Unit Descriptions

BETH ISRAEL MEDICAL CENTER is one of the leading health care organizations in New York. BIMC is a founding member of Continuum Health Partners, Inc., a group of hospitals working together to provide the highest quality patient care in New York City. Beth Israel consists of two campuses. Beth Israel Petrie Division is a 750-bed tertiary care facility providing cutting edge patient care to a diverse patient population. Ambulatory Care is provided at the innovative Phillips Ambulatory Care Center, Westside Comprehensive Cancer Center, 3 Dialysis Centers and 17 MMTP clinics. Beth Israel Brooklyn is a 212-bed community-based medical/surgical facility, with a clinical focus on care of the geriatric patient.

PETRIE DIVISION

MEDICAL SURGICAL UNITS

3 Dazian
This 12-bed unit, which opened in the summer of 2007, provides patients and families with individualized care in an environment that is both private and luxurious. Every room has been upgraded to include amenities such as internet access, and home-like furniture. The unit will provide care to patients with a variety of diagnoses who have chosen this level of service. Nurses working on this unit will need superior interpersonal and customer service skills, as well as the ability to be a problem solver.

3 Karpas is a 27-bed Acute Rehabilitation Unit that has a multi disciplinary approach to patient care. This newly renovated unit has a state-of-the-art gym where patients complete a minimum of three hours of physical therapy daily. The nursing team coordinates patient care with Physical Medicine and Rehabilitation physicians, Physical therapists, Occupational therapists and Speech therapists to assist patients in achieving their full potential.

4 Linsky consists of a 9- to 12-bed surgical and stroke Step down Unit (SDU), and beds for 12-15 neurology and medicine patients. The most common diagnoses on this unit are: Parkinson’s disease, Epilepsy, Stroke, Multiple Sclerosis, Brain or Spinal Cord Tumors. Our multidisciplinary team focuses on returning the patient to a high level of functioning in a short period of time.

5 Linsky is a 31-bed unit specializing in the care of patients with pulmonary diseases including asthma, COPD, and pneumonia. 22 beds are designated for general medical pulmonary patients and 9 special care unit beds are designated for patients who require long-term ventilator or tracheotomy support. This unit provides an excellent opportunity for nurses to become experts in airway management.

6 Linsky has been recently opened as a 25-bed medical surgical unit medical/surgical unit. On this Attending Physician Directed unit, physicians and nurses collaborate to provide outstanding patient outcomes.

7 Linsky provides care to a total of 28 patients. As an Attending Physician Directed unit, nursing staff joins forces with our dedicated Hospitalists to provide care to complex medical-surgical patients.

7 Silver is a newly renovated, 31-bed surgical orthopedic and spine unit. Patients on this unit have undergone procedures such as joint replacements and or spinal fusion. Pain management and restoration of maximum function are the key goals for nurses on this unit.

9 Dazian is our Medical Oncology unit. The care on this 15-bed unit specializes in the medical treatment of solid tumors, hematological cancers and disorders, and their complications. Patients in all stages of their illness, from the newly diagnosed, to patients at the end of life receive care on this unit. Our oncology nurses are trained in the administration of chemotherapy, and, as part of the interdisciplinary team, work closely with the departments of Social Work, Nutrition Services, PT/OT, Radiation Oncology, Pain Medicine/Palliative Care, Hospice and BI's Cancer Center. Through the support of Donna Karan’s Urban Zen Foundation our patients and staff benefit from an “optimum healing environment” including yoga, aromatherapy, and a contemplation space.

9 Linsky is a 28-bed medical surgical unit. This unit specializes in infectious diseases and there are 5 private rooms for Respiratory Contact Neutropenic Isolation. This floor provides an opportunity for nurses who have excellent experience with a wide variety of multi-tasking, interpersonal and critical thinking skills as well as the ability to be a problem solver. Good teamwork is the key element to success of this unit.

9 Silver is a dynamic 33-bed medical unit with a clinical focus on the care of patients with diabetes, patient receiving peritoneal and management of sickle cell crisis. It is the designated unit for patients with peritoneal dialysis and diabetes. Two rooms are designated for patients receiving radiation therapy.

