Nathanial Waterbury

This unit provides immediate recovery and management of cardiothoracic, transplant, vascular, and heart failure patients. On average, 6-9 surgical patients are admitted each day. The RN is responsible for managing and monitoring advanced hemodynamics, life-sustaining devices, vasoactive and titratable medications, and ventilators.

• Transplant Population: any combination involving a thoracic organ - Heart/Lung ± Kidney/Liver/Pancreas
• Cardiothoracic Surgeries: CABG, Valve, Aortic Dissection, ACHD, Esophagectomy
• Vascular: Endartectomies, AAA - Open/TEVAR/EVAR/FEVAR
• Heart Failure: manage highly complex heart failure and cardiogenic shock patients
• Overflow: manage overflow from other ICU's including Medical, Surgical Liver, and Neuro
• Devices: ECMO, Centrimag, Tandem, Impella, LVAD, IABP, External pacemakers, CRRT (NxStage), Lumbar Drain

This unit was a mixed MICU and CVICU. The CVICU management included the immediate recovery of post-cardiothoracic and vascular surgery patients, admitting 1-2 patients per day. The MICU management included patients experiencing respiratory failure, sepsis and septic shock, renal and liver failure, DKA, post-abdominal surgery, and COVID-19. The RN was responsible for managing and monitoring advanced hemodynamics, life-sustaining devices, vasoactive and titratable medications, and ventilators.

• Cardiothoracic/Vascular Surgeries: CABG, Valve, Endartectomies, Vascular bypass
• Devices: Impella, IABP, CRRT (Prismaflex), External Pacemakers, Ventilator, Nitric Oxide

This was the primary unit for COVID-19 patients requiring ICU level care. In addition, patients experiencing respiratory failure, sepsis and septic shock, renal and liver failure, post-cardiac arrest, and DKA were treated. The RN was responsible for managing and monitoring advanced hemodynamics, renal replacement therapies, vasoactive and titratable medications, and ventilators.

• Devices: Ventilator, CRRT (NxStage)

This unit is the largest PACU in the hospital and is responsible for recovering patients from anesthesia and surgery, focusing on hemodynamic stability and pain control. On average, 50-70 patients were recovered each day from a wide variety of surgical specialties. In addition, patients that required ICU level care (Neuro, Medical, Surgical/Liver) would be held until a bed was available. The RN was responsible for managing and monitoring hemodynamics, vasoactive and titratable medications, and ventilators.

• Specialties recovered: Neurosurgical, Pulmonary, Cardiovascular, Plastic (including DIEP flaps), General, Orthopedic, and ENT/Maxillofacial
• Devices: Ventricular drains/ICP monitoring, Ventilators

This center provided patients with a variety of surgical procedures. The RN as responsible for managing basic hemodynamics and patient comfort, treating pain and nausea.

• Specialties Recovered: ENT/Maxillofacial, Plastic, Orthopedic, Ophthalmologic, Podiatry

This unit provided care for patients experiencing respiratory failure, renal and liver failure, post-cardiac arrest, DKA, and post abdominal surgeries. The RN was responsible for managing and monitoring hemodynamics, renal replacement therapies, vasoactive and titratable medications, and ventilators.

• Devices: Ventilator, CRRT (NxStage)