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UPMC

UPMC Shadyside is a 520-bed tertiary care that has been serving the residents of and the tristate area since 1866. UPMC Shadyside offers primary medical care; physician and nursing education; and a broad range of specialties that include cardiology, oncology, orthopedics, geriatrics, obstetrics and gynecology, vascular medicine, endocrinology, and more.

UPMC Shadyside's medical staff includes nearly 1,000 primary care physicians and specialists, many of whom have offices at the hospital and throughout the community.

UPMC Mission, Vision & Values

Our Mission UPMC’s mission is to serve our community by providing outstanding patient care and to shape tomorrow’s health system through clinical and technological innovation, research, and education.

Our Vision UPMC will lead the transformation of health care. The UPMC model will be nationally recognized for redefining health care by:

 Putting our patients, health plan members, employees, and community at the center of everything we do and creating a model that ensures that every patient gets the right care, in the right way, at the right time, every time.  Harnessing our integrated capabilities to deliver both superb state-of-the-art care to our patients and high value to our stakeholders  Employing our partnership with the to advance the understanding of disease, its prevention, treatment and cure.  Serving the underserved and disadvantaged, and advancing excellence and innovation throughout health care.  Fueling the development of new businesses globally that are consistent with our mission as an ongoing catalyst and driver of economic development for the benefit of the residents of the region.

Our Values We create a safe environment where quality is our guiding principle. QUALITY & SAFETY

We treat all individuals with dignity and respect. DIGNITY & RESPECT

We listen to and care for our patients, our health plan members, our fellow employees, our physicians, and our community. CARING & LISTENING

We perform our work with the highest levels of responsibility and integrity. RESPONSIBILITY & INTEGRITY

We think creatively and build excellence into everything that we do. EXCELLENCE & INNOVATION

UPMC Nursing Mission, Vision and Values

UPMC Shadyside Nursing Mission The mission of Nursing at UPMC Shadyside is to provide excellent patient care and to shape the hospital of the future through compassion, clinical innovation, and evidence-based practice.

UPMC Shadyside Nursing Vision UPMC Shadyside nurses embrace the concept of responsibility and accountability for nursing practice by fostering a supportive collegiate environment. We will continue to implement current clinical research into practice, serve as leaders and utilize innovation in providing optimal patient care.

The nursing division will be nationally and internationally recognized for the implementation of Magnet standards while providing outstanding patient care.

UPMC Shadyside Nursing Values These values and principles guide UPMC Shadyside Nursing practice in achieving its mission and vision.

 We view each patient as an individual and strive to meet their needs through a holistic approach.  We acknowledge that each patient is someone’s mother, father, child or loved one and we will treat them with kindness and respect.  We are dedicated to service excellence.  We support a culture that embraces change and encourages innovation.  We encourage and promote open communication.  We strive to support continuing education to improve the quality of patient care.  We embrace and support an integrated healthcare team.  All are encouraged and expected to grow, develop their potential through education, and collaborate with peers through a clinical partnership.  We strive to create an environment that fosters the growth of new nurses while promoting continual development of all.  We promote a spirit of teamwork while recognizing the potential of each individual.  We attach importance to our involvement within the community as we promote health and well-being.

We are proud of our profession and hold true to these statements.

History of UPMC Shadyside

UPMC Shadyside had its beginnings in 1866 as Homeopathic Medical and Surgical Hospital and Dispensary in . In 1884 it moved to a new building, again downtown. The same year, the hospital established western ’s first school of nursing.

In 1896, the hospital pioneered the first x-ray in . It was also among the first to use Joseph Lister’s antiseptic techniques for surgery.

The hospital moved Shadyside in 1910, on a site just in front of its present location. In 1938, its name was changed to Shadyside Hospital. The present building was erected in 1972, and it became part of UPMC in 1997.

The hospital has a long legacy of leadership in cardiology and cardiac surgery. In the 1960s it was an early adopter of the cardioverter to correct erratic heartbeats. In the next decades it moved to the forefront of interventional cardiology, developing new catheters and performing angioplasties. Shadyside Hospital had Pittsburgh’s first coronary care unit. Geriatrics also has a strong legacy here; Shadyside Hospital boasted the nation’s first physician to be board certified in geriatrics.

