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Clinical service areas

Adult Health Services

Medical Surgical Unit

Certifications: CMSRN (Certified Medical-Surgical RN), RN-BC (Gero)

An 18-bed unit for typically 80% general medical and 20% post-surgical patients with a growing focus on care of geriatric patients. Patients have multiple medical diagnoses, offering a variety of health care experiences for nurses. Our nurses gain the experience of caring for patients holistically in a small, team-oriented setting with focus on providing top quality care while assuring an exceptional experience every time to patients and their families.

Medical Telemetry

Certifications: CMSRN (Certified Medical-Surgical RN), PCCN (Progressive Care Certified Nurse), RN-BC (Gero)

A 38-bed medical telemetry unit with a focus in medical patients who require 24/7 cardiac monitoring. We service a diverse patient population with emphasis on sepsis, heart failure, respiratory care, diabetes, and multiple comorbidities. A multidisciplinary care model is used to focus on providing quality patient centered care. Nurses have the experience of providing care for patients with a variety of healthcare needs in a fast paced setting.

Medical /Surgical Oncology

Certifications: CMSRN (Certified Medical-Surgical RN), OCN (Oncology Certified Nurse), CHPN (Certified Hospice and Palliative Nurse) RN-BC (Gero)

A 32-bed nursing unit for blended medical and surgical oncology patients, with a 16- bed telemetry capacity. Nurses on this unit will obtain their chemotherapy administration certification within one year. This unit includes five suite rooms for leukemia and/or end-of life care for patients and their families. The services of Salem Cancer Institute are integrated with this unit to create a holistic approach to the care of oncology patients throughout the entire course of their cancer treatment.

Medical Unit

Certifications: CMSRN (Certified Medical-Surgical RN), RN-BC (Gero)

A 34-bed unit for general medical patients with a growing focus on care of geriatric patients. A geriatric CNS (Clinical Nurse Specialist) supports this unit. Patients have multiple medical diagnoses, offering a variety of health care experiences for nurses. This is a non-telemetry unit. The unit also specializes in end-of-life care for patients and families. Nurses have the experience of caring for patients holistically and strive to provide an exceptional experience every time to patients and their families.

Orthopedic and Joint Replacement Center of Excellence

Certifications: ONC (Orthopedic Nurse Certified), RN-BC (Gero)

A 33-bed unit specifically for general orthopedic, orthopedic telemetry, and total or partial joint replacements. This unit houses the Joint Replacement Center of Excellence.

General Surgery

Certifications: CMSRN (Certified Medical-Surgical RN), CBN (Certified Bariatric Nurse), RN-BC (Gero)

A 25-bed unit that provides care for General Surgery patients, with a 16-bed telemetry capacity. This unit includes the Bariatric Surgery patients and houses our Bariatric Center of Excellence.

Float Pool

Certifications: CMSRN (Certified Medical-Surgical RN), CCRN (Critical Care Registered Nurse), PCCN (Progressive Care Certified Nurse, RN-BC (Gero)

This is a team of dedicated RNs and CNAs that support the staffing needs in the Adult Health and Critical Care units (except ICU). They also support Inpatient Rehabilitation, Psychiatric Medicine, and West Valley Hospital. The staff are self-motivated, flexible, and dedicated to providing an exceptional experience every time for their patients. RNs hired to work in the Float Pool are experienced and have the skills and competencies to work in a variety of clinical settings.

Critical Care Services

Intensive Care Unit

Certifications: CCRN (Critical Care Registered Nurse), RN-BC (Gero)

A 30-bed critical care ICU specializing in a diverse patient population ranging from level 2 trauma, neuro, vascular, medical, and surgical patients. A multidisciplinary care delivery model is used with a focus on providing high-quality standardized care, with 24 hour per day physician coverage by pulmonologist/ intensivists. Specific credentialing opportunities for nurses include IABP, CVVH, NIHSS, swallow screening and sheath removal.

