1 Tower (1T)
1 Tower (1T)
Leadership
Eileen Naviello, MSN, RN
Nursing Director
Shiow-Lan Wang, MS, RN, CCRN, CNS-C
Nursing Educator
About the Unit
1T is a 23-bed unit, including intermediate/step-down beds. 1T is located in the Tower Building on the first floor. It is open on an as needed basis for holding patients, dependent upon ED volume.
Staff
Head Nurse: Katrina San Juan, RN
Case Manager: Ericka Osbourne, RN
Social Worker: Matt Heiblim
There are one to three critical care technicians each shift who assists with basic patient care. There is a unit secretary on each shift to perform data entry and secretarial duties.
Patient population
The 1T nursing staff cares for patients who have a variety of cardiac-related diseases, which include angina, congestive heart failure, and arrhythmias. Patients may also have secondary diagnoses such as diabetes, respiratory disease, anemia, renal disease; this list is not all-inclusive.
Patient Care Needs
Patients on 1T require 1:4 to 1:6 nursing care. Patients may require cardiac monitoring and interpretation, intermittent 12 -lead performance and post-cardiac catheterization interventions, intravenous pharmacological agents such as dobutamine, heparin, lidocaine, dopamine, lasix, milrinone, insulin, reo-pro, intregrillin and aggrastat. Patients requiring intermediate care may also be provided with continuous cardiac monitoring and continuous pulse oximetry. Additional intravenous pharmaceutical agents utilized may include nitroglycerin, pronestyl, cardizem and lidocaine. Blood transfusion, dietary consultation, physical and occupational therapy services are provided as needed.
About Our Nurses
Nursing care is provided by professional registered nurses competent in the care of medical cardiology patients. Competencies include, but are not limited to:
- Telemetry certification
- I.V. certification
- Providing intermediate care
- Blood and blood product administration
- Implementing research protocols
- Pain management
- Management of vasoactive, anti-arrhythmic and anticoagulant drug therapies