Geography and Demographics

Allegheny County, Pennsylvania Allegheny County is an excellent example of how a county overcame great adversity resulting from the demise of the steel industry and how it built a new future through substantial economic change. The area was once the steelmaking capital of the world. Now only about 4 percent of the labor force is employed in primary and fabricated metals.

The backbone of the economic base is health care, education, high technology, light manufacturing, professional services along with retail and wholesale trade. Allegheny County is considered an international leader in the fields of chemical, plastic and nuclear research. Nearly 1,000 high technology companies are located in the Greater Pittsburgh area.

Film makers have chosen the area for moviemaking because of varied topography, unique architecture, strong ethnic neighborhoods, cooperative government officials, low costs and friendly environment. The new Pittsburgh International Airport is the largest airport complex built since the construction of the Dallas-Fort Worth airport in 1974.

The airport is dubbed the “airport of the future” because of its advanced operational functions and built-in expansion capabilities. Employment spin-offs from the airport will generate between 18,000-20,000 new jobs over a 10 year period. Allegheny County has more than 50 , many of which are recognized nationally as high-quality medical research and teaching hospitals, including a leadership position in organ transplantation. New home costs are about 16 percent less than the national average while the older housing stock is excellent and well maintained.

The four rivers that flow through Allegheny County now allow fishermen to land game fish where 20 years ago there were lifeless bodies of water.

The soot, smog and grime associated with the booming steel industry are a thing of the past. The area houses many local performing groups, orchestras, choirs, the Pittsburgh Symphony, the Ballet Theater and the Civic Light Opera. The region also maintains more than 100 art galleries, historical landmarks and museums including the Carnegie’s Museum of National History, Art Museum, Music Hall, Library and Science Center, the Pittsburgh Zoo and the Pittsburgh Aviary.

There are three major sports teams in the county (Pirates, Steelers and Penguins). In the summer, the Three Rivers Regatta draws more than 500,000 spectators. The Three Rivers Arts Festival and the are also major summer events. Shadyside is a neighborhood in the East End of Pittsburgh, Pennsylvania, . It has zip codes of both 15232 and 15206, and has representation on by the council member for District 8 (East Central Neighborhoods). The nomenclature Shadyside is drawn from the 19th century Pennsylvania Railroad station in the area, named for its unique shady lanes. Shadyside is home to many of the more upscale stores and boutiques in Pittsburgh including Moda, Coach, Williams-Sonoma, and White House Black Market. The Shadyside Market, owned by the Dupuis family of Baton Rouge, LA for more than 50 years, features fresh produce, an on-site butcher, and a deli which is frequently packed by locals. Stores are located in two corridors; one centers on Ellsworth Avenue, the other on Walnut Street.

Walnut has more stores that belong to national chains, including Gap (along with Baby Gap, Gap Kids and Gap Body), Apple, J.Crew, American Apparel, Chico's, Victoria's Secret, Banana Republic, Talbot’s Coach, and United Colors of Benetton. Local restaurants include Jitters, Cappy's, Doc's, William Penn Tavern, and Pamela's.

Ellsworth tends to have smaller locally owned businesses, including Eons (a vintage store), Gallerie Chiz (an art gallery, and beauty salons such as 5804, Capristo salon and Mikel's. Ellsworth has a number of restaurants such as The Elbow Room, Bites and Brews, and Soba. Ellsworth also features two of Pittsburgh’s' gay and gay friendly bars, Spin and 5801, formerly known as New York, New York. Shadyside also features boutique Inns and Hotels like Shadyside Inn Suites, The Inns On Negley, and

Shadyside is also home to the Winchester Thurston School, as well as The Ellis School on Fifth Avenue, Pittsburgh's only all-girl pre-K–12. Another neighborhood institution is Shadyside Hospital, a member of the University of Pittsburgh Medical Center. Additionally, Pittsburgh Center for the Arts and are located just across the northern edge of the neighborhood in Squirrel Hill.

The Jam on Walnut is a summer concert series that features local and regional music concerts. The concerts are held on the last Saturday of each summer month on the corner of Bellafonte and Walnut Street. Proceeds from beer sales go to Cystic Fibrosis.

