Lahey Hospital & Medical Center, Burlington

5 West Hospital

5 West Hospital is a 36-bed medical telemetry unit with close ties to the Cardiac Catheterization Lab, Electrophysiology Lab, Emergency Room, and Coronary Care Unit. The population includes patients undergoing coronary intervention and electrophysiological procedures, as well as patients diagnosed with arrhythmias, CHF, angina, r/o MI and MI. The 5 West nursing staff thrives in a high acuity environment. With rapid turnover of patients, the 5 West staff is dedicated to creating a caring and therapeutic atmosphere for both patients and families. 

6 West Hospital

6 West Hospital is a 27 bed Medical/Surgical/Telemetry Unit with 24 telemetry monitors and a neuroscience focus. It also serves as a focus unit for patients requiring peritoneal dialysis. Care of this patient population requires nurses to have a broad knowledge base with strong emphasis on multi-system complex diagnoses that include neurological, cardiac, pulmonary, and renal pathology. The needs of the patient and family are addressed through a multidisciplinary approach including assessment, analysis of assessment findings, diagnosis, care planning, treatment, education, evaluation, and follow up. Close collaboration with the Neurology Department, Physical Therapy, Occupational Therapy, and Case Management is evidenced through daily patient rounds.

6 East Hospital/6 East Tertiary Transitional Telemetry Unit (TTU)

Lahey Clinic nurse working on the 6 East nursing unitThe nursing staff on the 6 East Hospital unit care for a diverse patient population in their dynamic 24-bed telemetry unit. The majority of patients have had cardiothoracic or vascular surgery, and the nurses enjoy a collegiality among different groups of physicians, Pas, and NPs. The 6 East Hospital unit provides nurses with strong telemetry experience and the support and encouragement needed to enhance their skills.

In Addition, the 6 East TTU is a six-bed acute care area specializing in the care of postoperative cardiothoracic and vascular surgery patients. Monitoring capabilities include ECG and arterial pressure, allowing for a higher level of care than traditional telemetry. 6 East Transitional Telemetry Unit nurses provide focused bedside care maintaining a patient-to-nurse ratio of 3:1.

6 Central Hospital 

6 Central Hospital is a 36-bed general medical-surgical unit specializing in end-stage liver disease, hepatobiliary surgery, and liver transplantation. The nursing staff plays an integral role in the education, emotional support, and complex medical care of this patient population. The 6 Central nurses enjoy active collaboration with a variety of multidisciplinary services, namely the well-respected liver transplant team. This unit is a rewarding, yet busy, acute care setting.

7 East Hospital

The nurses on the 7 East Hospital unit are part of a multidisciplinary continuum of care for adult patients in their 30-bed medical-surgical unit. The primary patient population has renal, urological or colon and rectal disorders. Other specialties include patients receiving brachytherapy or high-dose radiation, and those with gastroenterological disorders. Nurses on 7 East also care for patients undergoing kidney transplantation, bariatric surgery and postoperative care of the living-related donor.

7 Central Hospital

The 7 Central Hospital unit is a 38-bed medical surgical unit providing care to a wide range of adult patients and an occasional pediatric patient. The nurses on 7 Central enjoy caring for a diverse patient population from the areas of general surgery, neurology, neurosurgery, orthopaedics, plastic surgery and trauma. 7 Central nurses thrive in an atmosphere of rapid patient turnover to provide a multidisciplinary approach to patient care. A close collaboration with Physicians, Nurse Practitioners, Physical Therapists, Occupational Therapists, and Case Managers is evidenced through daily patient rounds.

7 West Hospital

Lahey Clinic nurse speaks with a patient on the 7 West nursing unitNurses on the 7 West Hospital unit care for a variety of patients in a 35-bed setting with particular emphasis on hematology and medical oncology. In addition, this unit contains autologous stem cell transplant suites. 7 West nurses also care for general medical patients and various postoperative patients. Services provided to patients on this unit include intravenous chemotherapy administration, management of complex chemotherapy-related toxicities, management of oncologic emergencies, telemetry monitoring, and seizure monitoring. Patient support may also include cancer pain management and emotional support for the patient and his or her family.

6 & 7 Southeast (SE) Hospital

6 & 7 Southeast are the newest additions to Lahey Hospital & Medical Center's inpatient med/surg units opened during the first phase of the exciting Southeast Expansion project for the hospital in December 2005. Each medical surgical unit consists of 18 beds, offering state of the art medical equipment, including cardiac telemetry, large, well appointed patient rooms and specialty items, such as ceiling lifts, and a number of reverse pressure isolation rooms. A variety of patient with medical or surgical diagnoses requiring telemetry monitoring are seen on these units. The opportunity to deliver and receive care in this state of the art environment is a plus for patient, families, physicians, and nursing staff. 

