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Texas Health H-E-Bs Cardiac Step-Down Unit has 22 patient rooms and is reserved for ICU and CCU patients needing to transition to regular inpatient care.
The remaining cases were sporadically identified on the surgical step-down unit (n = 4) and in general surgery/gastroenterology units (n = 2).
Patients who were 18 years or older, who had an EVD inserted and were admitted into the neurological/neurosurgical intensive care (ICU) step-down unit at the Foothills Medical Centre were invited to participate in the study.
And the very first nursing unit to try it was Unit 12 North, which is an abdominal transplant step-down unit.
I worked on the cardio-thoracic step-down unit in the mid-'90s when persons with LVADs remained hospitalized as the device was "a bridge to transplant.
But it made an unacceptable contingency: it also would close eight or nine intensive care unit beds; eliminate a team of 16 nurses who support other nurses on the day and evening shifts; and increase the number of patients per nurse in a special cardiac step-down unit.
After graduation in December of 1998, I became a staff nurse in the Vanderbilt Cardiac Step-down Unit and continued my work with TASN as the Graduate Consultant until October 2000.
The cholera treatment area was divided into three areas: the so-called ICU, which held the sickest patients, all of whom were on IVs and encouraged to take ORS; the step-down unit (where patients were taking ORS and had been discharged from the ICU, but who still had diarrhea and some vomiting); and the ready-to-discharge unit (patients on ORS who were ready to be discharged).
The authors chose to evaluate the usefulness of this computerized integrated monitoring system using the "instability index score" in their step-down unit.
A second project comprising a detached 10-bed step-down unit in Holywell, Flintshire, will replace the existing cottage hospital and will be complete in October 2012.
She also held positions in the 350th Evacuation Hospital, Canton, OH, and as Head Nurse of a Cardiac Step-Down Unit at Walter Reed Army Medical Center.
By creating a nurse triage system that collaborated with patient placement, the step-down unit gained the authority to push back if admissions weren't appropriate.