Patients are referred to UCLA not only from Southern California but from all over the globe. Nurses who choose UCLA will experience the opportunity to provide world-renowned care to a diverse patient population, while growing in their own nursing practice and expertise.
Ronald Reagan UCLA Medical Center
This unit is a "limited stay unit" with a projected length of stay between 8 hours and 24 hours. Patients are on "observation status" and are referred from the Emergency Department, the outpatient clinics, or from physician's offices. Diagnoses include Chest Pain r/o unstable coronary syndrome, syncope, CHF, Asthma, Gastroenteritis, Transient hypovolemia/electrolyte imbalance, Alcohol intoxication / withdrawal, cellulitis, Sickle cell disease, Anemia/thrombocytopenia with a known cause, Low-risk upper gastrointestinal bleed.
The patient population of this unit consists of two levels of care. Patients may require continuous non-invasive monitoring (telemetry) and are at risk for immediate intervention. Patients may also experience acute exacerbation of acute or chronic medical conditions. The frequent diagnoses are End Stage Renal and Liver Disease, compromised respiratory disease including asthma, COPD, pneumonia, cardiac disease such as CAD, CHF, R/O MI), UTI, and fluid volume imbalance.
This nursing unit provides RNs with a specialized patient population, including neurology and neurosurgery patients. Diagnoses include stroke, multiple sclerosis, epilepsy, myasthenia gravis, and guillian barre. Neurosurgical patients include traumatic brain injury, brain tumors, pituitary tumors, subarachnoid/intracranial hemorrhage, spinal/spinal cord trauma, chiari malformations. The unit is recognized by the American Heart Association as a "Certified Stroke Center".
A multidisciplinary care approach is provided to this patient population including hematology/oncology attending physicians and fellows, stem cell transplant support staff, registered nurses, licensed clinical social workers, spiritual care representatives, Registered Dieticians, Clinical Case Managers, Hematology/Oncology Clinical Nurse Specialists, the Palliative Care Team, the Utilization Review, and rehabilitative and respiratory therapists. The disease entities most frequently treated are leukemias, lymphomas, multiple myelomas, aplastic anemias, and hematologic progenitor cell autologous/allogeneic transplants. The majority of these patients receive chemotherapy, targeted and related supportive therapies. RNs in this unit are expected to become Chemotherapy Certified.
The GCRC is funded by the National Institute of Health Center for Research Resources. Its purpose is to conduct complex research studies. The research involves participants who have health concerns or are participants in scientific studies with complex and comprehensive protocols. The GCRC has 220 active protocols and includes an inpatient and outpatient center. The research service line includes: Neurology, Cardiovascular disease, Alzheimer Atherosclerosis, Obesity, and other disorders in adults and children. In all protocols there is a component of Bionutrition, and Bioinformatics.
This diverse, acute care surgical unit receives urology, renal transplants, head and neck, general surgery, gynecology, ophthalmology, bariatric, and oral and trauma patients. Liver transplant patients who are pre-operative or being evaluated for live transplantation are also admitted to this unit. Acute Care has monitoring capability that can accommodate very complex patient needs.
The Liver Transplant Service at UCLA is the largest of its kind in the world, performing approximately 200 liver transplants annually. Services offered here are not always available in other liver transplant centers and are frequently discussed at national conferences and in the media. The majority of this patient population consists of pre-liver transplant evaluations or post- operative orthotopic liver transplant recipients. Others include simultaneous kidney/pancreas or solitary pancreas transplants, small bowel transplants, domino liver transplants, and liver resections.
This is a complex and diverse surgical unit with non-invasive telemetry capability. The types of patients include traumatic orthopedic surgery, vascular surgery for various bypass procedures (not including heart), and interventional procedures. Plastic surgery may include TRAM and DIEP flaps, breast reconstructive surgery, and other procedures, such as flaps for pressure ulcer repair. Epilepsy patients can receive 24 hour continuous EEG and simultaneous video recording.
The Cardiac Catheterization/Electrophysiology Laboratories at Ronald Reagan UCLA hospital perform Diagnostic, Interventional, Electrophysiology and hybrid procedures on an inpatient or outpatient basis for neonate to geriatric patients. The Cardiac Catheterization/Electrophysiology Laboratories serve all ages of patients with conditions from congenital heart disease (from neonate to geriatric) requiring diagnostic and interventional cardiac/vascular procedures. Procedures range from emergent (Acute MI's brought in through the ED) or scheduled diagnostics (CAD, Congenital and valvular heart disease, electrical system anomalies, pulmonary conditions, aneurysm repairs and more).
This unit serves stable patients who seek out Santa Monica Orthopedic Hospital for its outstanding reputation in this specialty area. Patients who are admitted to this unit have hip ORIF, total knee replacements, fracture pinning, anterior and posterior cervical laminectomies, surgical interventions for osteosarcomas. Frequent procedures or services include traction, pin care, cast application, physical therapy, pain management, constant passive motion machines, and stryker drainage systems with reinfusion capabilities. The patients here are stable, requiring monitoring no more frequently than every two hours.
This is primarily an adult and geriatric patient unit; diagnosis include diabetes, congestive heart failure, pneumonia, renal failure, infectious diseases, and palliative care. Patients in this area require isolation with infectious processes, hemodialysis, and palliative care consultation for symptom management. They may also require the following specialized equipment: stryker drains and reinfusion devices, chest tubes, pleuro-vac thoracic suction, intravenous controllers, patient-controlled analgesia machines, and sequential stockings.
This unit serves as a general patient population with a variety of medical/surgical diagnoses such as head neck surgeries, orthopedic procedures, general abdominal surgery, urologic procedures, breast and gynecological procedures, diabetes, stroke, wound management, infectious diseases, and thyroid ablations using radioactive iodine. Patients requiring IV insulin drips or heparin drips are accepted within parameters of established policy. Patients requiring the following specialized equipment are also cared for: stryker drains and reinfusion devices, chest tube drainage systems, IV controllers, patient-controlled analgesia machines, sequential stockings, polar ice machines, and constant passive motion devices.
Nurses in this unit provide compassionate and skilled care to patients with the diagnoses of cancer, those undergoing chemotherapy as well as radiation therapy. Patients with a wide variety of medical and surgical diagnosis are also seen. Very specific to this unit are those patients requiring administration of chemotherapeutic agents including cytotoxic drugs and monoclonal antibodies. Care of the patient with neutropenia and pain management in the patient population are administered. Patients requiring non-icu telemetry monitoring are treated on the unit.