10 Silver is a 31-bed surgical unit that specializes in care of patients post GU, GYN, Colo-Rectal, ENT, Vascular and General Surgical procedures, and or surgical service diagnosis. It is located on the 10th floor of the Silver Pavilion. There are two treatment rooms on 10 Silver that are utilized for ENT and GU/GYN procedures. The teamwork approach is utilized by the staff members in maintaining excellent patient care, and patient and employee satisfaction.

10 Dazian Head & Neck is a 12-bed surgical unit with a 4-bed step down unit that specializes in the care of post Otolaryngeal Head and Neck procedures and or surgical service diagnosis. After one year of experience and proficiency in post op Otolaryngeal and surgical procedures new graduates are eligible to register for the critical care course and be trained to work in the Otolaryngeal Step down. New graduates work alongside seasoned RNs as part of the patient care team dedicated to providing the highest quality care to all our patients.

10 Dazian A is a newly opened 7-bed surgical unit. Plans are underway to create a surgical step-down unit incorporating telemetry and advanced monitoring capabilities.

11 Linsky is a 28-bed medical unit. Nurses working on this unit will have the opportunity to care for patients with a variety of diagnoses. This has a special focus on the care of the Chinese-speaking patient, working closely with the Beth Israel Asian Initiative team to provide culturally competent care to these patients.

CARDIOLOGY

Our fast-growing Cardiology Service includes busy state-of-the art Cardiac Cath and Electrophysiology Labs. All of our nurses have had extensive training in cardiac critical care and maintain EKG, BCLS, and ACLS certification. Nursing Leadership encourages a supportive learning atmosphere in a team-oriented environment. Our dynamic Critical Care Clinical Nurse Specialist oversees a comprehensive orientation to the cardiac nursing.

8 Linsky is a 23-bed unit, which includes both Interventional Cardiology Step-Down and Family Medicine patients. The post-intervential patients include s/p stents, AICDs, PTCAs, TEEs, and cardio versions. These patients require cardiac monitoring, titration of cardiac drips, moderate sedation, and excellent assessment skills. In addition Family Medicine Service patients include a wide variety of medical and cardiac problems requiring cardiac monitoring.

8 Silver is a 32-bed Medical Cardiology Unit with the capability of monitoring 24 telemetry patients. This adult population includes s/p myocardial infarction, s/p pacemaker insertions, dysrhythmias, heart failure, pulmonary hypertension and uncomplicated diagnostic interventions. They require cardiac monitoring and excellent assessment skills.

10 Linsky is a 28-bed Medical Cardiology Unit with the capability of monitoring 24 telemetry patients. This adult population includes s/p myocardial infarction, s/p pacemaker insertions, dysrhythmias, heart failure and uncomplicated diagnostic interventions. They require cardiac monitoring and excellent assessment skills.

Cardiac Care Unit (CCU) 9 Dazian – This 8-bed unit has a clinical focus on assessment, monitoring and treatment of patients with significant cardio-vascular disease. Patients in the CCU require continuous assessment and monitoring of their ECG, hemodynamic status, circulatory/perfusion status and responses to vasoactive medication and treatments. ACS level 1 &2, acutely decompensated heart failure, cardiomyopathy, post cardio-pulmonary arrest, cardiogenic shock, IABP counter pulsation therapy and hemodynamically unstable dysrhythmias are common diagnosis among CCU admissions. Clinically induced hypothermia treatment (to preserve cardiac and brain tissue viability, reduce tissue oxygen consumption) post cardio-pulmonary arrest and post Acute MI is a treatment often rendered in the CCU. It is not uncommon to have a patient in the CCU who requires care and monitoring while on vasoactive medications, on mechanical ventilation, and IABP counter pulsation therapy.

ADULT CRITICAL CARE

Beth Israel’s critical care units provide care to critically ill patients with needs for complex medical/ surgical/ cardiac interventions and monitoring. Patients are often on mechanical ventilators, re hemdynamically unstable and require numerous hi-tech therapies and supportive measures. Expert critical care nurses are the heart of the multidisciplinary care team.