Since the 1920s, residential Shadyside has been home to a mix of affluent families, young professionals, artists, students, and apartment dwellers. The residential areas of the neighborhood include well-maintained Victorian mansions along with modern apartments and condominiums. The neighborhood has a compact layout, which prevents most houses from having garages. Public transportation is available via Port Authority bus system; a busway stop is conveniently located in the neighborhood on Negley Avenue between Ellsworth and Centre avenues.

Population (s) Served

UPMC Shadyside is located in the heart of Pittsburgh where there is a rich cultural blend of ethnic diversity represented in the mix of patients and staff. Pittsburgh had many immigrants from Britain, Ireland, and Germany through the first century or so of its existence. Later the nationalities of those arriving shifted to Poles, Hungarians, Serbs, Croatians, Italians, and Russian Jews. Most emigration to the city halted at the outbreak of World War I in 1914. Since then relatively few people have come to Pittsburgh from other countries, even though the nation as a whole has seen a large increase in Hispanic and Asian immigration.

While foreign-born persons made up only 7.1 percent of the city’s population between 2008- 2012, Pittsburgh retains a strong ethnic character. Many neighborhoods have a clear ethnic identity, such as (Italian), the and (Polish), and Squirrel Hill (Jewish). The eastern neighborhoods of Point Breeze, Shadyside, and Squirrel Hill are attractive city living areas, while other sections of the city afford views of the rivers and the Golden Triangle from houses constructed on steep slopes.

Pittsburgh’s black population began to arrive far back in the city’s history, but its biggest growth came in the first half of the 20th century largely through migration from the South. Blacks predominate in several areas throughout the city, the largest being , the Hill, -Brushton, and . The black community possesses a rich cultural heritage in jazz and art, as well as having been the sponsor of the two of greatest baseball teams in the former Negro League the Crawfords and the Homestead Grays.

2010 Census Demographics City of Pittsburgh, PA Population, 2012 estimate 306,211 Population, 2010 (April 1) estimates base 305,702 Population, percent change, April 1, 2010 to July 1, 2012 0.2% Population, 2010 305,704

White alone, percent, 2010 66.0% Black or African American alone, percent, 2010 26.1% American Indian and Alaska Native alone, percent, 2010 0.2% Asian alone, percent, 2010 4.4% Native Hawaiian and Other Pacific Islander alone, percent, 2010 Z Two or More Races, percent, 2010 2.5% Hispanic or Latino, percent, 2010 2.3% White alone, not Hispanic or Latino, percent, 2010 64.8% Foreign born persons, percent, 2008-2012 7.1%

Recognized as providing world-class care, UPMC Shadyside has been privileged to treat patients from all over the world. The many cultures blend into the tapestry of the organization and our diverse richness is evident in the atmosphere of openness and acceptance of all staff working throughout the organization.

Our Services & Specialties UPMC Shadyside provides a full range of health care services, including inpatient, outpatient, and emergency care, as well as highly specialized diagnostic and treatment procedures. The combination of high-tech medicine and compassionate care touches every one of the thousands of patients who enter UPMC Shadyside each year.

Our services include:

. Cardiology and Cardiac Surgery . Center for Integrative Medicine . Digestive Disorders . Emergency Medicine . Family Health Center . Lung Disease . Neurosurgery . Occupational Therapy . Oncology . Orthopedics . Physical Therapy . Radiology/Imaging Services . Rehabilitative Services . Senior Services . Surgical Services . Urological Comprehensive Care Program (UCCP) . Vascular Surgery

Cardiology and Cardiac Surgery UPMC Shadyside has a long tradition of excellence in cardiology and cardiac surgery. Cardiology services took a foothold at Shadyside Hospital in the 1970s with the advent of new technologies and talent. By the early 1990s, more coronary angioplasties would be performed at Shadyside Hospital than at any other hospital in western Pennsylvania.

Today, UPMC Shadyside provides a full menu of standard and cutting-edge technologies, while remaining committed to offering patients the best care available. With a staff of more than 60 cardiologists, UPMC Shadyside strives to remain on the forefront of quality cardiology care.

