
Nursing Care
Working with our physicians, the GMH
Nursing Staff provides
compassionate care to each of our patients. Knowledge and
skill are the basis for assessment, analysis, planning,
intervention, and evaluation used in the promotion and
maintenance of health and nursing management of illness,
injury, infirmity, restoration or optimal function, or death
with dignity. Nursing practice is based on understanding the
human condition across the human life span and understanding
the relationship of the individual within the environment.
This practice includes execution of the medical regime including
the administration of medications and treatments prescribed
by members of our medical staff.
The practice of nursing at Grady Memorial
Hospital is further
defined by the Licensure Standards for Hospitals and Related
Institutions, State of Oklahoma; the Hospital Mission and Vision
statements; the Nursing Service Philosophy; Standards of Nursing
Practice; and the Plan for Provision of Care for each unit in
the department.
Nursing care is performed in the following areas:
First Medical
Intensive Care / Coronary Care
Second Surgery
Operating Room
Post Anesthesia Care
Surgery Day Center
Obstetrics
Nursing In-service Education
Ongoing in-service education services are provided by the
hospital to assist nursing staff in enhancing the quality of
patient care. This education includes: Orientation for all
staff to establish baseline knowledge of safety and infection
control issues regarding the facility; and continuous work to
reduce the risk for transmission of infections among patients,
employees, medical staff, contract workers, volunteers,
students, visitors and the community.
Medical Nursing Services
The most frequent diagnoses for the adult medical patients
are diabetes mellitus, cardio-respiratory conditions,
gastroenterological conditions, and cancer. Patients having
minor surgical procedures such as cystoscopies, colonoscopies,
bronchoscopies, central line placement, arteriograms, and
chest tube placement may also be cared for on this unit.
The most common medical diagnoses for pediatric patients
are pneumonia and other respiratory infections, asthma, and
gastroenterological conditions or infections.
Special Services Include: Tube Feeding, Gastrostomy, TPN
Administration, Remote Telemetry Monitoring, Apnea
Monitoring, Oximetry, Mist Tents, Epidural Catheters,
Colostomy Care, IV Therapy, Non Invasive Bladder Scans,
and Central Lines.
Outpatient procedures include transfusions of blood and
blood products, enemas, and arteriograms.
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
the hospital.