Medical Intensive Care Unit (MICU) – 7 Dazian

The MICU contains 16 beds and manages a wide variety of acute and chronic advanced medical conditions. These include liver and renal failure, acute respiratory distress syndrome, COPD, pneumonia, multi-system organ failure, sepsis, and upper GI bleeds.

Nursing interventions and therapies include ventilatory support, invasive hemodynamic monitoring, infusion of vasoactive medications, EVD and ICP monitoring, CRRT, aggressive skin care, and the management of pain and sedation.

Surgical Intensive Care Unit (SICU) – 3 Silver

The SICU contains 12 monitored beds, and provides acute postoperative care to a primarily adult population. Common procedures in this fast-paced unit include head and neck resections, laparotomies, colorectal resections, craniotomies, and major vascular interventions, including aortofemoral and femoropopliteal bypass surgeries. High-risk spine and orthopedic patients are also commonly admitted to SICU. Nursing interventions and therapies include ventilatory support, invasive hemodynamic monitoring, infusion of vasoactive medications, EVD and ICP monitoring, and the maintenance and monitoring of surgical drains and tubes. SICU nurses place a high priority on the management of pain and sedation, and provide aggressive efforts to ambulate patients in all stages of their recovery.

CARDIO-THORACIC SURGICAL INTENSIVE CARE UNIT (CSICU)

Our Cardiac Surgery program ranks among the top 5 in NYC and top 10 in NYS. The Cardio/Thoracic Surgical program provides all types of surgical interventions: CABG, valve replacement, aortic arch replacements, VATs, pnuemonectomies etc. The nurses on the cardio/thoracic surgical team have an extensive orientation and training program. The Cardiac Surgery service is the only attending-oriented service in NYC. The nurse’s role is one of independence and autonomy. The program is based on a true interdisciplinary team approach to patient care. We are looking for nurses who are dynamic, ready to learn and are committed to working closely with the attending physician using the most current technologies to improve patient outcomes. We require at least one year of medical surgical nursing experience.

The unit receives post op cardiothoracic patients directly from the OR. The patients have invasive hemodynamic monitoring and generally require vasoactive intravenous medications. This unit requires experienced cardiothoracic nurses. The unit nurses function at an extremely high level of independence and autonomy. The unit relies on the collaborative skills of our outstanding cardiothoracic surgeons and nurses.

10 Dazian – Cardiac Progressive Care Unit

This is a dedicated 17-bed step down unit for cardiothoracic patients. The unit has invasive and non-invasive monitoring capabilities. Patient population consists of pre-op and 24-hour post-op cardiothoracic patients. This floor also has the ability to have vasoactive antiarrhythmic drips and chronic ventilator dependent patients. The cardiothoracic patients are discharged home from this floor. The unit relies on the strong assessment and communication skills of the nursing staff.

HOSPICE AND PALLIATIVE CARE

4 Karpas is an 18-bed hospice and palliative care unit specializing in the symptom management of hospice patients, palliative care patients and acute/chronic pain patients.  Nurses work closely with all members of the interdisciplinary Team (Social Workers, Chaplains, Volunteers, and Physicians) to provide comprehensive holistic care and support to patients and their loved ones, whether it’s for end of life support or an experimental regime for chronic pain management.

PSYCHIATRY

4 Bernstein
8 Bernstein
6 Karpas


The Psychiatric Division consists of 92 beds on 3 units. These units include a designated gero/psychiatric unit on 6 Karpas that caters to the multiple medical and psychiatric needs of older adults. 8 Bernstein specializes in the care of patients who are chemically dependent and have been diagnosed with a psychiatric disorder. 4 Bernstein cares for both adults and adolescents. Many modalities of treatment are incorporated into the patient’s plan of care. We are staffed with a multidisciplinary team of nurses, physicians, social workers, psychologists and patient care associates working closely to improve patient outcomes.
 

