VUMC PATIENT CARE TRACKS ADULT ADULT ADULT AMBULATORY CARDIAC STEPDOWN ACUTE CARE MEDICINE WITH UNIT DESCRIPTION
If viewing electronically, click TRACK TITLE for direct access to track page with unit descriptions. ADULT ADULT ADULT ACUTE CARE SURGICAL CRITICAL CARE ONCOLOGY
BEHAVIORAL PEDIATRIC PEDIATRIC WOMEN’S HEALTH ACUTE CARE CRITICAL CARE HEALTH
Version date: March 10, 2020 ADULT
AMBULATORY Full spectrum heart conditions, including: Cancer care specialties, including: • aortic disease • blood cancers • arrhythmias • bone cancers and sarcomas If viewing electronically, • congenital heart defects • brain tumors click on unit card • coronary heart disease • breast cancer to view • heart attack (myocardial infarction) • childhood cancers • heart failure unit web page for • endocrine tumors • heart valve diseases • gastrointestinal cancers more information. • high blood pressure • gynecologic cancers • vascular conditions and diseases • head and neck cancers • heart and vascular treatments • lung cancer • neurofibromatosis Full range of heart and vascular • pancreatic cancer treatments, including: • prostate cancer • angioplasty and stent placement • skin cancers • cardiac catheterization • spine and nervous system cancer • cardio-oncology • testicular cancers • cardiac surgery • urological cancers • coronary artery bypass • heart transplant Cancer treatments, including: • heart valve repair or replacement • chemotherapy surgery/ vascular surgery • clinical trials • pacemakers and implantable • immunotherapy cardioverter defibrillators (ICDs • integrative medicine • Ventricular assist device (VAD) • precision medicine • radiation therapy • regional cancer therapy • stem cell transplant • surgery
VANDERBILT HEART & VANDERBILT-INGRAM VASCULAR INSTITUE CANCER CENTER 20+ heart clinics across Tennessee VUMC Campus and clinics across & Southern Kentucky Tennessee & Southern Kentucky
Cardiovascular care, including: Cardiac care, including: · pre- and post-open heart surgery · vascular disorders (such as ADULT · valve repair and replacement aneurysms, amputations) · heart failure · congestive heart failure CARDIAC · heart transplant · myocardial infarction · myocardial infarction · heart arrhythmias · heart arrhythmias · pre-op cardiothoracic surgeries STEPDOWN · ventilator and pulmonary artery UNITS catheter support (units located at Vanderbilt
University Hospital CARDIOVASCULAR or adjacent PROGRESSIVE CARE VASCULAR building) 5 South VUH 7 North VUH
If viewing electronically, click on unit card 22 1:3 1:4 29 1:3 1:4 to view unit web page for more information. Care of patients with vascular Cardiac care, including: · ventricular assist devices (VADs) disorders, including: · heart transplants · aneurysms · total artificial hearts · amputations · pre- and post-coronary artery · congestive heart failure bypass and valve surgeries · myocardial infarction · advanced heart failure · heart arrhythmias · chest pain · pre- and post-op cardiothoracic · heart arrhythmias surgeries · pacemaker exchanges
VAD & CARDIOLOGY HEART TRANSPLANT STEPDOWN 7 Medical Center East (MCE) 8 South VUH
36 1:3 1:4 22 1:3 1:4 Care for those aged 65 and Care of adult patients with a Care for individuals with Care for individuals with ADULT ACUTE older, including: variety of medical conditions complex conditions, complex conditions, · cognitive impairment and complex social stressors, including: including: CARE · loss of mobility focusing on: · respiratory · respiratory · varied medical, surgical, · high risk for recurrent · gastrointestinal · gastrointestinal MEDICINE cardiac, and neurological health issues · renal · renal UNITS conditions · interdisciplinary approach · neurological · neurological (units located at Vanderbilt · reducing the use of · psychiatric · psychiatric University Hospital or emergency rooms for · cardiac · cardiac (CHF, chest pain, adjacent building; routine care · infectious diseases arrhythmia, pre/post cath) Round Wing units are · infectious diseases located at Medical Center · insulin drips North [MCN])