Services provided range from non-invasive diagnostic techniques to high technology invasive procedures.

Non-invasive services include:

. Exercise stress tests with and without nuclear imaging . Electrocardiograms . Echocardiograms, both routine and stress test . Transesophageal echocardiograms . Holter and event monitors Invasive offerings include:

. Diagnostic cardiac catheterizations . Angioplasty and stent procedures . Intra-aortic balloon pump insertion . Intravascular ultrasound . Peripheral diagnostic and interventional procedures . Acute myocardial infarction services with 24/7/365 emergency coverage Electrophysiology services:

. Diagnostic electrophysiology studies . Implantation of pacemakers . Implantation of internal defibrillators . Arrhythmia ablations, including atrial fibrillation ablations . Pacemaker and defibrillator diagnostic services . Tilt table testing . Arrhythmia conversion Surgical services:

. abdominal and thoracic aneurysm repair . aortic root replacement . atrial ablation . coronary artery bypass grafting (CABG) . off-pump coronary artery bypass graft (OPCABG) . peripheral vascular surgeries . pneumonectomies, lobectomies, and wedge resections . repair of co-arctation of the aorta . septal defect repair . valve repair and replacement . vascular shunts . ventricular aneurysm repair Contact Us UPMC Shadyside Digestive Disorders UPMC Shadyside treats a variety of digestive diseases including Crohn’s disease, colitis, gastroesophageal reflux disease (GERD), inflammatory bowel disease, irritable bowel syndrome, and ulcers. Our digestive disorder specialists have expertise in diseases of the pancreas and digestive tract, which includes the esophagus, stomach, and intestines.

Gastrointestinal Lab The Gastrointestinal (GI) Lab at UPMC Shadyside offers patients state-of-the-art gastrointestinal care in a specialized facility solely dedicated to endoscopic and gastrointestinal-related procedures. The GI Lab is staffed by experienced, professional registered nurses and GI technicians who provide care before, during, and after all procedures.

The newly remodeled GI Lab offers eight procedure rooms, 20 holding bays, and a dedicated inpatient procedure room. The facility offers a wide variety of both complex and routine gastrointestinal procedures including:

. colonoscopy . endoscopic tumor removal or bypass . endoscopic ultrasound (EUS) . endoscopy . esophageal manometry . flexible sigmoidoscopy . ileoscopy . magnetic resonance cholangiopancreatography (MRCP) . pancreatic function test . spiral CT scanning . therapeutic endoscopic retrograde cholangiopancreatography (ERCP)

Emergency Medicine at UPMC Shadyside

Emergencies are never planned. But when they happen, it’s comforting to know that a high- quality emergency department (ED) is close to you. Our ED provides convenient access to comprehensive care for those who are injured or critically ill. Staffed by specially-trained doctors and nurses, the ED also has access to specialists who are on- call 24 hours a day. Together, this team of health care professionals works to treat you and your medical emergency.

Oncology Services At UPMC Cancer Centers, we know that the extensive range of services we offer our patients makes all the difference. UPMC strives to meet the many physical, as well as emotional, needs of cancer patients and their families.

The UPMC Cancer Center at the Mary Hillman Jennings Radiation Oncology is located in UPMC Shadyside and complements the services available in the Hillman Cancer Center.

The Stem Cell Transplantation (SCT) Program of UPMC Cancer Centers is the largest regional provider of stem cell transplantation services in western Pennsylvania. The program has performed more than 1,400 bone marrow, or stem cell transplants, to treat patients with a variety of diseases.

Hillman Cancer Center is the flagship treatment and research facility of the UPMC Cancer Centers network. Home to the state-of-the-art clinical services of UPMC Cancer Centers and the nationally and internationally recognized research of the University of Pittsburgh Cancer Institute, Hillman Cancer Center provides specialized diagnosis, treatment, prevention, and care for patients and their families.

Opened in January 2013, Mario Lemieux Center for Blood Cancers, located on the 4th floor of the Hillman Cancer Center, provides outpatient treatments for leukemia, lymphoma, and multiple myeloma — the most common types of blood cancers — and various other types of blood cancers and disorders. The patient-friendly center, open Monday through Friday, 12 hours a day, offers the latest stem cell therapies, clinical trials, and blood cancer treatments.

