{"id":7505,"date":"2017-01-24T14:01:20","date_gmt":"2017-01-24T21:01:20","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=7505"},"modified":"2023-03-03T09:56:46","modified_gmt":"2023-03-03T16:56:46","slug":"progression-care-uch","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/progression-care-uch\/","title":{"rendered":"A progression in care at UCH"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_7507\" aria-describedby=\"caption-attachment-7507\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7507\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion.webp\" alt=\"Tim Pratt, nurse manager on the Medical Surgical Progressive Care Unit, shows one of the recently installed telemetry monitors that now make progressive care available in all 36 rooms.\" width=\"300\" height=\"200\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion-200x133.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-7507\" class=\"wp-caption-text\">Tim Pratt, nurse manager on the Medical Surgical Progressive Care Unit, shows one of the recently installed telemetry monitors that now make progressive care available in all 36 rooms.<\/figcaption><\/figure>\n<p>It\u2019s not immediately apparent to the casual visitor, but an important change occurred Sept. 26 on the 10th floor of the Anschutz Inpatient Pavilion, home to the Medical\/Surgical Progressive Care Unit. Call it \u201cThe Tale of the Teeter-Totter.\u201d<\/p>\n<p>No, it doesn\u2019t involve the installation of playground equipment. Instead, all 36 patient rooms on the unit are now equipped with bedside telemetry units, essential for nurses to monitor vital signs and head off complications in patients. Until that time, 12 of the rooms lacked the monitors and were reserved for lower-acuity medical\/surgical patients.<\/p>\n<p>The conversion means that all 36 rooms can, if necessary, be taken by patients needing progressive care. It\u2019s sometimes called step-down care, but Tim Pratt, RN, nurse manager of the MSPCU, prefers to think of progressive care as a \u201cteeter-totter.\u201d The unit\u2019s nurses care for patients \u201ccoming up\u201d the acuity scale, possibly to move on to intensive care, as well as others \u201ccoming down\u201d from an ICU on their way a med\/surg floor, he said.<\/p>\n<p>The changeover was a $300,000 upgrade for telemetry equipment and cabling, but it required no extra training for the MSPCU\u2019s 72 nurses, Pratt said. All are trained to provide progressive care for patients with a wide variety of needs, such as continuous cardiac drips, medications for severe and chronic pain, <a href=\"https:\/\/www.sleepassociation.org\/sleep-treatments\/cpap-machines-masks\/cpap-vs-bipap\/\">BIPAP and CPAP ventilation<\/a> before intubation and more. The unit also cares for patients treated by the hospital\u2019s Medical Emergency Team who don\u2019t meet the criteria for ICU admission, Pratt said.<\/p>\n<p>The bottom line? \u201cWe can take all patients and do anything necessary to care for them during the day,\u201d he said.<\/p>\n<p>At the same time, MSPCU nurses regularly consult with colleagues when patients have particular needs for which they haven\u2019t had special training, such as chemotherapy infusion or Flolan treatment for serious respiratory issues. The MSPCU also works closely with its \u201csister unit,\u201d the Cardiac Progressive Care Unit on the third floor of Anschutz Inpatient Pavilion 2, Pratt said.<\/p>\n<p><strong>Quick progression<\/strong><\/p>\n<p>The unit still provides care for med\/surg patients, but the balance has already tipped toward those needing progressive care, said charge nurse Brenda Booth, RN. On a recent shift, Booth said, progressive care patients filled 30 of the 36 beds.<\/p>\n<p>\u201cWe had expected the changeover to be more gradual, but it happened within a week,\u201d Pratt said.<\/p>\n<p>The patient mix varies not only from shift to shift but also during a shift, Booth said. That can call for \u201ccreative staffing\u201d to ensure individual nurses don\u2019t get too many high-acuity patients during a shift. Booth also reviews nurses\u2019 recent assignments before scheduling shifts, rotating all of them through progressive care responsibilities.<\/p>\n<p>The change has been welcomed by nurses and providers in the ICUs, Booth said. \u201cThey saw the need for it and the benefit,\u201d she said. \u201cIt gives them the ability to move more patients safely to our unit so they can accommodate patient transfers. They are excited as much as we are.\u201d<\/p>\n<p>Getting more patients into progressive care was what hospital leadership envisioned when the MSPCU opened in May 2013, taking over the 10th floor when the cardiac units moved to AIP 2. With careful patient selection, it\u2019s a boon for all concerned, Pratt added. Patients benefit when they are moved safely and promptly out of intensive care. It also shortens their length of stay, getting them home or to the next level of care quicker and helping the hospital to manage capacity as well as its clinical and financial resources more efficiently.<\/p>\n<p>The change was a long time coming but worth the wait, Pratt said. \u201cIt was important to get this project done. This was our intention for the unit all along. We\u2019re utilizing it to its full benefit.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s not immediately apparent to the casual visitor, but an important change occurred Sept. 26 on the 10th floor of the Anschutz Inpatient Pavilion, home to the Medical\/Surgical Progressive Care Unit. Call it \u201cThe Tale of the Teeter-Totter.\u201d No, it doesn\u2019t involve the installation of playground equipment. Instead, all 36 patient rooms on the unit [&hellip;]<\/p>\n","protected":false},"author":2143,"featured_media":7507,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[446,702,263],"class_list":["post-7505","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-medical-surgical-progressive-care-unit","tag-surgical-care","tag-university-of-colorado-hospital"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>A progression in care at UCH - UCHealth Today<\/title>\n<meta name=\"description\" content=\"It\u2019s not immediately apparent to the casual visitor, but an important change occurred Sept. 26 on the 10th floor of the Anschutz Inpatient Pavilion, home to the Medical\/Surgical Progressive Care Unit. Call it \u201cThe Tale of the Teeter-Totter.\u201d No, it doesn\u2019t involve the ins...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/progression-care-uch\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A progression in care at UCH\" \/>\n<meta property=\"og:description\" content=\"It\u2019s not immediately apparent to the casual visitor, but an important change occurred Sept. 26 on the 10th floor of the Anschutz Inpatient Pavilion, home to the Medical\/Surgical Progressive Care Unit. Call it \u201cThe Tale of the Teeter-Totter.\u201d No, it doesn\u2019t involve the installation of playground equipment. Instead, all 36 patient rooms on the unit [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/progression-care-uch\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-01-24T21:01:20+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-03T16:56:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144407\/EXT_101316_Pratt-MSPCU-Conversion.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Tyler Smith\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tyler Smith\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/progression-care-uch\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/progression-care-uch\\\/\"},\"author\":{\"name\":\"Tyler Smith\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/98c85c0e40c4933eedcec2cd054f349d\"},\"headline\":\"A progression in care at UCH\",\"datePublished\":\"2017-01-24T21:01:20+00:00\",\"dateModified\":\"2023-03-03T16:56:46+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/progression-care-uch\\\/\"},\"wordCount\":664,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/progression-care-uch\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2017\\\/01\\\/28144407\\\/EXT_101316_Pratt-MSPCU-Conversion.webp\",\"keywords\":[\"Medical Surgical Progressive Care Unit\",\"Surgical care\",\"University of Colorado Hospital\"],\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/progression-care-uch\\\/\",\"url\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/progression-care-uch\\\/\",\"name\":\"A progression in care at UCH - 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