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Ambulatory Care Services encompass a variety of areas including the Pre-Op Center, Post Recovery Care Unit, and Endoscopic Services Unit. Each area is unique in its function; however, they all work together as a whole to provide each patient with a safe environment and a satisfying experience.
Nurses working in the Ambulatory Care Unit (ACU) find ample opportunity to multitask. Duties include completing admissions, stage 2 recovery, discharges, monitoring infusions, as well as collaborating with physicians, the OR, Cath Lab, Radiology, and family members.
In this fast-paced unit nurses provide stage 1 recovery to patients post operatively. PACU nurses care for patients of all ages, surgeries, and acuity levels.
Nurses work side-by-side with physicians, assisting them with endoscopic procedures. Here a nurse's role can vary between admission, discharge, and intra procedural care of the patient.
Nurses can chose to work in just one of the above areas or be cross trained to work in all areas, depending on availability.
The Cardiac Catheterization Lab (Cath Lab) is an area where the RN's role is one of a specialist. Here nurses use critical thinking skills, while working closely with physicians and radiology techs providing highly skilled care to patients during life threatening emergencies. Cath Lab RNs assist in cardiac invasive procedures including scrubbing and circulating, non-invasive testing, and operating hemodynamic monitoring equipment.
They also interact closely with patients and their loved ones, guiding them through very difficult and stressful situations. In the spirit of interdepartmental collaboration for which SACH is known, our Cath Lab has been working diligently with the Emergency Department to reduce Door-to-Balloon times for STEMI patients. This collaborative planning and work has paid off in consistently achieving times close to half the national standard of 90 minutes. This has helped us become one of only two hospitals in San Bernardino County with the designation of STEMI Receiving Center.
Critical Care Services consist of a 12-bed Intensive Care Unit (ICU) and a 12-bed Coronary Care Unit (CCU).
Providing care to patients age 14 and older, both units have a complex mix of critically ill patients enabling nurses to work in-depth across many disciplines. Care is provided for both surgical and medical patients including cardiovascular, neurological, and trauma. The nurses in these departments assess patient needs, develop a plan of care, and monitor patient progress. In addition, our critical care nurses are members of the hospital Code Blue and Rapid Response Teams.
SACH's critical care nurses work with an interdisciplinary team consisting of physicians of various specialties, dieticians, laboratory technicians, physical therapists, radiology technicians, respiratory therapists, social workers, clergy, speech therapists, and bioethicists.
Critical Care Services consists of a 12-bed Intensive Care Unit (ICU) and a 12-bed Coronary Care Unit (CCU). Providing care to patients 14 years of age and older, both units have a complex mix of critically ill patients enabling nurses to work in-depth across many disciplines. Care is provided for both surgical and medical patients including cardiovascular, neurological, and trauma. The nurses in these departments assess patient needs, develop a plan of care, and monitor patient progress. In addition, our critical care nurses are members of the hospital Code Blue and Rapid Response Teams. SACH's critical care nurses work with an interdisciplinary team consisting of physicians of various specialties, dieticians, laboratory technicians, physical therapists, radiology technicians, respiratory therapists, social workers, clergy, speech therapists, and bioethicists.
Our Dialysis Unit features specially trained RNs who treat our inpatient population. Medically stable patients are dialyzed in our treatment room, while medically compromised or isolated patients receive treatment at the bedside. The dialysis nurses work closely with our local nephrologists to provide exceptional, evidence-based care. We utilize Fresenius 2008K delivery systems for both Hemodialysis and CRRT modalities. Each is provided with its own mobile R.O. water treatment and a Crit-Line blood volume monitor. Intermittent, nightly peritoneal dialysis treatments are administered using the Baxter Home Choice PD machine.
The Hospital's Level II non-trauma Emergency Department (ED) is one of the busiest paramedic base stations in the Inland Empire. With the expertise of certified MICNs directing in-route hospital care, the ED handles almost 1,500 EMS calls each month. These emergency arrivals coupled with the number of walk-in patients makes the SACH ED a busy place, providing treatment to more than 70,000 patients annually. Approximately three quarters of the hospital admissions come through the ED, requiring significant coordination and partnership with other hospital departments. ED staff team members are innovative practitioners who are good at troubleshooting and thinking out of the box. Recently, when the ED experienced an increase in wait times related to our growing community, the ED nurses sprang into action. They assessed and evaluated the situation, then planned and implemented protocols resulting in significantly decreased patient wait times. To further address the emergency medical needs of the growing community, SACH has plans underway to expand the ED to a 52-bed department designed by the ED staff. The ED is supported by 24-hour, 7-day-per-week coverage in CT/Radiology, Lab, and Respiratory Therapy services, as well as a department-specific nurse educator. In the spirit of interdepartmental collaboration for which SACH in known, the ED has been working diligently with our Cath Lab to reduce Door-to-Balloon times for STEMI patients. Their collaborative planning and work has paid off in consistently achieving times close to half the national standard of 90 minutes. This has helped us become one of only two designated STEMI Receiving Centers in San Bernardino County.
