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Critical Care

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A life saved. A problem detected. A condition reversed. This is what it’s like to work in Critical Care at our flagship facility, Florida Hospital Orlando. As a part of our team, you will have the opportunity to improve the health of Florida’s most diverse patients, while becoming an expert at one of America’s top hospitals.

A hallmark of this campus is the Florida Hospital Cardiovascular Institute, which has set the standard for the early detection and treatment of cardiovascular diseases and disorders since 1967. Our cardiology team treats more than 25,000 individuals for chest pain and performs more than 1,700 cardiac procedures each year. We are third in the country, and first in the state for the number of open-heart surgeries performed. The team also handles other specialized procedures, such as valve repair/replacement, heart remodeling, ascending and descending aortic aneurysms, and arterial fibrillation ablations.

While cardiology continues to be an exciting growth area, the Critical Care specialty at Florida Hospital Orlando offers many sub-specialties where you can focus your skills.

  • Neuro Critical Care (NCC)
This 20-bed Neuro Critical Care Unit advances the care of surgical patients dealing with brain injuries, spinal injuries, hemorrhagic pathologies, medical neurological pathologies, seizures and brain attacks. As one of the Southeast’s largest Neuro Intensive Care Units, we stand by a nurse to patient ratio of 1:2 and provide access to: the nation’s leading research and clinical trials, advanced equipment such as ICP monitoring, Burst Suppression monitoring, Fiberoptic-Intraventricular monitoring and ventilators. In addition to the latest technology, you’ll also gain exposure to cutting-edge treatments such as Clot Retrieval, Intra-Arterial tPA and Cerebral Stenting.
  • Neuro Medical Unit / Med-Tele (NMU)

As the busiest stroke hospital in the state and the area’s designated Stroke Center, our 32-bed unit operates with a Clinical Team Nursing model to best treat patients experiencing brain attacks, TIAs, altered mental status, brain tumors, seizures and general neuro medical disease.

  • Neuro Surgical Unit (NSU)

    This 39-bed surgical remote telemetry unit cares for patients who have undergone complicated spinal and brain surgeries, including those admitted for advanced seizure monitoring. We are the region’s busiest spinal surgery unit, performing more than 1,300 complex spinal surgeries each year. The NSU operates within an open unit environment with access to cutting-edge technologies, like Gamma Knife® radiosurgery, Intensity Modulated Radiation Therapy (IMRT) and interventional neuroradiology. Here you’ll have the opportunity to work with complicated cases, gain cutting-edge skills and become an expert in seizure disorders. If you’re excited by the opportunity to specialize in the Neurosurgical arena, you’ll thrive in this prestigious, fast-paced unit.

  • Cardiac ICU (CICU)

    Growing to 40 beds and into an expanded space in our new state-of-the-art patient tower, the Cardiac ICU handles a diversity of complex cardiac patients. We are the largest dedicated CICU in the Southeast, and treat a variety of cardiac, respiratory, septic, cardiogenic shock and renal conditions. Nurses on the unit gain exposure to IABP, Neuromuscular Blockade, CRRT, cooling patients after cardiac arrest, BIS monitoring and pseudo-aneurysm repair. CICU nurse to patient ratio is 1:3-4.

  • Cardiac Respiratory Care Unit (CRCU)

    We are a 20-bed cardiac-post cath area and the only unit within our eight-campus system designated to the care of stable trached patients who need special attention to be weaned from the ventilator. Nurses care for cardiac respiratory and stable ventilated patients, with a unit ratio of 1:1-2.

  • Cardiovascular ICU (CVICU)

    Our 28-bed Cardiovascular ICU serves as a cardiovascular tertiary center for all of Central Florida. This specialty unit is dedicated to the post-op care relating to: CABG, valve repairs and replacements, thoraco-abdominal aortic aneurysms and AAA. While we’re designated as an immediate post-op open heart unit for cardiac, thoracic and vascular surgery recovery patients, we also handle pre-op patients as needed. The special therapies supported by the department are IABP, CRRT and Ventricular Assist Devices.

    CVICU nurses who join us here have the opportunity to become experts in advanced hemodynamics, bleeding disorders, coagulopathies, airway emergencies, cardiac rhythms, the management of pacemakers and internal cardiac defibrillators and more. Nurse to patient ratio on the unit is 1:2, with flexible self-scheduling.

    CVICU nurses will enjoy unique development and education enhancement opportunities including critical care training, preceptor-led training and a nurse mentoring program. Interested candidates must have one year of recent ICU experience and current BLS/ACLS certification. Recent CVICU experience or completion of a critical care program, CCRN and/or CSC certification preferred. Willing to train high-performance new grads or experienced RNs.

  • Cardiovascular ICU – Surgical Acute Care Unit (CVIII)

    This 16-bed CVIII unit treats complex cardiac and thoracic surgical patients (i.e. AAAs, fem-pops, carotids), as well as other surgical patients requiring upper level care. CVIII design and construction has been carefully planned for optimal patient, family and employee satisfaction. Features include a scenic visitor waiting area, private consultation rooms, private patient rooms with glass sliding doors, in-room computer and desktop charting areas, large staff lounge and private locker room.

