Medical / Surgical
|Janell R. Cecil, MSN, RN, NEA-BC||
Debra Barton, MPH, BSN, RN
Chief Nursing Officer & Senior Vice President
Location: Lobby Level
Medical / Surgical nursing areas include the following:
- Gastroenterology / General Surgery
- Hemodialysis Unit
- The Joint Replacement Center
- Medical Nephrology
- Oncology / Urology
- Progressive Care Unit
- Trauma / Neurology
- Enterostomal / Wound Therapy
Nurse Manager - Donna Patterson, BSN, RN
Location: 11 East
General Surgery and Gastroenterology is a 30 bed acute care telemetry unit specializing in the care of those patients requiring medical or surgical interventions primarily associated with the gastrointestinal system. We are a dynamic, fast paced unit, with many dedicated staff members, an excellent and supportive multidisciplinary team, self-scheduling, growth and participative opportunities. All nurses are required to have completed ACLS within one year of employment.
11 East is proud to be the Medical Center’s first Dedicated Education Unit in partnership with the University Of Tennessee College Of Nursing. Nursing students gain “real world” hands on experience with nurses who serve as clinical instructors while providing patient care. While working with nursing student’s staff nurses receive extra help in caring for their patients, as well as staying abreast of the most up-to-date evidenced based practice, and the satisfaction of educating the next generation of health care providers.
Our nurses are involved in Shared Governance and help make decisions about issues that affect their practice. We have Registered Nurses that represent our unit on Leadership, Practice, Quality, Research, and the Professional Development Councils. 11 East also has a very active Unit Council where our team members have input and make decisions about the operation of the unit.
Nurse Manager - Loretta Smithers, BSN, RN, CDN
Location: 4 North
Since 1973, the Hemodialysis Unit has provided acute dialysis treatments for UT Medical Center inpatients. The patient population currently includes medical, trauma, neurology, cardiac and surgical patients with acute renal failure as well as patients from surrounding area chronic clinics who require medical and surgical care or transplant services.
Hemodialysis nurses have a wide scope of practice that includes providing care to severely compromised critical care patients with surgical, medical and transplant care needs. Patients in the critical care areas may be dialyzed at their bedside or, if stable enough, may be taken to the dialysis unit. Additionally, another component of care available to patients in this high-tech area is plasmapheresis. Patients experiencing disease processes requiring pheresis come to the dialysis unit or may be pheresed at bedside in the critical care areas. In the Hemodialysis unit, patients continually are monitored due to the invasiveness of the procedures performed. The dialysis nurse must have excellent communication skills as well as outstanding clinical skills as they routinely collaborate with many departments and services on a daily basis to provide safe and exceptional care.
One year of critical care experience is preferred to work in the Hemodialysis unit. The orientation plan includes a comprehensive experience teamed one to one with a preceptor until the nurse is clinically competent in Hemodialysis. Teamwork is essential in the dialysis unit to provide patients with excellent care. Staff nurses rotate on a nightly call schedule for emergent dialysis treatments. Exciting opportunities for certification also are available.
Location: 7 East
The Joint Replacement Center is a 15 bed unit with 5 overflow beds. Our specialty is caring for patients with total hip, knee, and shoulder replacements. We also admit elective back surgery patients which consist of laminectomies, anterior cervical discectomies and fusions, and lumbar intervertebral fusions.
We consider our unit a "well unit" meaning all of our patients elect to be here and are not "sick." Our joint patients' length of stay is 2-3 days and our spine patients' length of stay is 1-3 days. Although we consider all of our patients to be "well," some do have chronic medical issues that need attention. In this case, internal medicicne doctors are consulted.
We have a very involved multidisciplinary team including physicians, registered murses, certified nursing assistant, helath unit coordinators, physical therapists, case management, and occcupational therapists.
Our joint replacement patients have an extensive physical therapy program. There are two physical therapy sessions each day. In the mornings patients work with therapists during an individual session and in the afternoon patients are brought together in our joint zone for a group therapy session. Our spine patient population also benefits from our physiccal therapy program.
We are grateful to be a part of these patients' healing process after surgery. We hope to touch our patients lives and help them on the road to a better more functional life.
Nurse Manager - Julie Daniels, BSN, RN, CDN
Location: 4 South
4 South is a 28-bed Acute Care, Medical Surgical unit dedicated to the patient care of Medical Nephrology and Surgical patients. There is cardiac monitoring capacity for all patients. The team care for both pre and post-procedure Hemodialysis patients. Nurses perform Peritoneal Dialysis for the patients on this treatment. They also are available to assist these patients if they are on other units.
Nurse Manager - Linda Barnes, BSN, RN
Location: 12 East
The Oncology/Urology unit is located on 12 East, which is the top floor of the Boling Pavilion. This location allows for a spectacular view of Knoxville. 12 East is a dynamic 30-bed unit with a team of RNs, certified nursing assistants, secretaries and a clinical nurse specialist.
Patients come with a wide range of therapies. Many of them are receiving medical or surgical treatment of cancer or a cancer-related condition. Our most frequent patient populations include the following.