If viewing electronically, ACUTE CARE OF THE ELDERLY FAMILIAR FACES ADULT ACUTE MEDICINE CARDIAC click on unit card to view unit (ACE) MEDICINE MEDICINE STEPDOWN web page for more information. 7 Round Wing 3 Round Wing 8 North VUH/5C at VCH 8 Medical Center East
22 1:4 1:5 14 1:4 1:5 27/12 1:4 1:5 37 1:4
Care for patients nearing Care for adult observation Care for individuals with Care for individuals with Care for admitted patients the end of life with a focus patients with complex complex conditions, complex conditions, and lower acuity ER on holistic care, including: medical conditions, including: including: patients with complex · symptom management including: · respiratory · respiratory conditions, including: · life goals • respiratory · gastrointestinal · gastrointestinal · respiratory · plans of care that value • gastrointestinal · renal · renal · gastrointestinal the patient, families • renal · neurological · neurological · renal wishes, and culture • neurological · psychiatric · psychiatric · neurological • psychiatric · cardiac · cardiac · psychiatric • cardiac · infectious diseases · infectious diseases · cardiac • infectious diseases · infectious diseases · cardiac monitoring
PALLIATIVE CARE/ VANDERBILT ADULT ACUTE ADULT ACUTE ED MEDICINE OBSERVATION UNIT (TOBS) MEDICINE MEDICINE C-POD 5 Round Wing 7 South VUH 6 Round Wing 4 Round Wing 1st Floor TVC
16 1:4 17 1:5 16 1:4 1:5 14 1:4 1:5 33 1:3 1:4
Care of patients requiring Care of patients requiring Post-operative care, Traumatic injuries involving surgical intervention, post-operative care for including: multiple body systems care, ADULT including: surgical procedures, · total joint replacement including: · thoracic surgery including: · bone and soft tissue · trauma rehabilitation ACUTE CARE · surgical oncology · urology tumor resections · traumatic brain Injury · emergency general · GYN surgery · ortho trauma care for · accidental trauma injuries surgery · other surgical services traumatic injuries SURGERY · lung transplant · surgical weight loss · plastics patients UNITS · bariatrics (units located · oncology at Vanderbilt University Hospital or adjacent SURGICAL SURGICAL ORTHOPAEDIC/ TRAUMA building) STEPDOWN SPECIALTIES ORTHOPAEDIC TRAUMA STEPDOWN 9 North VUH 9 South VUH 7 Critical Care Tower (7T3) 10 South VUH
If viewing electronically, click on unit card 27 1:3 1:4 22 1:4 1:6 35 1:4 1:5 17 1:3 1:4 to view unit web page for more information. Care for patients with Care of patients with Care of patients with spinal disorders of the kidney, liver, neurological disorders, conditions, including: pancreas, including: including · spinal disorders requiring · end-stage liver/kidney · open, closed head injuries surgical and non-surgical disease · strokes treatments · surgical weight loss · craniotomies · peritoneal dialysis · seizures · pre- through post · encephalopathy transplant of the kidney, · Parkinson’s disease liver, pancreas · Multiple Sclerosis · meningitis · epilepsy monitoring
TRANSPLANT & NEUROLOGY/ ORTHO/ SURGICAL CARE EPILEPSY SPINE 6 Medical Center East 6 North VUH 6 South VUH
37 1:2 1:4 27 1:4 1:5 20 1:4 1:5
