Description: Endoscopy: Two procedure suites

Population of patients we treat: outpatient and inpatient pediatric and adult patients.  Surgical/diagnostic procedures include: orthopedics; urology; vascular; gynecology; plastic surgery; neurosurgery; ear; nose; and throat; dental surgery; general surgery; (e.g., abdominal, gall bladder) and endoscopy (colonoscopy, gastroscopy, ERCP).

Nursing Care Delivery Model: "Primary Care at Each Phase of Care." The Endoscopy staff, along with a facilitator, works in collaboration with Surgical Services and the Anesthesia Department to coordinate and deliver the highest level of quality care for the endoscopy patient.

Fernandes Center for Children & Families (FCCF)

Unit/Department Description: The Fernandes Center for Children & Families provides specialized outpatient pediatric consultative and therapeutic services to children between the ages of newborn to eighteen years of age.

Pediatric medical services include evaluation and treatment in the areas of development, cardiology, endocrinology, genetics, gastroenterology, neurology, growth and nutrition, hematology/oncology, and nursing.

Pediatric rehabilitation services include occupational, physical, and speech therapy.

Behavioral health provides services to children with behavioral, social and psychological needs.

FCCF staff include the child’s family from the initiation of services and throughout follow up until time of discharge.

Nursing Care Delivery Model: Our delivery of care model is interdisciplinary and collaborative. Children at the center are often involved across services so that a unified team approach to care is what we strive for. Nursing functions are varied and include assistance to visiting and onsite medical staff, initial and follow up assessments, prescription monitoring, phone message management and follow up communication, interaction and collaboration with onsite and community health service programs/practices.

Operating Room (OR)

Unit/Department Description: We have three new state-of-the-art operating room suites equipped to do laparoscopic and endoscopic cases, one state-of-the-art urology room, and two additional rooms for ENT procedures and general procedures. We also have two endoscopy suites. Our population ranges from pediatrics to adult patients. Each operating room suite consists of one RN circulator and two surgical technologists who assist the surgeon during surgery. We also have a purchasing coordinator, an RN educator/clinical leader who runs the OR scheduling board, a unit administrative assistant and two schedulers. The schedulers book all procedures for surgery, endoscopy procedures, and pre-admission testing.

Nursing Care Delivery Model: In the operating room, we use a team approach. Each operating room suite consists of one RN who circulates and two surgical technologists. The endoscopy suite consists of one RN and one endoscopy tech. The OR educator coordinates all education.

Steward® Centers for Pain Management, Fall River and Swansea

Unit/Department Description: The Steward Centers for Pain Management treat adults with chronic or persistent pain and acute herpetic neuralgia as well as many other diagnoses. Clinical staff are scheduled by patient volume, types of procedures and patient acuity. Consults are seen by psychology first. Through collaborative practice, an RN completes an assessment with handoff communication to the physician. An RN supported by a medical assistant assesses patients undergoing procedures. All RNs are ACLS-prepared and credentialed for moderate sedation. Several RNs are certified in pain management nursing through the American Nurses Credentialing Center.

Nursing Care Delivery Models:

  • Clinic: Collaborative Care Model. The RN coordinates care assisted by LPNs, medical assistants, licensed mental health counselors/social workers, psychologist, administrative assistants, volunteers and interpreters when needed.
  • Procedures: Team/Interdisciplinary Model. RNs work independently within the team. Each team consists of RNs and physicians, and when needed, radiology technologist, medical assistants, scrub tech, pastoral care, interpreter, psychologist, licensed mental health counselor/social worker, administrative assistants and volunteers

Post Anesthesia Care Unit (PACU)

Unit/Department Description: Eight recovery bays.

Population of patients we treat: We provide outpatient and inpatient surgical/diagnostic procedures that include: orthopedics; urology; vascular; gynecology; plastic surgery; neurosurgery; ear, nose, and throat; dental surgery; general surgery (e.g., abdominal, gall bladder) and endoscopy (e.g., colonoscopy, gastroscopy, ERCP). We also specialize in caring for pediatric surgical patients.

PAT/DSC/PACU Nursing care Delivery Model: "Primary Care at Each Phase of Care."