Many blood cancer treatments and treatment centers require longer patient stays and time away from home and family. The Mario Lemieux Center for Blood Cancers addresses obstacles like these, making its mission to improve patient care for leukemia, lymphoma, and multiple myeloma—the most common types of blood cancers—and various other types of blood cancers and disorders.

As part of the University of Pittsburgh Cancer Institute (UPCI) and UPMC CancerCenter, the 24,000-square-foot outpatient treatment facility creates a more comfortable experience — for patients and families — during treatments.

Located on the fourth floor of the Hillman Cancer Center in Pittsburgh’s Shadyside neighborhood — and open Monday through Friday, 12 hours a day — the Lemieux Center:

 Offers personalized outpatient treatments for complex hematologic malignancies.  Provides easier access to the latest blood cancer therapies and clinical trials.  Gives patients flexibility in managing their leukemia, lymphoma, or multiple myeloma.

Other unique features of the Mario Lemieux Center for Blood Cancers include:

 Entertainment during your visit.  Comfort and privacy during your visit.

Dedicated to delivering more effective, safe, efficient, and individualized care, the Mario Lemieux Center for Blood Cancers:

 Brings the groundbreaking research of the UPCI into a patient-friendly facility in the hopes of getting closer to a cure for blood cancers.  Incorporates the latest information management technologies essential for personalized medicine.  Helps reduce length of hospital stays for blood cancer patients, which can help lower health care costs.

Senior Services

UPMC Senior Care—Shadyside UPMC Senior Care Shadyside provides ongoing, routine, and preventive medical care to adults age 60 and older. Patients of UPMC Senior Care—Shadyside enjoy the advantage of having many levels and types of care at one outpatient location.

Services include primary and specialty care, health education, counseling, and psychotherapy. The center’s staff includes geriatricians, geropsychiatrists, nurse practitioners, and social workers, who work together to create a care plan tailored to each individual patient.

UPMC Senior Care Shadyside experts also provide practical tips about preventing falls; help patients who have problems with bladder control, persistent confusion, or memory loss; and help manage prescriptions, all on an outpatient basis.

UPMC Senior Services To meet the often complex needs of older adults, UPMC Senior Care is one of the largest academic and clinical geriatrics programs in the country, with approximately 25 trained geriatricians and geriatric psychiatrists to address aging related problems.

Lifeline Lifeline is a personal emergency response system designed to help elderly or disabled persons maintain their independence. The hospital provides this community service to enable individuals to live alone with confidence and reassurance that help is available when needed. For more information, call the Senior Information Service at 412-623-6745.

Respite Care This program gives families a short break from the care they provide to their older loved ones. Respite Care offers short-stay nursing home care that includes use of a comfortable semi-private room and 24-hour nursing care. Additional arrangements can be made for special services such as a beauty and barber shop, physical therapy, podiatry, speech therapy, and dentistry.

Surgical Services UPMC Shadyside offers a wide range of surgical procedures, including robotics, as treatments for many diseases and conditions.

In addition to general surgery, surgeons at UPMC Shadyside perform advanced procedures in many specialties:

 Cardiac surgery  Digestive disorders  Lung and thoracic disease  Neurosurgery  Oncology  Orthopedics  Urology  Vascular surgery

Robotics Robotic surgery does not mean that a robot replaces the surgeon. It means that robotic technology provides enhanced visualization and dexterity so that surgeons can perform many complex procedures that would otherwise have to be performed with conventional open incisions.

For patients, robotic surgery can mean a shorter hospital stay, less pain, less blood loss, less scarring, and quicker recovery. Robotic surgery outcomes are consistent with those of standard minimally invasive surgeries.

Owning the technology is the first step. It also is crucial that the hospital and its surgeons have the expertise in using the technology. UPMC is a leader in robotic surgical technology in western Pennsylvania. UPMC began using the da Vinci® Surgical System at UPMC Presbyterian in 2003 and moved it to UPMC Shadyside in November 2007, where it is now being used for prostate, gynecologic, and oncology surgeries.

