Medical Surgical Services

Inpatient

Adult Surgery Specialty Unit (2 Roy Carver)*
The Surgery Specialty Unit (2 Roy Carver) is a 34-bed surgical unit that provides post-operative care for a variety of patients undergoing complex procedures. Essential to the care of these multidimensional patients is an interdisciplinary team skilled in the areas of post-operative disease processes. 2 Roy Carver provides care for patients with the following conditions:

  • Digestive Diseases (Celiac, Crohn’s, Ulcerative Colitis, Irritable Bowel Syndrome, Diverticulitis)
  • Bariatrics (Laparoscopic Roux-en-Y Gastric Bypass, Laparoscopic Gastric Sleeve)
  • Trauma
  • Solid organ transplant (Liver, Pancreas, Kidney)
  • Vascular (Femoral Popliteal Bypass, Carotid Endarterectomy, Abdominal Aortic Aneurysm)
  • Emergency General Surgery

The Surgery Specialty Unit believes it is our responsibility to provide patient centered care that will enable surgical patients and their families to cope with the physiological and psychological aspects of their illness or injury. We believe that exceptional care of the surgical patient embodies excellent clinical skills intertwined with compassionate care to achieve maximum quality of life. Come join the Surgery Specialty Unit team through these job postings!.
 *American College of Surgeons-certified Bariatric Center of Excellence

5 South
5 South is a 13-bed adult medical observation unit that serves a wide variety of patients.  The unit is designed to provide high quality, personalized care for patients who require evaluation and treatment for conditions not appropriate for admission to an inpatient unit.   The length of stay on the unit is typically less than 48 hours. Great focus is placed on patient education and discharge teaching.   The types of patients cared for on this unit include those suffering from headaches, abdominal pain, chest pain, syncope, and back pain.  

General Medicine (6 RCP)
6RCP is an Inpatient Internal Medicine Unit focusing on the care of adults with a variety of medical diagnoses, including, but not limited to, diseases or disorders of the pulmonary system, gastrointestinal system, renal system, endocrine system, circulatory system, neurological system, as well as infectious diseases, dermatological disorders and autoimmune disorders.
This unit is a dynamic and fast paced environment rich with opportunities for learning. We utilize a multidisciplinary approach to patient care that encourages team work between Physicians, Nursing Staff, Therapy Staff, Social Work and a variety of other consulting disciplines to provide the most comprehensive care for our patients.
The heartbeat of our Adult Internal Medicine unit is teamwork for the sake of holistic patient-centered care and a healthy work environment that allows our staff to thrive and grow both personally and professionally. 

Adult Blood and Marrow Transplant (ABMT)/Leukemia Service -7RCS/4JPE**
Silver Beacon Unit
This 25-bed unit (divided between 2 locations) is part of the Holden Comprehensive Cancer Center and houses the only blood and marrow transplant unit in Iowa. The unit is a dynamic and fast-paced environment, rich with opportunities for both the new graduate nurse and the experienced nurse looking for new challenges. Specialized, comprehensive care is provided to adult patients with leukemia and patients undergoing transplant for multiple myeloma, leukemia, lymphoma, and other types of hematologic disorders.  Caring for the ABMT patient is a holistic and dynamic process that is both challenging and stimulating. Essential to the care of these inspiring patients is our interdisciplinary team that is skilled in oncology care. Exceptional care of the oncology patient embodies excellent clinical skills intertwined with compassionate care, to achieve optimum outcomes.  The ABMT unit vision is to provide expertise in quality patient/family-centered care for every patient, every time.  Our team achieves this through competence, character, and communication.  A primary responsibility of the ABMT team is to provide care that will assist the patients to cope with the physiological and psychological components of their illness. This unit offers an energizing and healthy work environment that allows staff to thrive and grow both personally and professionally. The ABMT program has been accredited by the Foundation for the Accreditation of Cellular Therapy (FACT) since 2001, and through a multidisciplinary teamwork approach, was awarded the Silver Beacon Award for Excellence in 2016 by the American Association of Critical Care nurses (AACN).
**Foundation for the Accreditation of Cellular Therapies accredited transplant program since 2001
 

