Nursing - Anesthesia
Certified registered nurse anesthetists (CRNA) function interdependently with the anesthesiologists (MDAs). Because the anesthesia department functions with a direct care approach to patient care, the anesthesia care team is the primary patient advocate during the intra-operative time. A plan of anesthetic care is decided upon by factoring in patients’ physical, emotional and psychosocial needs for the surgery. CRNAs are among the most autonomous advanced practitioners within the hospital-based system and they independently administer regional anesthesia to include spinal, epidural and other regional blocks. They manage all other anesthetics and make changes in the anesthetics as needed based on clinical judgment and evidence-based data. Post-op rounds are done on a daily basis to evaluate patient satisfaction as well as monitor quality of care and intervene promptly should a problem arise.

Nursing - Critical & Immediate Care Units

Cardiovascular, Thoracic and Surgical ICU
This is a 10-bed unit that provides critical care for open-heart, vascular, thoracic and general surgery patients. The patient/nurse ratio depends on the acuity of each patient’s condition, but is typically 2:1.We offer an open-heart surgery training program for nurses with at least a year of experience in this ICU. The open-heart program includes both didactic and clinical instruction.

Coronary Care Unit
The CCU is a 10-bed unit specializing in the care of cardiac patients with diagnoses that include MI, heart failure, unstable angina, cardiogenic shock and cardiomyopathy. Patients may require ventilators, vasoactive drips, swan ganz catheters and intra-aortic balloon pumps. The patient/nurse ratio is 2:1 or 1:1 depending on patient acuity.

Waldrip Medical ICU
Patients in this 13-bed unit receive critical care for a wide range of disease processes including pulmonary, renal, infectious, gastrointestinal and multi-system. Patients may require mechanical ventilation, hemodynamic monitoring, vasoactive drugs and slow dialysis. The patient/nurse ratio is typically 2:1.The MICU is shared governance unit, which means staff members are actively involved in decisions about scheduling, education, equipment purchases and hiring.

Robins Neuroscience ICU
The eight-bed Robins Neuro ICU provides care for neuro-surgical, neuro-medical and neuro-trauma patients, as well as for pediatric patients with ICU needs. Specialized nursing skills include advanced neuro assessment and ICP monitoring. The patient/nurse ratio is typically 2:1.

Intermediate Surgical Unit
The eight-bed, surgical step-down unit is for patients who do not need all the technology of an ICU, but require close observation and cardiac monitoring. Nurses care for open heart surgery patients (on day one) and other general surgery patients. The patient/nurse ratio is generally 3:1. Many patients are discharged from this unit, so patient and family education is an important part of nursing care.

Hiatt Interventional Cardiology Unit
This 11-bed unit provides intermediate-level care for both inpatients and outpatients, who undergo procedures in the Cardiac Catheterization Lab. Nurses care for patients before and after interventional procedures involving catheterizations, stent angioplasties, PTCI, EP studies, pacemakers, internal defibrillators, cardioversions, transesophageal echoes and Dobutamine stress tests. The patient/nurse ratio is 3:1 to 4:1.

Nursing - Emergency Department
Emergency department nurses serve patient needs through primary nursing care. For nurses, the emergency department offers the opportunity to make independent decisions and be part of a dynamic team that treats a wide variety of patients and conditions. Emergency Department nurses are highly motivated, capable of making independent decisions, certified in Advanced Cardiac Life Support, PALS, and must have advanced assessment skills. There is an active nurse practice council involved in decision-making at Moore Regional Hospital.

Nursing - Home Health
Home health nurses provide periodic services to patients at home. After assessing patients’ home environments, they care for and instruct patients and their families. Home health nurses care for a broad range of patients, such as those recovering from illnesses and accidents, cancer and childbirth.

Nursing - Labor and Delivery
Labor and Delivery nurses assist with the birth of babies. L&D nurses use their skills and expertise to help and support the mother in the birth process to promote positive outcomes. The L&D nurse is an integral part of the multidisciplinary team providing intrapartum care.

Nursing - Medical
In the medical surgical unit the nurse functions as a member of a multidisciplinary team to provide quality care to both medial and surgical patients.

Nursing– 4 Medical
4 Medical is a 27 bed unit that provides specialized care to patients diagnosed with diabetes, respiratory, gastrointestinal and infectious diseases, as well as other medical conditions. Our patient population ranges from young adults to geriatric patients. The 4 Medical staff includes R.N.’s, LPN’s, nursing assistants and unit secretaries. We work in collaboration with physicians, nutritionists, discharge planners, physical therapists, respiratory therapists and other services to manage care for the patients we serve. Our goal is to assist patients to return to the highest possible level of functioning.

