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Cardiac Monitoring and Heart Failure Failure (Osler 4)

Assessment and care for a highly diverse patient population with multiple medical and cardiac problems.

Patient Population
  • Adult
  • Management of patients of anti-arrhythmic drips
  • Diabetes, heart, liver, lung and kidney disease
  • Admissions from emergency department
  • Transfers from intensive care units
  • Average length of stay: 4.7 days
Number of Beds
  • 20 (all monitored)
Nurse/Patient Ratio
  • Day: 1:3-4
  • Evening: 1:4-5
  • Night: 1:5
Rotation/Shifts
  • 8- and 12-hour shifts; new RNs start as day/night, then move to day/evening within 3-4 years; New RN’s every other weekend, move to every third weekend with in one year. 
Skill Mix
  • 99 percent BSN; 30 percent MSN candidates
  • Required competencies: dysrhythmia and telemetry skills certification; ACLS recommended
Orientation

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Why I Choose Nursing in Medicine

Amanda C. Owen

"I started on Nelson 4 as a new grad, precepting new staff within my first year and running charge within my second. My nurse manager constantly challenged me to advance my career goals - which led me to earn my certificate as a wound care specialist. Now, as a unit-based expert, I enjoy a high level of autonomy and work closely with the entire interdisciplinary team. I truly believe I've had opportunities not available at other institutions."

—Amanda C. Owen, R.N.
General Acute Medical Unit (Nelson 4)

Magnet Site Visit Announced

ANCC Magnet Recognition

The Johns Hopkins Department of Nursing will host appraisers from the Magnet Recognition Program from 9/9-11/2013.
Public Notice of Site Visit

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