Medical - Surgical
Medical Surgical (Med-Surg) is the largest nursing specialty that delivers care to adults with a variety of medical or surgical issues. The units offer a rewarding work environment that provide vast experiences. Our skilled care teams work cohesively and put our patients and each other as a priority each shift. Our diverse team members feel supported in a compassionate and just environment. We support a culture where shared decision making flourishes and our bedside professional’s voice is valued. The Med-Surg leadership team will truly care about your health and wellbeing. Growth and development opportunities are readily available and education is encouraged. Our Med-Surg units have a nurse to patient ratio of 1 to 4 or 1 to 5 depending on the patient condition. Nursing care is supported by a team model with Licensed Vocational Nurses, a break license, 3-4 CNAs per shift, and a 24-hour health unit coordinator (HUC) assigned to the nurse's station.
Broderick Pavilion - Post-Surgical Care
Broderick Pavilion is an 11 bed unit focusing on elective surgical procedures, primarily orthopedic, abdominal and gynecological patients. RNs and LVNs work together in a primary care model to provide an exceptional patient experience. RNs gain expert knowledge and assessment of post operative care; RNs and LVNs have the opportunity to become certified in ultrasound guided placement of IVs.
Float Pool
Float pool team members enjoy the opportunity to care for patients in all medical surgical units within the hospital and can also support mental health, rehab, and long term care. The float pool employs registered nurses, licensed vocational nurses, certified nurses assistants, mental health workers, and telesitters. After developing a strong foundation, RNs will eventually be trained in intermediate critical care (ICCU). RNs and LVNs receive a variety of certifications to expertly care for patients across several specialties.
Med-Surg 2N Cardiac Services
This 34-bed Med-Surg unit cares for a variety of patients, specializing in cardiac diseases such as chest pain, heart failure, myocardial infarctions, cardiac arrhythmias, and pacemaker insertions. Nurses (RNs and LVNs) gain expert knowledge and assessment of the cardiac system, are NIH Stroke Scale certified and will obtain their ACLS certification. Nurses also have the opportunity to become certified in ultrasound guided placement of IVs.
Med-Surg 2S Clinical Decision (CDU)
This 29-bed unit is fast paced with both observation and inpatients. They work as an extension of the emergency department to further investigate issues that brought the patient in to be seen. The types of patients range from chest pain to wound care, from respiratory system issues to neurological conditions. Nurses (RNs and LVNs) gain expert knowledge and assessment skills, and become NIH Stroke Scale certified. Nurses also have the opportunity to become certified in ultrasound guided placement of IVs.
Med-Surg 3N Post-Surgical Care
This 37 bed unit specializing in general and traumatic surgical patients including abdominal, colorectal, and urological procedures. Patients with other non-critical medical conditions like pneumonia, wound infections, or unmanaged diabetes or blood pressure may also be admitted here. RNs gain expert knowledge and assessment of post operative care and become wound vac certified. RNs and LVNs also have the opportunity to become certified in ultrasound guided placement of IVs.
Med-Surg 3S Oncology
3 South is a 36-bed Med-Surg unit cares for a variety of patients, specializing in oncology and palliative care. In addition, 3 South is the designated end-of-life unit, supporting the patient and family during this difficult transition. Nurses (RNs and LVNs) gain expert knowledge in cancer treatment; during the course of time and training will become oncology certified and chemotherapy competent. Nurses also have the opportunity to become certified in ultrasound guided placement of IVs.
Med-Surg 4N Renal
This 31 bed unit specializes in renal failure patients. Staff may care for patients in early kidney failure to assist with initiating dialysis or those that are already on dialysis but may need to be admitted for other reasons. This unit will care for patients with multiple co-morbidities and who require complex care management. Our nurses (RNs and LVNs) are certified in continuous ambulatory peritoneal dialysis and receive training on how to care for patients with central lines and fistulas.
Acute Dialysis
Acute dialysis is a small group of specialized nurses who provide acute hemodialysis treatments to patients in a medical surgical or critical care setting. RNs are trained to use Fresenius 2008 T machines with Bluestar technology. Acute dialysis RNs perform sustained low efficiency dialysis (SLED) in ICU and CVICU and become experts at accessing fistulas and central lines. Acute dialysis has 6 dialysis rooms located on 4 North and the average nurse to patient ratio is 1:2 to 1:1.
Kaweah Health Dialysis Clinic
The chronic dialysis clinic provides dialysis treatments for those patients who have end stage renal disease. We also provide dialysis for rehab patients who have their own dialysis facility they go to and need “transient” dialysis, which is short stay treatments. We also admit acute patients from the hospital in need of dialysis after discharge. Our clinic has 26 chairs and offers beds for patients whom cannot sit in a treatment chair.
Med-Surg Orthopedics and Neurology - 4S
This is a 36 bed unit specializing in traumatic and elective orthopedic injuries including surgical and non-surgical treatment, post stroke/TIA management, neurological disorders (seizures, acute confusion, hydrocephalus, etc.), neck and spinal surgeries. Patients with other non-critical medical conditions like pneumonia, wound infections, or unmanaged diabetes or blood pressure may also be admitted here. RNs gain expert knowledge and assessment of neurological care, are NIH Stroke Scale certified and will obtain wound vac certification. RNs and LVNs also have the opportunity to become certified in ultrasound guided placement of IVs.
Med-Surg 4T Telemetry
This 24-bed unit specializes in telemetry. Our team cares for patients who undergo continuous cardiac monitoring related to heart diseases or other issues. Our nurses (RNs and LVNs) receive special training to care for pre and post open-heart surgical patients. We work closely with the cardiothoracic surgery team to provide exceptional care for our open-heart surgery patients.
Med-Surg Emergency-1East
1East is a med-surg unit within the emergency department caring for a wide variety of general medical surgical patients. RNs gain expert knowledge in every facet of med-surg care. Nurses will work closely with all disciplines and the emergency room staff to provide safe, high-quality, customer-oriented services that meet the needs of the community.