Robert Wood Johnson University Hospital
 

4 West (4W)

 

4 West (4W)

About the Unit

4W is a 47-bed unit including 8 intermediate/step-down beds, located in the 1958 Building on the fourth floor. It is open 24-hours- a-day, 7-days-a-week.


Staff

Head Nurse: Beverly Sayles, RN

Case Manager: Mary Gorson, RN

Case Manager: Marie Savaille, RN

Social Worker: Yehudit Tawil

Social Worker: Miriam Rubin

There are two 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 4W nursing staff cares for adult medical cardiology and medical-surgical patient’s ages 18 years through the lifespan. Patients cared for in this unit have a variety of cardiac-related diseases including congestive heart failure, angina and arrhythmias. Patients may also have secondary diagnoses such as diabetes, respiratory diseases, anemia, and renal disease: this list is not all-inclusive.


Patient Care Needs

Patients on 4W require 1:4 to 1:6 nursing care. Patients may require cardiac monitoring and interpretation, intermittent 12-lead electrocardiograms, and / or intravenous pharmacological agents such as dobutamine, heparin, lidocaine, dopamine, furosemide, milrinone, insulin, reopro, intregrillin, cardizem and aggrastat. Patients requiring intermediate care may also be provided with continuous direct cardiac monitoring and continuous pulse oximetry. Additional intravenous pharmaceutical agents utilized may include nitroglycerin, pronestyl, and cardizem. Patients may also receive bedside peritoneal dialysis or hemodialysis. Blood transfusions, dietary consultation, physical and occupational therapy services are provided as ordered.


About Our Nurses

Nursing care is provided by professional registered nurses competent in the care of medical cardiology and surgical patients. Competencies include, but are not limited to:

  • Telemetry certification
  • I.V. certification
  • Providing intermediate care
  • Provision of respiratory care treatments
  • Management of vasoactive, anti-arrhythmic and anticoagulant drug therapies
  • Blood glucose monitoring
  • Pain management
  • Central line management
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