Surgical Intensive Care Unit (SICU)/Cardiothoracic Post-Anesthesia Care Unit (CT PACU)

Lahey Clinic nurse attends to a patient in the Surgical Intensive Care UnitThe SICU is a 24-bed acute intensive care area specializing in the care of patients following major trauma, postoperative multi-system failure and liver or kidney transplants. The experienced and highly skilled nurses in the SICU also provide care to patients following surgery in the CT PACU. The patient-to-nurse ratio is 1:1 or 2:1 throughout all shifts. Using the latest technologies, nursing staff provide care to patients requiring ventilatory support, hemodynamic monitoring, ICP monitoring, CRRT, IABP and BIVADS, in addition to providing support and comfort to the families of these patients.

Medical Intensive Care Unit (MICU)

The MICU is a 12-bed acute care area. Highly trained nurses care primarily for medical patients requiring ventilatory support and ECG monitoring. Additionally, patients may require hemodynamic monitoring, intracranial pressure monitoring, and/or CVVH. The MICU patient population also includes patients receiving TPA for stroke and patients with hepatic-renal failure. Working together with the pulmonary team, nurses maintain extensive critical care skills and provide a supportive atmosphere for each other, the patients, and the patients' families.

Coronary Care Unit (CCU)

In this eight-bed acute care area, critical care nurses specialize in the care of patients with cardiac disorders. CCU nurses are an integral part of medical, surgical and interventional cardiology teams. Patients in the CCU may require ventilatory support, hemodynamic monitoring, an IABP and/or a Ventricular Assist Device. The CCU population includes patients with threatened and acute MI, heart failure, post-interventional procedures (e.g., stents, angioplasty) and failed thrombolytic therapy. CCU nurses are adept at titrating a multitude of drips and are keen observers of minute changes in their patients' cardiac status.

Intensive Care Unit (ICU)

The ICU is an 8-bed acute care area. Highly trained nurses care primarily for medical patients requiring ventilatory support and ECG monitoring working closely with the Medical Intensive Care unit. Additionally, patients may require hemodynamic monitoring, intracranial pressure monitoring, and/or CVVH. The ICU patient population also includes patients receiving TPA for stroke and patients with hepatic-renal failure. Working together with the pulmonary team, nurses maintain extensive critical care skills and provide a supportive atmosphere for each other, the patients, and the patients' families.

6 West Progressive Care Unit (PCU)

The nine-bed PCU located on 6 West admits patients from services requiring a higher level of patient care than on a medical-surgical unit, but less than in the standard "intensive" care unit. The patient-to-nurse ratio is 3:1. An acute care area, 6 West PCU has monitoring capabilities that include ECG arterial and intracranial pressure monitoring. Nurses enjoy the opportunity to work with a diverse population that includes postoperative patients from all services and medical patients with neurologic disorders.

Ambulatory Surgery

The Ambulatory Surgery Department at Lahey consists of two units, the Pre-Operative Center and Ambulatory Surgery.

The Pre-Operative Center is responsible for properly screening all patients scheduled for any type of surgery. Screening includes conducting preoperative interviews with patients, acquiring all required testing in accordance with the Anesthesia Department's guidelines and providing medical evaluations when required. The nurses also conduct pre-operative nursing interviews and provide pre-operative teaching and instructions to all surgical patients.

The Ambulatory Surgery unit is responsible for the admission of all surgical patients. The unit also provides recovery for surgical and outpatient procedures performed on patients who are treated and sent home in the same day.

Surgical specialties include laparoscopic surgery, general surgery, urology, vascular surgery, gynecological surgery, colon and rectal surgery, orthopaedics, otolaryngology and maxillofacial surgery.

Outpatient procedures include cardioversions, cardiac catheterization, electrophysiology studies, radiology special procedures, interventional pain procedures and neurointerventional procedures.

Nurses in this fast-paced unit must be skilled and knowledgeable about surgery, anesthesia and related nursing interventions. Given the short time the patient spends in this setting, the staff must be capable of providing care that is focused and productive in preparing, educating and assessing same-day surgical patients.

Operating Room

Lahey Clinic operating room nurse assists during surgeryLahey Hospital & Medial Center, Burlington, has 22 operating rooms-including four state-of-the-art minimally invasive operating suites and one Cardiac Hybrid suite-that provide all patients with surgical care, for scheduled cases, trauma and emergency surgery. Procedures range from simple outpatient surgeries to highly complex procedures such as CABG, liver transplantation and bariatric surgery. Our OR nurses strive to provide patients and their families with compassion, support and professional care.