CHEMICAL DEPENDENCY

3 Bernstein
5 Bernstein
9 Bernstein
6 Bernstein

Chemical Dependency is composed of 86 inpatient beds on 3 units. 3 Bernstein is a 31-bed inpatient drug rehabilitation unit, 5 Bernstein and 9 Bernstein are two inpatient detoxification units of 31 beds each. Also part of our Chemical Dependency services is 6 Bernstein, which offers outpatient detoxification and treatment. Patients are admitted for Heroin, Alcohol and or Cocaine abuse. Some patients have co-morbid medical and psychiatric problems that are evaluated and treatment plans are developed to either treat or transfer these patients to more appropriate settings. These programs are all voluntary and incorporate the 12-step philosophy, cognitive/behavioral approaches, motivational enhancement therapy, family therapy, detoxification and pharmacological therapy. The interdisciplinary team approach is central to our work. Over 90% of the patients make it to the next level of care. The role of the nurse is to assess and to intervene if concerns arise, provide health education in a therapeutic environment and ensure patient safety. Good communication and teamwork are key elements that contribute to the success of these units.

MATERNAL CHILD HEALTH

6 Dazian - PEDIATRICS AND PEDIATRIC ICU

The pediatric service consists of 5 ICU beds, 4 epilepsy-monitoring beds and 12 general beds. Our dedicated multidisciplinary staff works with patients from newborn to 19 years with a variety of diagnoses/ conditions. It is not unusual to be working in the PICU with an intubated child one week and next week be working in the Epilepsy Monitoring Unit. The team approach to care is emphasized here where nurses, physicians, social workers, respiratory therapists and unit support staff are valued stakeholders interested in providing the highest quality care. Our PICU was recently recognized by the Society of Critical Care Medicine for providing outstanding family-centered care.


4 Dazian - NEONATAL INTENSIVE CARE UNIT

The NICU is a 30-bed, level three neonatal unit. This designation means that we are capable of providing specialized care to sick newborns with many different illnesses. We are staffed with nurses, physicians, social workers, nurse practitioners, physician’s assistants and other team members who are knowledgeable about the needs of this special patient population. As medical science has improved, this specialty has made tremendous progress, as we are now caring for and saving babies who are smaller and sicker than ever before. Nurses here receive specialized training, enabling them to care for babies with special needs such as colostomy, tracheotomy, nasogastric feedings, or just a “growing premie.” Parent teaching is critical to our success in order to prepare our patients for a safe discharge.

4 Dazian - LABOR AND DELIVERY

Here mothers labor, deliver and recover in a home-like setting. Some of our patients have surgical deliveries, therefore the staff must be competent to care for patients recovering from anesthesia. The intimacy that is normally encountered here requires a special kind of dedication and compassion. As part of our Baby Friendly initiative, mothers are encouraged and supported in breast-feeding as soon after delivery as possible. Training and orientation are extensive and there is always a need for continuing education to keep current with the evidence-based practice and new regulations.

5 Dazian and 5 Karpas - WOMEN’S HEALTH

These combined units contain a total of 47 beds, where obstetric and gynecologic patients receive care in a welcoming environment. Nurses work closely with the families to educate them and make them comfortable caring for their newborns. BIMC is committed to promoting a Baby Friendly environment, and many of our nurses are Certified Lactation Consultants. Nurses care for both mother and newborn. We also provide expert care to patients undergoing gynecologic procedures and treatments.

In August 2010, The Labor and Delivery and Mother Baby Units implemented the Peri-Birth electronic documentation system. Peri-Birth is a robust EMR that incorporates ACOG, AWOHN and regulatory standards to provide comprehensive documentation and a decision support engine.

PERIOPERATIVE SERVICES

The Department of Perioperative Services is a multi-specialty department providing technologically advanced and cutting edge procedures to all age groups, from infants to geriatric patients, serving both the inpatients and ambulatory population. The surgical specialties are as follows: General, GYN, Head/Neck, Plastics, Urology, Endovascular, Vascular, Thoracic, Orthopedics, Hand, Spine, Cardiac, Neuro, and Pain Management.