    CVIII nurses have the opportunity to work with vascular and thoracic patients immediately after surgery, while also gaining experience with research protocols, endostent AAA, and endograft TAA with lumbar drains. Nurse to patient ratio on the unit is 1:2, with a generous support staff of four assistant nurse managers, a full-time nurse manager, a CV educator, a clinical nurse specialist, patient care techs and health unit coordinators. Flexible self-scheduling available.

    Qualified nurses will have one year of ICU experience, with completion of a critical care course with ACLS certification also required. CCRN and 2 years of ICU experience preferred. Willing to train high-performance new grads or experienced RNs.

  • Multi-System ICU (MSICU)

    This 16-bed MSICU is our kidney transplant and sepsis-designated unit. Here, you’ll have the opportunity to care for critically ill patients with a wide variety of medical and surgical diagnoses. You’ll see a spectrum of surgeries from vascular and lung to OB/GYN and abdominal, and from ortho trauma to colon to necrotizing fasciitis debridements. Medical diagnoses include: overdoses, lung disorders, diabetes complications, as well as sepsis, antepartum/labor/postpartum complications, renal/liver/pancreas transplantation and respiratory disorders. MSICU nurse to patient ratio is 2:1.

  • Dialysis ICU

    On our 15-bed Dialysis unit, nurses provide hemodialysis, peritoneal dialysis, red and white blood cell exchanges, and total plasma exchange for adults and children, including some ICU-level patients. Nurse to patient ratio on the unit is 2:1.

  • Clinical Decision Unit (CDU)

    Our 26-bed unit sees patients with chest pain, syncope, unstable angina, CHF, pneumonia, renal failure and diabetes, who require monitored observation. We also handle inpatient PCU holds and patients with a short stay. Nurse to patient ratio is 1:4.

  • Clinical Transition Unit (CTU)

    The 32-bed CTU offers a quiet space to monitor, observe, and continue care for cardiac and medical patients along three service lines: Chest Pain Observation Unit, Discharge Center and Transition Unit. We are a collaborative, team-oriented area that strives to provide the ultimate in professional, personalized attention, while leveraging advanced technologies. Featured CTU equipment includes Philips telemetry, Philips cardiac monitors, plum pumps, I-Stat, PYXIS and Accucheck, along with the latest in chest pain, syncope and unstable angina testing.

  • Cardiac Intervention Unit (CIU)

    This is a 40-bed progressive care unit that focuses on medical cardiology and post-cardiac intervention cases. Special therapies include invasive lines – including primarily arterial and venous sheaths – for procedures such as angioplasty, arthrectomy, stent deployment, EPS and various pharmacologic interventions. Nurses will also gain exposure to stem cell therapy and other cutting-edge technologies for the CHF patient. Nurse to patient ratio on the CIU is 1:4.

  • Cardiovascular PCU (CVPCU)

    Our 40-bed CVPCU treats post-op open heart, vascular surgery and thoroctomy patients with a concentrated focus on quality care and service excellence. Our special therapies include post-op incision care and education, as well as aggressive ambulation therapy. We are proud to have received the National Research Corporation’s Quality Cardiac Care Award, and been named among the best in the nation for cardiac/stroke mortality outcomes for women (HealthGrades).

  • Medical/Surgical PCU

    We are a growing 40-bed cardiac-focused unit that serves patients with multi-system health problems, including diabetes, peripheral vascular disease, community acquired pneumonia (CAP), and congestive heart failure. Nurse to patient ratio is 1:5.

  • Multi-System PCU

    Our 39-bed unit treats patients with multi-system involvement, and offers a 1:5 nurse to patient ratio.

  • Chest Pain Observation Unit (CPOU)
This 36-bed CPOU is a fast-paced outpatient cardiac monitored unit caring for low to moderate and moderate to high-risk chest pain patients who do not meet inpatient criteria for admission. We also care for post diagnostic catheterization and post EPS patients. Knowledge in the care of acute coronary syndrome (ACS) is required which includes evidence based medicine protocols. Special therapies include assisting the cardiologist in exercise treadmill testing, 12 Lead ECG and Point of Care Testing (I-Stat Troponin). The average length of stay for our patients is 13-24 hours.
  • Vascular Thoracic ICU (VTICU)
Our Vascular Thoracic Intensive Care Unit is a 20-bed surgical acute care cardiac unit. Here, we care for a wide variety of patients who have undergone procedures such as endo AAA or open AAA, carotid endarterectomies, femoral bypasses or thoracotomies. We also handle the overflow for cardiovascular or cardiothoracic patients requiring critical care nursing, and provide special therapies through ventilators, CRRT, oscillators, paralytics and thoracic lumbar drains. 
  • Congestive Heart Failure/Pulmonary Hypertension Unit
This highly specialized unit provides medical cardiac care for patients with CHF, pulmonary hypertension, pre-heart or lung transplant, and it also serves as the overflow unit for vascular patients requiring PCU level care. Our expert team performs aquapheresis, Tikosyn therapy, and LVADs intended as a bridge for transplant or destiny therapy.

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