Gynecology, Oral Surgery, and Otolaryngology (3 JPW)
3 JPW is a 28 bed, post-surgical oncology unit and specialize in Otolaryngology (Ear, Nose and Throat), Gynecology (oncology, benign gyn, urogyn), oral surgery and plastics. We are associated with the Holden Comprehensive Cancer Center but not all of our patients have a cancer diagnosis.
Otolaryngology (ENT/Head and Neck):
• Free flaps and Pec flaps: anywhere from a 10-24 hour surgery for cancer of the floor of mouth, base of tongue, tumor wrapped around carotid artery, top of head (skin cancer), etc. Surgery involves removing the tumor and filling in that deficit with tissue (sometimes bone) from the forearm, thigh, fibula, or Pec muscle. Place a tracheostomy for airway securement. If it is laryngeal cancer, they may do a total laryngectomy (removal larynx/voice box) and the patient is left with a permanent stoma or hole in neck. JP drains placed. Dobhoff feeding tube placed for nutrition. Here anywhere from 7-10 days. Spend at least 1 night in SNICU after surgery.
• Tracheostomy and Total Laryngectomy
• Thyroidectomy
• Neck Dissection
• Parotidectomy
• Sinus surgery
• Cochlear implants
• Acoustic Neuroma -benign fatty tumor behind the ear. Watch neuros and s/s of CSF leak. Spend first night in SNICU.
Gynecology (not Mother Baby):
• Total abdominal hysterectomies- about 85% of patients have a gynecological cancer diagnosis (ex. ovarian, cervical, endometrial, uterine). We also get patients having hysterectomies for fibroids and heavy bleeding.
• Robotic hysterectomies go to 3RCW or here depending on insurance and bed availability
• Pelvic Inflammatory Disease (PID) here for IV antibiotics and pain control
• While we don’t do chemo on the floor, we may get patients from home or the clinic that are having complications from their chemo or radiation treatments- nausea/vomiting, small bowel obstruction, neutropenic
• Gynecology patients are walked at least 4x/day- patients are at a high risk for PE’s and bowel obstructions
• Here 4-5 days or longer depending on their condition. Need to eat and pass gas before they can discharge.
• We are not mother baby- on a rare occasion we may get a mother baby overflow mom if 6JPP AND 3JPE are full.
Oral Surgery:
• Mandible fractures- go to the OR to be fixed- wire jaws shut for 6 weeks. Will be on a full cup liquid diet for the time they’re wired shut. Send home the next day after they are fixed.
• BSSO (bilateral sagittal split osteotomy)- intentional breaking of mandible bones to realign the jaw (either for skeletal abnormalities or cosmetic), may be wired shut or may be banded
• Submandibular space infections- from a tooth being pulled or a tooth that needs to be pulled. Causes infection to spread into submandibular space. Here for 3-4 days on IV antibiotics. Sometimes need to go to surgery to wash out infection. If osteomyelitis (infection has spread into the bone)-will need IV antibiotics for home.
Plastics:
• Newest population-last 2.5 years
• Breast patients are going to 3RCW (mastectomies, implants, tissue expanders)
• We’ll get breast patients if they have reconstruction(DIEP or TRAM flap) due to their extended stay and flap cares
• Hernia repairs
• Panniculectomy/abdominoplasty
• Free flap/Rotational flap- often with paraplegic/quadriplegic patients to cover/repair pressure sores or wound closures
   - Can also be with patients with that have had trauma to face, hand, reconstruction on extremities

Medical Surgical/Hematology Oncology (4 JPW)
4 JPW is a 32-bed medical-surgical oncology unit specializing in patients with solid tumor cancers such as thyroid, breast, colon, and pancreas. This unit is part of the Holden Comprehensive Cancer Center and serves patients with lymphoma, multiple myeloma, malignant melanoma, and other types of cancers, as well as patients with hemophilia, sickle cell disease, and other benign blood disorders.
 
* Holden Comprehensive Cancer Center is an NCI-designated Cancer Center, the only one in Iowa

Non-Vascular Neurology (2 BT)
The 2 BT unit is a 9-bed acute adult unit for patients with epilepsy, headache/facial pain, multiple sclerosis, immune suppressed neuropathies, meningitis, dementia, and movement disorders. State-of-the-art video-monitoring and video EEG are used.

Respiratory Specialty and Comprehensive Care Unit (RSCCU) (7 JCP)
RSCCU is a 24-bed Intermediate care unit that incorporates two different patient populations on one floor. Pulmonary care for adult patients with lung diseases and complex pulmonary problems including: COPD, obstructive sleep apnea, asthma, cystic fibrosis, slow-to-wean ventilator patients, neuro-muscular disorders, lung transplant and patients who need less than intensive care, but more care than provided on acute medical/surgical units. Palliative Care is also on this floor and consists of a wide range of diagnosis receiving symptom management and some that are receiving end of life care.

Orthopaedics, Urology, Ophthalmology (3 RCE)
3RCE is a 24-bed adult surgical unit with surgical specialties including orthopaedics, urology, and ophthalmology. Unit staff provides care for patients who experience trauma, reconstructive joint surgery, reconstructive bladder surgery, tumor removals, spine surgery, hand surgery, foot surgery, amputations, sports injuries, skeletal traction, kidney stones, nephrectomies, radical prostatectomies, and wound care.

Short Stay Unit (3 RCW)
3RCW is a 24-bed adult unit that serves a wide variety of outpatient services.  This unit is focused on the patient that is to be recovered longer than 2 hours as well as working with the observation patients to assure a safe recovery to home.  This unit has a very short length of stay and each day will admit and discharge the majority of their patient census.  The highest volume of patients seen on this unit includes the orthopedic, urology, eye, ERCP, renal biopsy, chest pain, and other recovery patients.