Post-Anesthesia Care Unit (PACU)

Nurses in Lahey Clinic's Post-Anesthesia Care Unit consult about a patientNurses working in the 30-bed PACU maintain excellent critical care skills and enjoy a strong collaborative practice with anesthesiologists and surgeons. Nurses care for a variety of patient populations including cardiovascular, neurosurgery, orthopedic, genitourinary, robotic, interventional, and transplantation. The PACU nurses possess keen nursing assessment skills and are proficient at hemodynamic monitoring, vasoactive drug titration, pain management, and ventilatory support. The PACU is a busy critical care area that adheres to American Society of Postanesthesia Nurses (ASPAN) standards.

Cardiac Catherterization Lab

The Cardiac Catheterization Lab performs more than 5,000 diagnostic and interventional procedures on patients with cardiovascular conditions. These procedures include drug eluting stent placement, angioplasty, rotablator, heart catheterization, and repair of congenital conditions. Using the latest technologies, the nursing and technical staff provides high-quality care to both elective patients and critically ill patients requiring life support. The staff enjoys a fast-paced environment that challenges them to keep current with ever-advancing technology and procedures. 

Electrophysiology Lab

The Electrophysiology Lab performs more than 1,200 diagnostic and therapeutic procedures annually. These procedures include pacemaker and biventricular device implantation, internal defibrillator implantation, electrophysiology studies, radiofrequency ablation and device explants. The nursing and technical staff provides high-quality care in an intense environment. Staff members enjoy the challenge of remaining current on the latest advances and technology offered in the electrophysiology setting.

Endoscopy

Endoscopy nurses provide care to inpatients and outpatients requiring gastrointestinal procedures. The patient population served by Endoscopy ranges from adolescents through geriatric patients. The Endoscopy service provides optimum assistance to physicians in maintaining diagnostic, preventive and restorative health needs for the patient. The staff provides conscientious, cost-effective and competent care with respect for life and dignity at every stage of the human experience. Procedures include colonoscopy, endoscopic ultrasound, ERCP and motility studies.

Special Procedures

The Special Procedures section at Lahey consists of two procedure rooms in the Diagnostic Radiology Department. Special Procedures staff specializes in the care of the patient requiring interventional radiology procedures, including angiographies with intervention (including stenting and balloon dilatations), biliary interventions, abscess drainages and biopsies. The nursing staff in this fast-paced environment specializes in the delivery of procedural sedation and close monitoring of patients in need of support during their procedures. 

Interventional Neurology

The Interventional Neurology suite specializes in the care of patients who require invasive neurological interventions. Procedures include angiography and stenting of cerebral vasculature, embolization of aneurysms and AVMs, and vertebroplasties of the spine. With state-of-the-art equipment, the nurses in this area assist with procedures while intensely monitoring the patient. The staff is well-versed in neuroanatomy and provides the patient with care that is focused, effective and compassionate.

IV Therapy Team

IV Therapy is a team of nurses dedicated to providing only the highest standard of care. They are responsible for the start, restart and troubleshooting of peripheral IVs, accessing and de-accessing of implanted devices and blood transfusions on medical-surgical units. IV nurses are also responsible for the insertion of peripheral inserted central catheters. The IV team is available for all patients-both inpatient and outpatient-24 hours a day, 7 days a week.

Emergency Department

Colleagues in Lahey Clinic's Emergency Department consult each otherLocated on 2 West, this busy Level II trauma service sees 38,500 patients annually and is responsible for 8,400 admissions, or 50 percent of the hospital's total admissions each year. The department consists of 22 beds, and includes a Minor Emergency section to expedite non-emergent cases. The experienced and highly skilled nursing staff is certified in trauma as well as adult and pediatric advanced life support; extensive training is also offered regarding the triage process. Nurses enjoy a challenging, fast-paced work environment that includes an ever-changing, diverse patient population.

Rapid Response Nursing Team

Rapid Response Nursing is a team of skilled critical care nurses available 24 hours a day to assist other members of the nursing team with the management of acutely ill or trauma patients in any setting throughout the hospital. Members of the team are certified in trauma and pediatric and adult advanced life support, and are also skilled in patient assessment, hemodynamic, cardiac and intracranial monitoring.

Point of Access Admission Nurses

The Point of Access Admitting Nurse is a telemetry competent medical/surgical nurse who meets a patient to be admitted to the hospital at their portal of entry to Lahey Hospital & Medical Center (i.e. Emergency Department, Ambulatory Outpatient Clinic or external transfer into the facility in Burlington). The nurse begins the process of the Initial Patient Assessment, as well as Medication Reconciliation at the point of entry and may care for the patient through transfer to an assigned bed. The program has been met with praise from the patient, family and nursing staff on the inpatient units.

Nursing Float Pool

The Nursing Float Pool consists of experienced Registered Nurses, Nursing Assistants, Nursing Associates (a Nursing Associate is a nursing student who is currently enrolled in an academic nursing program) and Unit Coordinators. Within the nursing pool there are benefited positions for all roles, as well as per diem positions. The Nursing Float Pool colleagues are deployed on a shift by shift basis to compliment the existing staffing on a nursing unit.