The Pre-Admission Department is often a patient’s first encounter with the perioperative experience at BIMC. Nurses here ensure the patients are prepared physically and emotionally for their surgical procedure by conducting complete nursing assessments prior to the scheduled surgery date.

The Operating Room at the Petrie Division, located on 16th street and 1st Avenue has 19 operating room suites that are open twenty-four hours a day, seven days a week. Petrie’s OR has state-of-the-art technology that includes robotic surgery. The Orthopedic and spine services were recently ranked “best in Manhattan and Top 5% in the nation for overall orthopedics” as well as “premium specialty for total joint replacement and spine surgery”.

The Phillips Ambulatory Care Center, conveniently located at 14th street Union Square, has an additional 7 operating rooms with a full compliment of dedicated staff in a high-volume, fast-paced environment serving the needs of the ambulatory community.

The recent addition of BI Comprehensive Cancer West, has endowed us with 2 surgical suites for cancer patients undergoing ambulatory procedures.

The staff includes Registered Nurses, Surgical Technologists, Patient Care Associates, Nursing Assistants, and clerical staff. In addition to the general staff, there is a dedicated cardiac surgery team. This highly skilled team is trained and dedicated to provide 24-hour call for the cardiac patient.

Staff is assigned to procedures depending on the nature and severity of the procedure, and nurses have the opportunity to contribute to the care of patients undergoing a wide variety of procedures.

BIMC Peri-operative Services based on demand is also engaged in providing courses for Peri-op 101 for registered nurses who are interested in learning Peri-op Nursing in conjunction with Philips Beth Israel School of Nursing.

The Post Anesthesia Care Unit is open 24 hours a day, 7 days a week, and cares for both inpatient and ambulatory patients. These nurses often have a critical care background are adept at managing post operative pain, assessing subtle changes in a patient’s condition and coordinating a multidisciplinary plan of care. The Registered Nurses in this unit also contact all post-op patients by telephone to ensure continuity of care and patient satisfaction

EMERGENCY NURSING

Beth Israel’s Emergency Department is a fast-paced, extremely busy Level ll Trauma Center. A departmental redesign and expansion have doubled the size of the ED. We have a dedicated Pediatric Emergency Center staffed with nurses, physicians, and other therapists trained in the special needs of that patient population. Although most EDs hire only experienced nurses, the nursing leadership in this ED does consider new graduates who are highly motivated and not afraid of hard work. Orientation and continuing education are supported by a group of ED preceptors with numerous years of experience and features a dedicated Clinical Nurse Specialist.

HEMODIALYSIS

10 BERNSTEIN is a 7-bed Hemodialysis unit, which treats Beth Israel in-patients with chronic or newly diagnosed renal disease during their hospital stay. Accordingly, we see patients with a variety of other illnesses in addition to their renal disease in our dedicated hemodialysis suite. We also provide a bedside service for those patients in the critical care areas who are unable to travel. Our RN's are accomplished practitioners in their field with many years of acute dialysis experience between them and many also share critical care backgrounds. As well as regular Hemodialysis, we have an active Sustained Low Efficiency Daily Dialysis (SLEDD) program in our critical care areas and commencing in early 2008 we began the process of updating our Hemodialysis fleet with the purchase of four new Fresenius 2008K machines with portable reverse osmosis units, to support this initiative.

INTERVENTIONAL SERVICES

Includes Cardiology & Radiology: These areas give the nurse the opportunity to participate in a wide range of interventions including cardiac catheterization, angiography, vascular and neurovascular procedures and CT/MRI scanning.

Radiation Oncology

Silver Lower Level: One external beam radiation machine, a 2009 linear accelerator, treats 50-60 patients/day. The majority are outpatients, with cancers of the head and neck, gastrointestinal tract, and lung most common. We also treat inpatients, typically 5-10, primarily palliatively (not for cure, but to decrease pain and distress), for metastasis of spine, brain, or bone. Brachytherapy treatment, including interstitial, temporary, and intra-operative radiation therapy (IORT) is centralized at Petrie. A fully shielded, specially designed operating room suite allows for the IORT to be done maximizing radiation to the bed of the tumor and minimizing radiation damage to the surrounding tissues, all without danger to staff. This OR suite is one of very few in the United States, and only 2 in New York City. An experienced staff of RNs and Nurse Practitioners coordinate compassionate, patient centered care.