Nursing - Mother-Baby (OB/GYN)
Most patients on this unit are postpartum mothers who need assistance with both self- and infant care. The Mother-Baby nurse helps new mothers develop self-confidence as a mother.

The OB/GYN nurse also cares for expectant mothers who are hospitalized. They perform ongoing assessments and interventions such as fetal non-stress testing and IV therapy. They also care for post-operative gynecology patients

Nursing - NICU
Neonatal Intensive Care Unit (NICU) nurses provide quality care to critically ill neonates. The NICU nurse supports and promotes family centered care and uses developmentally appropriate nursing interventions. The NICU nurse is a member of a collaborative team that consists of Respiratory Care Practitioners, Neonatal Nurse Practitioners and Neonatologists.

Nursing - Oncology
Oncology Nurses use a highly specialized interdisciplinary team approach to quality and compassionate patient care. The team includes OCN, R.N. II and III levels.

Within Oncology, there are three areas of care: Medical, Radiation and Inpatient Oncology. Each area plays a vital role in the overall treatment and care of oncology patients through every stage of stage of the disease process.

The Radiation Oncology area uses a flex model of team nursing care delivery where nurses self-schedule according to daily procedures and patient volume.

Medical Oncology uses a modified primary model of care delivery where the nurses self-schedule based on continuous care with each patient throughout their visit.

Inpatient Oncology uses a flex model of team nursing care delivery, which involves self-scheduling based on communication, changing patient acuity and work complexity.

Nursing - Operating Room
The perioperative nurse provides direct care, coordinates comprehensive care, educates and generates knowledge. They rely on their knowledge, judgment and skill to care for the surgical patient.

The operating room nurse also collaborates and communicates with other health care professionals to ensure that patients undergoing operative and other invasive procedures achieve optimal outcomes. Nurses in this area have the opportunity to participate in staff driven scheduling and peer review.

Nursing - Orthopaedic/Urology
Orthopaedic and Urology nurses use collaboration, advocacy, research, education and safety as a standard in caring for their patients. The nurses are highly specialized in the care of both pre and post-op patients, orthopaedic trauma. They also provide care to medical patients as needed.

Orthopaedic and Urology nurses are autonomous, critical thinkers and highly motivated.

Nursing - PACU
PACU nurses employ the Modified Primary Nursing Model. Collaboration is a very strong theme within the unit, perhaps due to the fact that everyone works in one large room! Direct care nurses have shift responsibility for all aspects of patient care. When a patient enters the PACU, one nurse assumes responsibility for that patient. While other nurses, doctors and ancillary staff may play a part in the patient’s recovery, the primary nurse is with the patient from beginning to end of the recovery period. The PACU ho lds forums at least once a quarter to encourage staff input on issues that affect them personally .

Nursing - Pediatric
Pediatric nurses provide care to pediatric patients in a unit that was specially designed to support young patients in a comfortable and home-like environment. Pediatric nurses encourage and support parent involvement during their child’s stay in the hospital. These nurses use skills common to medical/surgical nursing but in a creative way that takes into account growth and development as well as the psychosocial aspects of caring for hospitalized children.

Nursing - Specialty Center
The Specialty Center is comprised of three hospital-based clinics: Pain Clinic, Chest Center, and Esophageal Center. The Specialty Center nurse is an integral member of the multidisciplinary team, which was specifically designed to provide quality care. The Specialty Center nurse navigator serves all patients’ needs through modified primary nursing care. Nursing responsibilities include history interviews, admission of patients, continuing support and care of the patients before diagnostic procedures and surgery. Nurses are highly motivated, capable of making independent decisions and must have advanced assessment skills.

Nursing - Surgical
The general surgery unit (First Surgical) uses a flexible team nursing system to deliver care. The staff consists of a charge nurse, RNs, LPNs, Nursing Assistants and unit secretaries. First Surgical created a Shared Governance Board to improve the work environment, share decision-making, increase accountability and staff satisfaction and facilitate teamwork. The unit elected nine members to the board with representation from both shifts and all disciplines. The board meets at least once a month. In addition First Surgical has had a Scheduling Committee for a number of years and has implemented self-scheduling for the night shift.