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Medical Surgical
| Neonatal ICU | Pediatric ICU
Oncology ICU | Hematology/Oncology ICU
Our patients are from newborn to eighteen years of age requiring
medical surgical nursing. The average length of stay in our 48 bed
unit is between 24-72 hours. Our staff consists of Registered Nurses,
Licensed Vocational Nurses and Clinical Associates who work in collaboration
with a multidisciplinary team that include physicians, therapists,
dieticians, pharmacists, social services, and other support staff
to serve the needs of our patients and families. The Registered
Nurse to Patient ratio is 1:4 or 1:6 with an RN/LVN team.
Who are our patients?
All emergent and urgent medical surgical patients come from the
emergency room, clinics and private physicians, as well as our scheduled
patients that start in our sister unit, CHOC Surgical Short Stay
Unit located in St. Joseph Hospital. Some common diagnoses we might
see include asthma, pneumonia, dehydration, gastroenteritis, post-op
fracture repairs, and appendectomies. The 4th floor provides nursing
care for all types of post operative and medical patients.
The unit also admits out patients for short stay procedures such
as pH studies and video EEG's. The out-patients generally have a
length of stay of about 6 hours.
5th FLOOR - MEDICAL SURGICAL
Our patients are from newborn to eighteen years of age requiring
medical surgical nursing. The average length of stay in our 48 bed
unit is 24-72 hours. Our staff consists of Registered Nurses, Licensed
Vocational Nurses and Clinical Associates that work in collaboration
with a multidisciplinary team that include physicians, therapists,
dieticians, pharmacists, social services, child life specialists
and other support staff to serve the needs of our patients and families.
The Registered Nurse to patient ratio is 1:4 or 1:6 with an RN/LVN
team.
Who are our patients?
All emergent and urgent medical surgical patients that come from
the emergency room, clinics and private physicians. Common diagnoses
we might see include cystic fibrosis, diabetes, failure to thrive,
pneumonia, pyelonephritis, sepsis, seizure disorder, post-op appendectomy,
post-op abdominal surgery, neurosurgery, and orthopedic surgery.
The focus on 5 West/East is long term inpatient nursing, which incorporates
family education and participation for acute and chronic illnesses.
The Neonatal Intensive Care Unit at Children's Hospital of Orange
County is a world of high technology and sophisticated care. Forty-two
beds are available for Orange County's sickest infants, where they
receive specialized services based on individual needs. Parents
are encouraged to be part of the health care team, and participate
in providing infant care. Clinical nurses, neonatologists, respiratory
therapists and a developmental team, work with social services and
case management to meet the comprehensive physical, social, financial
and emotional needs of a family and their newborn child. There is
a very collaborative relationship between all the health care disciplines
that interact in the NICU. We become part of our patient's family
as we help parents adjust to their new beginning. The average tenure
for NICU nurses is 10 years.
Why is the unit so "sophisticated"?
We offer the cutting edge in medical technology. We transport infants
on life support via ambulance or helicopter, and at times two or
three calls may come in one shift. We offer specialized ventilators,
nitric oxide therapy, neonatal surgery and other specialty diagnostics.
CHOC also provides ECMO, a form of cardiopulmonary bypass for particular
disease entities.
The Pediatric Intensive Care Unit is a 24 bed critical care unit
that functions to meet the specialized needs of all children. The
patients cared for in this unit have very special needs and require
intensive nursing care on a 24-hour basis. The PICU team includes
the Clinical Director, Clinical Nurse Specialist, Clinical Nurses
and other disciplines that work to meet the needs of these patients.
Each member of the care provider team plays a vital role in providing
the continuity and care required for the critically ill child.
Who are our patients?
Many of these patients are recovering from surgical procedures or
have newly diagnosed disease processes that require complex interventions
to meet their needs. Parental involvement is a very important part
of the patients stay in this unit and all parents are encouraged
to be part of the care decisions and daily routine care needs of
their child.
The Oncology Intensive Care Unit (OICU) at Children's Hospital
of Orange County is a specialized unit for children in need of intensive
care for the treatment of cancer and blood disorders. The unit is
comprised of 12 beds for both Bone Marrow and Peripheral Blood Stem
Cell Transplants. Transplants and newly diagnosed hematology/oncology
patients in critical condition are admitted the OICU.
The nursing team in the OICU includes a Clinical Director, Clinical
Nurse Specialist, Charge Nurses, Clinical Nurses and Clinical Associates.
Each OICU nurse has been specially trained to administer chemotherapy,
assist in procedures, identify complications of transplant and is
very knowledgeable in the disease process of hematology/oncology
patients. Other members of the Hematology/Oncology team include
Oncologists, Hematologists, BMT Coordinators, Social Workers, Psychologists,
Dieticians, Pharmacists, Teachers and Therapists.
Why is the Oncology Intensive Care Unit so
special?
Nurses are able to develop close relationships with both the patient
and the parents for the duration of treatment due to their lengthy
stays in the OICU. It is always a celebration when a transplant
patient is discharged home after a long stay in an isolation room.
The Hematology/Oncology Unit at Children's Hospital of Orange County
is a 28 bed specialized unit for children in need of hospital care
for the treatment of cancer and blood disorders.
The nursing team on the Hematology/Oncology unit includes a Clinical
Director, Clinical Nurse Specialist, Charge Nurses, Clinical Nurses
and Clinical Associates. Each Hematology/Oncology nurse had been
specially trained to administer chemotherapy, assist in procedures
and is very knowledgeable in the disease process of hematology/oncology
patients. Other members of the Hematology/Oncology team include
Oncologists, Hematologists, Social Workers, Psychologists, Dieticians,
Pharmacists, Teachers and Therapists.
Why is the Hematology/Oncology Unit so special?
We are able to form close relationships with both the patient and
parents for the duration of treatment due to their numerous admits.
The nurses have fun with the patients while attending to the needs
of the patient and family. We have a great playroom where Recreation
Therapists plan special activities and projects for the kids.
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