The Venous Access Team (VAT) consists of five full-time registered nurses covering 16 hours on Monday to Friday and 8 hours over the weekend. The responsibilities of the team encompass assessment and routine management of peripheral intravenous catheters (PIV) and peripherally inserted central catheters (PICC). Our VAT is a highly valued resource, enhancing the quality of patient care while increasing patient satisfaction with IV access

PHILLIPS AMBULATORY CARE CENTER

Phillips Ambulatory Care Center (PACC) is a modern facility offering a full range of services from primary to specialty care including diagnostic services and ambulatory surgery. Primary Care is provided in the adult primary care practice, in pediatrics, and in the Women’s Health Center.  Specialty practices include the Cancer Center, Cardiology, Dermatology, Otolaryngology, Digestive Diseases, Ophthalmology, Orthopaedic Surgery, Pain medicine and Palliative Care, Pulmonary Medicine, Radiation Oncology, Rheumatology, Spine Institute, Surgery, and Urology. Nurses work in a fast-paced environment, providing patient care including patient education, triage, and medication administration.

COMPREHENSIVE CANCER CENTER WEST

This free-standing facility has recently joined our Cancer Center, offering Ambulatory It contains 2 linear accelerators, currently treating about 50 patients/day. Patients with all types of cancers are currently treated there - the majority have prostate and breast cancers. It is anticipated the volume will increase substantially when the conversion to BIMC is complete.

METHADONE MAINTENANCE TREATMENT PROGRAM

The Beth Israel Methadone Maintenance Treatment Program is the oldest and most experienced, voluntary citywide provider of outpatient medication-assisted substance abuse treatment services. Individuals with an opioid dependence are engaged in treatment services delivered by a highly qualified multidisciplinary team of licensed physicians, registered nurses, credentialed counselors and social workers. Their eighteen clinics are situated throughout Manhattan and Brooklyn where they coordinate service to over 6500 individuals. The Program is recognized as having the only clinic in the city specifically created to address the needs of female substance abusers and a number of clinics in Manhattan have been chosen by OASAS (State Office of Alcohol and Substance Abuse Services) to participate in the development and to pilot innovative treatment initiatives. Additionally, the program provides social work internships, in-service trainings, a quarterly seminar open to the entire Treatment Community on “ The Use of Methadone and has been a resource for and an active participant in research grants funded by NIDA and Columbia University.  Nurses and doctors have presented at national and international conferences on topics affecting MMTP patients such as Aging, Domestic Violence, Hepatitis C and Over-Dose Prevention.  MMTP nurses play a vital role in the care of these complex patients.

 

 

BETH ISRAEL BROOKLYN

Beth Israel Brooklyn is a 209-bed general medical and surgical hospital, with excellent critical care service. The patient population is primarily geriatric patients who present with multiple diseases and co-morbidities. There is an extremely active Emergency Department which is a designated 911 receiving facility.

2 NORTH: SURGICAL UNIT/MEDICAL OVERFLOW UNIT

2 North is a 35-bed general surgical unit that specializes in the care of patients who have undergone Vascular, GI, ENT, Thoracic, Urology and other general surgical procedures. Pre-operatively, patients are admitted here for diagnostic evaluation and preoperative teaching. As a medical overflow unit, 2 North has the capacity for 8 patients who are on remote telemetry monitoring. The unit also has a capacity for 2 ventilator patients. The staff of 2 North receives an extensive orientation that enables them to work in the Surgical Step-down area.

SURGICAL STEPDOWN UNIT

Surgical Step-down is a 6-bed monitored unit that specializes in the care of post-operative patients who are either admitted directly from the Operating Room or are transferred from the Intensive Care Unit. These patients require skilled nursing assessment and intervention.  Nurses collaborate with Surgical physicians and Anesthesiologists to monitor patient progress. A new state-of-the-art cardiac monitoring system was just installed.