  • PACU - Phase 1 Recovery: At the completion of the patient's surgery, the patient arrives in the post anesthesia care unit for phase I recovery. In PACU, the patient recovers from his/her surgery and is cared for by a PACU-trained nurse who manages the patient’s vital signs and post-operative pain, and assesses the surgical site. Once the patient is stable, he/she is transitioned to phase II recovery. If the patient is going home, he/she returns to DSC to prepare for home. If the patient is being admitted to the hospital, the PACU nurse provides the receiving unit with a detailed report prior to transfer.
  • PACU - Phase 2 Recovery: Phase 2 Recovery prepares the patient for home. The nurse reviews post-operative instructions and ensures that the patient or a responsible family member understands the instructions and post-operative expectations. During each phase, a patient care technician assists the nurse. The patient care technician is a valuable member of the team who assists with vital signs, tasks assigned by the nurse and patient needs within his/her scope of practice.

Pre-Admission Testing (PAT)

Unit/Department Description: One main office with two interviewing offices.

Population of patients we treat: We provide outpatient and inpatient surgical/ diagnostic procedures for children and adults. These include: orthopedics; urology; vascular; gynecology; plastic surgery; neurosurgery; ear, nose, and throat; dental surgery; general surgery (e.g., abdominal, gall bladder) and endoscopy (colonoscopy, gastroscopy, ERCP).

Pre-Admission Testing Nursing Care Model: “Primary Care at Each Phase of Care.” Patients begin their surgical experience with pre-admission testing at which time a nurse obtains each patient's health history, reviews his/her medications, and updates patient allergies. The nurse prepares the patient for his/her surgical experience and answers questions the patient may have about the procedure.

Professional Practice, Research and Development

Unit/Department Description: Director, three RN clinical educators, and education coordinator.

  • Assess educational needs, which includes planning, implementing and evaluating educational activities for approximately 400 nursing employees, 1,500 hospital employees, and the nursing community.
  • Provide education and staff development including nursing orientation, continuing education, inservice and hospital-wide annual mandatory education.
  • Provide American Heart Association Training Center classes (BLS, ACLS, PALS certification, recertification and instructor classes).
  • ANCC COA/MARN (American Nurses Credentialing Center’s Commission on Accreditation/Massachusetts Association of Registered Nurses) provider unit for continuing nursing education (CNE) programs.
  • Coordinate school affiliations for approximately 400 students per year for baccalaureate and associate degree nursing programs, emergency medical service programs, other health programs such as: pharmacy; PT/OT; respiratory; diagnostic imaging; surgical technician; vocational and high school programs (certified nursing assistant); and non-clinical students (e.g., IS, business students).
  • Facilitate teams of interdisciplinary leaders and staff nurses to lead clinical practice and regulatory, quality, and pay-for-performance initiatives.
  • Monitor scientific advances and best practices to implement evidence-based practice improvements.
  • Oversee nursing practice development and professional recognition program based on Benner’s novice-to-expert model.
  • Oversee nursing policies to ensure evidence-based practice and regulatory compliance.

Robert F. Stoico/FIRSTFED Center for Breast Care

Unit/Department Description: The breast center offers comprehensive breast health services in one convenient location. From initial screening, diagnostic mammography, and ultrasound, to surgical consultation and biopsy, the center brings together advanced technology and a highly trained staff in a specially designed location.

Nursing Care Delivery Model: Team Nursing

Radiation Oncology

Unit/Department Description: Saint Anne's Hospital Regional Cancer Center radiation oncology team treats an adult patient population. Our Fall River and Dartmouth sites each have two linear accelerators delivering intensity-modulated radiation therapy and image-guided radiation therapy. High dose rate radiation therapy is delivered at both sites as well. The Dartmouth location offers stereotactic radiosurgery and stereotactic body radiation therapy. The Fall River site offers radio-pharmaceutical treatments such as I-131 and Samarium. Nurses are baccalaureate-prepared, and most are oncology nursing certified. We treat our patients with an interdisciplinary approach.

Nursing Care Delivery Model: The nurses in radiation oncology use the primary nursing model. This model works best in this setting to establish long-term relationships with our patients and families. The nurse meets the patient at the initial visit and follows him/her through treatment and afterwards during follow-up care. Other members of the interdisciplinary team also coordinate the patient’s care.


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