- Surgical Oncology
- Head and Neck Surgery
- Fetal Demise
12 East often provides specialty care such as infusion of clotting factors, chemotherapy and radiation therapy. Chemotherapy is administered by chemotherapy trained registered nurses. We participate in a variety of collaborative research protocols and have many opportunities to increase professional understanding and practice.
A holistic focus is maintained to help patients and families attain the highest quality of life. We provide both acute and respite care and collaborate with all members of the healthcare team. We strive to show respect, compassion and genuine caring. We understand that we touch lives and in doing so our own lives also are touched.
Nurse Manager - Kristi Williams BSN, RN, CVN
5 East is a 30 bed unit with capability for up to 8 telemetry beds. Our team consists of registered nurses (RN’s), certified nursing assistants (CNA's), health unit coordinators, orthopedic technicians, and a case manager. We maintain a strong commitment to providing excellent customer service as well as ensuring our patients and families receive the highest quality of care.
Our population primarily consists of patients with various bone fractures resulting from trauma. However, the typical trauma patient usually has a variety of injuries that accompany the fracture. Therefore, the 5 east staff must be proficient in caring for fractures as well as multisystem traumatic injuries. We also remain aware of the emotional aspect resulting from a traumatic experience and provide our patients and families with the emotional support they need.
Our most frequent patient populations are:
- Traumatic orthopedic injuries
- Hip fractures (primarily from geriatric population)
- Trauma from MVA, motorcycle accidents, GSW, falls…
5 East patients’ keep our floor exciting and constantly changing as no two trauma patients are alike. We are excited about our journey in becoming the regions first Fracture Care Center. 5 East is committed to providing excellent customer service while maintaining high quality care to ensure the best outcome for our patients.
Nurse Manager - Matthew Norton, BA, ADN
Location: 10 East
10 East is a 30-bed Trauma / Neurology unit located on the 10th floor. Staff members pride themselves in providing excellent, specialized care to the complex trauma patient population of East Tennessee and the surrounding region. The nursing staff works closely with a highly skilled multidisciplinary team that consists of the trauma team, dieticians, physical therapists, pharmacists, respiratory therapists, case managers and pastoral care.
Trauma patients offer many challenging opportunities to provide exceptional care while affording the chance to make a difference in the lives of our patients who have recently experienced a life-changing event. Our team cares for adolescents, adults and geriatric patients with differing degrees of neurological, cardiac, pulmonary, abdominal and orthopedic trauma injuries. The primary goal is to help restore patients and their families to the highest functioning level possible through daily physical and emotional support.
Our status as a teaching hospital enables us to impact our profession by sharing our knowledge and experience with students from area universities as they rotate through clinical rotations. Not only are we dedicated to educating the nurses of tomorrow, but we also are dedicated to the education of new and current staff members. Staff members receive specialized trauma training and an individualized, unit-based orientation with an experienced preceptor. Once out of orientation, staff is encouraged to attend pertinent conferences, in-services and training for specialty certification or degree advancement.
Nurse Manager - Clay Kyle, BSN, RN, PCCN
The Progressive Care Unit (PCU) is an 18-bed unit that provides intermediate care to the patient whose acuity requires nursing interventions not available in an acute care unit and is more stable than patients in the Intensive Care Unit.
The Interdisciplinary team is composed of different specialty physicians, skilled nurses and many other qualified professionals. Our goal is to ensure the highest standard of quality in all care and services, striving for the best clinical outcomes in the shortest period of time with minimal disruption to the life of each respected individual patient, their family members and/or significant others.
Nurse Specialist - Melissa Ferrell, BSN, RN, WCC
Location: 6 North
The University of Tennessee Medical Center Enterostomal / Wound Therapy team has two full-time registered nurses and two part-time registered nurses. Current certifications include Certified Wound Specialist through the American Academy of Wound Management and the Wound, Ostomy and Continence Nurses Society (WOCN). The Enterostomal/Wound Therapy team works diligently to meet the dynamic needs of a state-designated Level 1 trauma center.
Working together with physicians, surgeons, residents and multiple other departments (i.e. dietary), the team offers a multi-disciplinary approach to the comprehensive care of both acute and chronic wounds as well as care of the ostomate. However, our team knows the most important member of the team is the patient. Therefore, working with evidence-based skin and wound protocols, our individualized holistic approach is taken with each visit. With the most desired care being that of the proactive care against the development of such wounds/ulcers.
We are committed to making a difference in the care of patients. Whether the patient’s care involves pre-op ostomy teaching, stoma site marking, pot-op ostomy teaching and care or experienced wound care, we are dedicated to providing the patient the newest technology with compassionate care and support during this difficult time.
With the support of UT Medical Center, we strive to stay abreast of the ever-changing medical field by attending annual WOCN conferences and following the guidelines of The National Advisory Panel’s Pressure Ulcer Guide and the Wound Ostomy Continence Society. Participating in the Pressure Ulcer National Database of Nursing Quality Indicators quarterly allows us to compare our pressure ulcer risk and act accordingly.
The goal of the UT Medical Center’s Enterostomal/Wound Therapy team is to provide a holistic approach to patient care through education, proactive risk management and comprehensive direct patient care.