2 WEST, ORTHOPEDICS/NEURO STROKE UNIT

2 West is a 20-bed unit that specializes in the care of pre- and post-operative orthopedic patients, as well as being the designated stroke unit. Stroke patients are either admitted via the Emergency Department or transferred from other areas when a diagnosis of stroke/TIA is made. The scope of care includes patients who have sustained hip fractures, diseases of the knee, shoulder and arm. These patients may undergo repair consisting of pinning or replacement and require the skills of the staff, along with the Physical Therapists, to return them to an optimal level of functioning. There also is remote telemetry monitoring available on the unit.

3 EAST, TELEMETRY UNIT

3 East is a 34-bed telemetry unit that specializes in the care of patients with a wide range of cardiac diseases that require acute monitoring. The staff on this unit has extensive education in the care and monitoring of these patients, as well as in administering a wide range of cardiac medications. Many of these patients present with a wide range of other system disorders such as GI and Pulmonary and are either admitted via the Emergency Department or transferred when the need for cardiac monitoring is determined. The staff on this unit includes Telemetry technicians who not only monitor the 3 East patients, but also are responsible for those patients on remote monitoring. An extensive new state of the art telemetry system has been implemented this month.

2 EAST, MEDICAL/RESPIRATORY UNIT

2 East is a 32-bed medical unit that cares for a diverse and complex group of patients. As the Respiratory Unit, there is a focus on the care of patients who are on ventilators. There are two 4-bed rooms for these patients as well as the capacity outside of these rooms to care for ventilator patients. Some of these patients are ventilator-dependent and many undergo an extensive weaning process coordinated by the unit-based Respiratory Therapists along with the physicians and nurses. The staff on the unit is involved with the other team members in addressing ethical and end-of-life issues.

1 NORTH, MEDICAL UNIT

1 North is a 35-bed general medical unit that cares for a diverse and complex patient population who present with a wide range of acute medical conditions. Patients on this unit may also have remote telemetry monitoring and are often transferred from either the Telemetry Unit, when acute monitoring is not required, or from another non-monitored unit. Remote monitoring is also available on this unit as well as the capability for ventilator patients.

3 NORTH, MEDICAL/ONCOLOGY/HOSPICE

3 North is a general medical unit with a diverse and complex patient population. There is a focus on the care of those patients who are either receiving or have received chemotherapy treatments. As the unit designated for scatter Hospice beds, the staff is extremely skilled in end-of-life care and in providing supportive care to patients/families. His unit also treats a number of patients who required pain management therapies. The staff on this unit are experts in administering Peritoneal Dialysis or supervising those patients who perform the procedure themselves.

INTENSIVE CARE UNIT

The Beth Israel Brooklyn ICU is a 12-bed unit that cares for medical, surgical, respiratory and neurological patients. As this is a general ICU, the patients present with varied diagnoses and the staff receives extensive education in care of all types of complex patients. All staff has prior medical-surgical or critical care experience. The unit is staffed around the clock with Intensivists who, in addition to their clinical expertise, are committed to teaching and supporting the nursing staff.

EMERGENCY DEPARTMENT

The Emergency Department is an active 911 receiving unit that sees and treats approximately 33,000 visits/year and has a Fast Track area staffed by NP’s. The majority of our admissions to the hospital come through the ED. As a result of this, a major focus is to ensure quick turnaround and throughput between the ED and the inpatient units. The staff has previous medical-surgical/critical care experience prior to joining the ED.

PERIOPERATIVE SERVICES

The Perioperative Division includes the Operating Room (5 ORs), PACU, Ambulatory Surgery, Endosocopy and Pre-Surgical Testing. For these areas, staff are required to have prior medical-surgical/critical care experience and/or OR experience for the Operating Room.

INTERVENTIONAL SERVICES

These areas give the nurse the opportunity to participate in a wide range of interventions including angiography, vascular procedures and CT/MRI scanning. These positions require experience in Med/Surg or Critical Care nursing.