UPMC Shadyside has a dedicated operating room for da Vinci surgeries and a dedicated team with specialized training and experience in robotic technology

Research at UPMC Shadyside

Cancer Research Across the street from UPMC Shadyside, connected by the Shea Pedestrian Bridge, is Hillman Cancer Center, headquarters for the research facilities of the University of Pittsburgh Cancer Institute (UPCI), which works in tandem with the clinical services of UPMC Cancer Centers. UPCI’s research programs occupy a 152,300-square-foot, three-level research pavilion at Hillman Cancer Center; the rest of the building is devoted to clinical care for cancer patients. Thus Hillman Cancer Center is designed to maximize collaboration among investigators, to streamline the application of laboratory findings to patient care, and to facilitate the flow of information about clinical experiences back to researchers for further development. With cutting- edge research in basic science as well as clinical trials, UPCI ranks among the nation’s leaders in funding from the National Cancer Institute (NCI). UPCI-initiated clinical research has garnered national and international recognition for the advanced treatment of melanoma, as well as brain, prostate, lung, head and neck, ovarian, and breast cancers.

Nursing Research

UPMC Shadyside supports nursing research in an effort to deliver the highest quality patient care. Our research efforts are focused on maintaining or improving outcomes. Research projects that nurses have lead or contributed to are: the use of patient-administered oral pain medication for hip replacement patients; outcomes of patients with leukemia who are at risk for sepsis using technology for early identification; methods to reduce anxiety, depression and PTSD symptoms in family members functioning as surrogate decision makers in the ICU; perceptions of burnout in oncology nurses in a hospital setting; and the impact of cardiovascular and mental health education on cardiovascular risk factors and depression.

UPMC Shadyside Nursing Units

Unit NDNQI Type Specialty Beds 3 Pavilion Medical Adult, Cardiac Cardiology 28 Interventional 4 Pavilion/South Step Down Adult 38 Cardiology 5 Pavilion Medical Adult Observation 23 3 Main Moderate Acuity Adult, Surgical Surgical Cardiovascular 38 4 Main Moderate Acuity Adult, Surgical Surgical Oncology 40 5 Main Medical Adult, Oncology Oncology 37 6 Main Medical Adult, Respiratory Respiratory 40 7 Main Medical Adult, Oncology Oncology 27 2 Pavilion Surgical Adult Orthopedics 9 2 South Med-Surg Combo Adult Orthopedics 17 5 West Surgical Adult Orthopedics 30 6 West Moderate Acuity Adult Surgical/Neuro 30 7 West Bone Marrow Transplant Adult BMT/Oncology 28 4 East Medical Adult Medical Cardiology 24 3 East Medical Adult Family Practice 23 Subtotal 432 CTICU Cardiothoracic ICU 18 SICU Surgical ICU 12 NSICU Neuro ICU 10 MICU Medical ICU 22 MS ICU Medical Surgical ICU 8 Subtotal 70 6 Pavilion Moderate Acuity Adult Surgical Urology 10 7 Pavilion Moderate Acuity Adult Surgical Urology 8 Subtotal 18

Total 520

Nursing Staff Demographics

Ethnicity White Black or Asian Hispanic/Latino American Two or Total African Indian or More American Alaska Races Native

Nursing # 1,015 42 27 6 1 6 1,097 (RN) % 92.53% 3.83% 2.46% 0.55% 0.09% 0.55%

Nursing # 5 2 7 (LPN) % 71.43% # 1,020 44 27 6 1 6 1,104 Total % 92.39% 3.99% 2.45% 0.54% 0.09% 0.54%

Sex Female Male

Nursing # 960 137

(RN) % 87.51% 12.49% 3-2121 Nursing # 5 2 (LPN) % 71.43% 28.57% Schedule an appointment at 1-800-533-UPMC or # 965 139 request an appointment online. Total % 87.41% 12.59%

Age A 1920-1945 B 1946-1964 C 1965-1979 D 1980-2000

Nursing # 9 345 302 441 (RN) % 0.82% 31.45% 27.53% 40.20%

Nursing # 2 4 1 (LPN) % 28.57% 57.14% 14.29% # 9 347 306 442 Total % 0.82% 31.43% 27.72% 40.04%