Cardio Vascular Care Unit

Certifications: CCRN (Critical Care Registered Nurse), PCCN (Progressive Care Certified Nurse, CVRN (Cardiac Vascular Nursing), RN-BC (Gero)

A 30-bed intensive and intermediate care unit specializing in providing optimal care for cardiac patients including open heart, heart failure and care for patients with a variety of cardiac and vascular interventions. Credentialing opportunities for nurses include IABP, CVVH, ICP, sheath care and removal. 18 beds are dedicated to providing care for complex cardiac and vascular patients and 12 beds are dedicated to providing care to intermediate level cardiac patients.

Intermediate Care Unit

Certifications: PCCN (Progressive Care Certified Nurse), RN-BC (Gero)

A 30-bed step down intermediate care unit with a diverse patient population. Significant focus on respiratory care, heart failure, sepsis and patients with multiple comorbidities. Opportunities exist for nurses to obtain skills working with a variety of different patient diagnoses.

Neuro Trauma Care Unit

Certifications: CNRN (Certified Neuroscience Registered Nurse), RN-BC (Gero)

A 30 bed unit specializing in care of a variety of neuroscience and trauma patients both intermediate and medical surgical level of care. These include the following areas: neuromedical (stroke and neurological disorders); neurosurgical (brain, spine surgery with a Joint Commission Accredited Spine Center of Excellence); trauma and traumatic brain injury.

Emergency/Trauma/Psychiatric Services

Emergency Department

Certifications: CEN (Certified Emergency Nurse), CCRN (Critical Care Registered Nurse), SANE (Sexual Assault Nurse Examiner), RN-BC (Gero)

Salem Hospital’s Emergency Department is a 60-bed Level II Trauma Center which sees an average of 260 patients per day, making it the busiest in Oregon. The department is staffed 24/7 with board-certified ED physicians and nursing staff with certifications in ACLS, TNCC, ENPC and/or PALS, CPI and numerous competencies ensuring that we can handle the most dire situations.

Psychiatric Medical Center

Certifications: RN-BC (Psychiatric & Mental Health Nurse), RN-BC (Gero)

A 25-bed inpatient unit for care of adults with acute psychiatric illness using a blended model of care incorporating Sanctuary Model® and Trauma Informed Care. The unit includes the 6-bed Cascade Wing for the care of higher acuity or vulnerable patients. Nurses have CPI certification.

Women’s and Children’s Services

Antepartum

Certifications: RNC-OB (Inpatient Obstetric Nurse)

A 7-bed high-risk perinatal care unit which reflects our philosophy of family-centered care. Patient and family member learning is supported by our interdisciplinary service team members. We provide physical, emotional and educational support to all patients who require early hospitalization or are in need of high-risk antepartum care.

Labor and Delivery

Certifications: RNC-OB (Inpatient Obstetric Nurse)

The L & D unit is a high-risk tertiary care center with over 3,200 deliveries a year. There are 12 LDR rooms, 2 operating rooms and 3 observation beds in the department. Our philosophy of care is to provide a family-centered maternity experience where each patient’s choices are respected and valued. Staff are trained in electronic fetal monitoring and NRP.

Mother Baby/Postpartum

Certifications: IBCLC (International Board Certified Lactation Consultant), RNC-MNN (Maternal Newborn Nursing), RNC-OB (Inpatient Obstetric Nursing), NRP (Neonatal Resuscitation)

A 26-bed unit which provides care to each mother and baby couplet. Dedicated nurse support to help mothers and their family ease the transition with their newborn by offering support, guidance and education to ensure they feel ready and prepared to take their baby home when it’s time. Additional mother/baby services provided include lactation services, hearing screenings, birth certificate and paternity information, newborn photography and social services.

Neonatal Intensive Care Unit

Certifications: RNC-LRN (Low Risk Neonatal Nursing), RNC-NIC (Neonatal Intensive Care Nursing)

A highly skilled 27-bed NICU that deals primarily with premature infants and those born needing transitional support. It is a quiet, family focused atmosphere attuned to developmental aspects of caring for the premature infant. Parent support, teaching and participation in care are encouraged. Staff are NRP certified.

Pediatric Unit

Certifications: CPN (Certified Pediatric Nurse)

A 10-bed unit specializing in the care of infants, toddlers, children and young adults. Intermediate care is provided for those in need. Staff are PALS certified. A child advocacy, multidisciplinary approach enables the staff to best serve the patients and families. