GRADY MEMORIAL HOSPITAL
Chickasha, Oklahoma

 

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Nursing 

 

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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.
 

 

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Last modified: 02/17/06