Surgery Nursing Services
The most common diagnosis include: gastrointestinal, orthopedics (including total joint
replacement), laparoscopic cholecystectomies, herniorrhaphies, appendectomies,
hysterectomies and vascular surgeries.

Pre-operative and post-operative teaching is provided by the nurses on the unit, utilizing
supportive services such as Physical Therapy, Respiratory Therapy, Speech Therapy,
and Dietary as needed.

Clinical paths have been implemented on total joint replacement and laparoscopic
cholecystectomy patients.

Special Services Include: Jejunostomy Tubes, IV Therapy, Colostomies, TPN Therapy,
Chest Tubes, Supra Pubic Catheters, Uretheral Catheters, PCA's, Gastrostomy Tubes,
CPM Machines, Non Invasive Bladder Scan, Epidural Catheters.

Team Nursing or Total Patient Care models are used to deliver care. An assigned Nurse
Manager has responsibility for all patient management and unit operations. The unit has
24 hour RN coverage.

Post Anesthesia Care Unit
The Post Anesthesia Care Unit (PACU) is designed with modular units to care for 6
patients post operatively.

Obstetrics
The Obstetrics Unit includes three Labor, Delivery and Recovery Rooms, 8 post partum
beds, and a 10 bassinet Nursery. The South Nursery is for the normal newborn, the
growing premature, and/or those newborns requiring extended nursery care.

The Obstetrical Unit is dedicated to the provision of quality care and promotion of bonding.
Stabilization of antepartum patients with complication such as pre-eclampsia, diabetes,
preterm labor and hyperemesis is provided. Care is given to high risk labor patients such
as pre-eclamptic, diabetic, cardiac, and inductions, as well as to patients with uncomplicated
labor.

Special services offered include epidural anesthesia all shifts. An RN and one other staff
person attend all deliveries.

Intensive Care Unit - Coronary Care Unit
The purpose of Intensive Care Unit Coronary Care Unit (ICU/CCU) is to deliver patient care
on a 24 hour basis to critically ill patients.

This service area is composed of an eight bed Intensive Care Unit, four bed Coronary Care
Unit, and four bed Post Care Unit located on the second floor of Grady Memorial Hospital.

The most frequent medical diagnoses for the adult patients cared for in ICU are severe
respiratory conditions such as chronic obstructive pulmonary disease and pneumonia.
Surgical patients include: thoracotomies, nephrectomy patients, all surgical patients with
arterial lines, and unstable post surgical patients.

Patients with heart attacks, unstable angina, acute phases of chronic heart failure, and
symptomatic dysrhythmias are cared for in the CCU.

The four bed postcare unit provides care for stable medical/surgical patients who no
longer require critical care.

This unit monitors telemetries in the postcare beds and throughout sthe hospital.

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Grady Memorial Hospital / 2220 Iowa Ave. / Chickasha, OK 73018 / (405) 224 - 2300
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