Labor and postpartum nurses find our Healthy Beginnings Maternity Center the perfect place to practice their brand of nursing care. Here, our specialized medical team of obstetricians, neonatologists, perinatologists, anesthesiologists, and knowledgeable nurses help deliver more than 200 babies a month. Our LDR suites offer mothers-to-be both comfort and privacy in a homelike setting. Internationally-certified lactation consultants and childbirth educators provide new parents with support and training in how to care for their newborn. As only the 65th hospital in the nation to be designated a Baby Friendly Hospital by Baby-Friendly USA, San Antonio Community Hospital have also been recognized with a five-star rating for clinical excellence in a maternity care report issued by HealthGrades, the nation's leading independent healthcare ratings company. In addition, we rank in the Top 10% of hospitals in the nation for maternity care, and has been recognized with the HealthGrades 2007/2008 Maternity Care Excellence Award™.
Medical/Surgical nursing is recognized as a specialty focused on managing the complex needs of adult and adolescent patients across the illness-health continuum. While Medical/Surgical nursing by definition requires broad-based skills and knowledge, the orthopedic and oncology nursing specialties are included in our Medical/Surgical Department at San Antonio Community Hospital (SACH), offering the med/surg nurse an expanded arena of practice. Medical/Surgical nurses at SACH collaborate with an interdisciplinary team of physicians in various specialties, pharmacists, case managers, and therapists to ensure the best possible outcome for our patients. Due to time-saving systems and evidence-based practices, our Medical/Surgical nurses spend more time providing direct patient care. With SACH's progressive approach to patient care and the nursing process, including rounding with physicians, Medical/Surgical nursing at SACH offers outstanding opportunities for teamwork, leadership, and professional growth.
Our state-of-the-art Level II 20-bed Neonatal Intensive Care Unit (NICU) utilizes the latest technology to provide care to neonates and newborns with complications, as well as sick infants up to six months of age. While caring for our tiniest of patients, our NICU nurses also provide care, support, and education to parents during these difficult times. With so much at stake with patients that often have multiple complications, our NICU nurses practice as part of a highly specialized team that includes board certified neonatologists, clinical nurse specialists, respiratory care practitioners, social workers, dietitians, case managers, physical therapists, and lactation specialists. With concern for the community, San Antonio Community Hospital's NICU nurses have developed a Safe Surrender program to educate young people about the law allowing anonymous surrender of a baby within 72 hours of birth. Brochures and a short film were developed and presented at local schools. The program even received national recognition when a poster presentation was made at the 2008 convention of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN).
Our 25-bed Pediatric Department offers the ideal atmosphere for nurses who specialize in the family-centered care and treatment of young patients ranging in age from infancy to late teens. Adapting their care and interactions to the specific age and intellectual level of each child, the Pediatrics team applies expert knowledge about child development and growth to their knowledge of diverse illnesses and diseases found in the general population as well as those specific to children. Sensitive to the fears and vulnerability of a child, Pediatrics at San Antonio Community Hospital (SACH) is a place where everyone makes a difference. Each member of the team brings together knowledge, ideas, inspiration, and skill — the cornerstones upon which SACH is built.
Working side-by-side with top surgeons in a highly sophisticated technical environment, our Perioperative nurses assist in the latest laser, microscopic, joint replacement, and heart bypass surgeries. Our well-equipped Surgery Department consists of eight operating suites, two cardiac surgery suites, and a cystoscopic room. We look for nurses who thrive on the unique challenges and high-tech work of perioperative care, while always keeping in mind the exceptional power of the human touch.
Our Definitive Observation Units (DOUs) consisting of 82 beds, provide continuous 24-hour monitoring for a diverse patient population over the age of 14. These patients have actual or suspected cardiac disease but their hemodynamic condition is stable and does not require critical care nursing. DOU nurses at SACH have specialized cardiac training and experience to ensure optimal outcomes for each patient. Our patients experience a healthcare environment that puts their comfort and healing at the top of our priority list. Our DOUs also features an Outpatient Observation Service (OOS). Nurses in the OOS work side-by-side with physicians to assess a patient's condition, order diagnostic services, and decide on the course of treatment.