Cardiovascular care, Care of patients who have Care for critically ill surgical Care for critically ill medical including: sustained major trauma to patients, including: patients, including: · pre- and post-vascular, their body, including: · multisystem organ · acute respiratory failure ADULT cardiac surgery . head dysfunction, failure · Acute Respiratory Distress . heart failure . neck · sepsis Syndrome (ARDS) CRITICAL . cardiac dysrhythmias . spinal cord · liver transplant recovery · multisystem organ system . structural heart disease . abdominal · vascular surgeries failure CARE . post-cardiac arrest . orthopedic · sepsis . ECMO · drug overdoses UNITS . heart, lung transplant · gastrointestinal bleeds (units located . therapy devices · diabetic ketoacidosis at Vanderbilt · hypertensive crisis University Hospital or adjacent CARDIOVASCULAR INTENSIVE TRAUMA INTENSIVE CARE SURGICAL INTENSIVE CARE MEDICAL INTENSIVE CARE building) CARE (CVICU) (TICU) (SICU) (MICU) 5 North VUH 10 North VUH 9 Critical Care Tower 8 Critical Care Tower
If viewing electronically, ICU = 23 click on unit card 27 1:1 1:2 31 1:2 1:3 SD = 12 1:2 1:3 35 1:2 to view unit web page for more information. Care for patients with Care of patients in Care of patients after Level 1 Burn Center neurological disorders, emergency situations. elective or emergent providing adult and including: surgical procedures, pediatric care, including: · acute ischemic, Level 1 Trauma & Burn including: · continuum of care from hemorrhagic stroke Center: · recovery from anesthesia ICU to stepdown, through · subdural, epidural Abbreviations used: · comprehensive stroke · vital signs monitoring discharge hematoma and chest pain center · pain control regimen · thermal, chemical and ICU = Intensive Care Unit · subarachnoid hemorrhage · regional referral center · transfusion of blood electrical burns SD = Stepdown · seizures products · frostbite and hypothermia HR = Holding Room · Guillain-Barré syndrome · dermatological conditions · Myasthenia Gravis · reconstructive surgery exacerbation
NEUROLOGY/NEUROSURGERY ADULT EMERGENCY VOR HOLDING ROOM/ VUMC REGIONAL BURN INTENSIVE CARE (NIC) DEPARMENT (ED) PACU CENTER (BURN) 6 Critical Care Tower 1st Floor VUH 3rd Floor VUH 11 South VUH
HR = 23 ICU = 23 PACU = HR = PACU = ICU = 8 ICU = SD = SD = 12 1:2 1:3 45- 92 1:4 SD = 15 39 Bays 1:2 1:3 1:4 1:2
ADULT ONCOLOGY UNITS (units located at Vanderbilt Care for patients with oncologic, Hematology/oncology progressive University Hospital hematologic, and benign care, including: or adjacent hematologic associated care, · benign and malignant hematologic building) including: malignancies If viewing electronically, · solid tumors · myelosuppression/stem cell click on unit card · leukemia transplant to view · lymphoma · oncologic tumor symptom unit web page for · sickle cell anemia management more information. · stem cell, adoptive cellular therapies
HEMATOLOGY/ MYELOSUPPRESSION/ ONCOLOGY STEM CELL TRANSPLANT 11 North VUH 10 Critical Care Tower
27 1:3 -5 35 1:3 Care for adult patients with Care for adult patients with Care for adult patients with diagnoses, including: diagnoses, including: diagnoses, including: · schizophrenia · substance misuse disorders · major affective disorders · bipolar disorder · acute medical detoxification · anxiety disorders (including · catatonic disorders · dual diagnosis PTSD & OCD) · schizoaffective disorder · depression BEHAVIORAL · depressive disorders · dementia · psychotic features HEALTH UNITS (units located VPH VPH VPH at Vanderbilt 1 2 3 Psychiatric Hospital) Vanderbilt Psychiatric Hospital Vanderbilt Psychiatric Hospital Vanderbilt Psychiatric Hospital
If viewing electronically, 1:6 click on unit card 24 16 1:6 24 1:6 to view unit web page for Care for adult patients who more information. Care for children and Care for adult patients being voluntarily seek treatment for adolescents with diagnoses, evaluated to determine the diagnoses, including: including: appropriate psychiatric · schizophrenia · ADHD level of care. · bipolar disorder · autism · catatonic disorders · oppositional defiance disorder · schizoaffective disorder · depression · depressive disorders · psychosis · psychotic features
VPH VPH CHILD & PSYCHIATRIC ASSESSMENT 4 ADOLESCENT SERVICES Vanderbilt Psychiatric Hospital Vanderbilt Psychiatric Hospital Vanderbilt Psychiatric Hospital
14 1:6 28 1:5 8-24 1:6 Hematologic and oncologic care for Pediatric medicine care for patients patients ranging from newborns to 24 from birth to adolescents, including: years, including: . epilepsy monitoring . benign and malignant diagnoses . Neonatal Abstinence Syndrome . bone marrow, stem cell transplant (NAS) . sickle cell and anemia . peritoneal dialysis . radioactive therapy PEDIATRIC ACUTE CARE PEDIATRIC HEMATOLOGY & PEDIATRIC MEDICINE UNITS ONCOLOGY (PHO) ACUTE CARE (PMAC) (units located 6th Floor 7th Floor at Monroe Carell Jr. Children’s Hospital
at Vanderbilt) 30 1:3 42 1:4
If viewing electronically, click on unit card to view Pediatric cardiac care, including: Infant to adolescent care, including: unit web page for . medically managed cardiac . spinal fusions more information. conditions . cystic fibrosis . post-operative cardiac surgery . transplants . congenital and acquired heart . orthopedic procedures conditions . neurosurgery . cleft palates . eating disorders . behavioral health . feeding disorders . craniotomies
PEDIATRIC CARDIOLOGY PEDIATRIC SURGERY, TRAUMA, (PCARD) ADOLESCENT MEDICINE (PSTAM) 10th Floor 8th Floor
19 1:3 1:4 43 1:4 Pediatric Level 1 Trauma Center & Birth to 18+ years of age surgical Care of patients from birth to 18 years Comprehensive Regional Pediatric procedure care, including: of age requiring pre-procedure and Center. Care of patients from birth to . otolaryngology post-anesthesia care, including: 18 years of age, including: . urology . simple to complex surgical . emergency medical care . ophthalmology procedures . trauma resuscitation . neurosurgery . inpatient and outpatient . urgent care . orthopedics PEDIATRIC . STAT responses within hospital and . craniofacial reconstruction surrounding 250 yards . plastics CRITICAL . renal, liver CARE . transplant PEDIATRIC CHILDREN’S PERIOPERATIVE PEDIATRIC HOLDING ROOM/POST UNITS EMERGENCY DEPARTMENT SERVICES ANESTHESIA CARE UNIT (HR/PACU) (units located 1st Floor 3rd Floor 3rd Floor at Monroe Carell Jr. Children’s Hospital OPERATING HOLDING HOLDING at Vanderbilt) ratios = 22 = 1:4 42 + ROOMS 16 1:1 vary PACU PACU = 26 = 1:2 If viewing electronically,
click on unit card to view Level IV, regional NICU that provides Care of patients birth to 18 years with Critical care of patients birth to 18 unit web page for care to critically ill neonates. cardiac diagnoses, including: years of age with various medical and more information. . heart defects surgical conditions, including: . acquired heart disease . Level 1 trauma . surgically repaired or medically . respiratory managed congenital heart . sepsis diseases . burn . transplant . cardiovascular . oncology . neurology
NEONATAL INTENSIVE CARE UNIT PEDIATRIC CARDIAC INTENSIVE PEDIATRIC INTENSIVE CARE UNIT (NICU) CARE (PCICU) (PICU) 4th Floor 10th Floor 5th Floor
98 1:2 19 -23 1:1 1:2 31 1:1 1:2
WOMEN’S HEALTH UNITS (units located Pre- and post-obstetrical care for Personalized postpartum care at Vanderbilt patients, including: and pre/post-operative care for University Hospital) . mothers with complex diseases women, including: . high risk pregnancy . mothers with complex diseases If viewing electronically, . pre-eclampsia and eclampsia . couplet care click on unit card . multiple gestations . stable antepartum patients to view . cardiac care . pain management unit web page for . placental abnormalities . lactation support more information. . fetal loss/ grief support . fetal monitoring . natural labor support . grief support . IDDM and gestational diabetes . gynecological diagnoses or other . fetal surgery short-stay surgeries
LABOR & DELIVERY MOTHER BABY OBSTETRICS UNIT (MBO) 4th Floor VUH 4th Floor Medical Center East
32 adult
26 1:1 1:2 1:3 18 infants 1:3 1:4 1:5 1:6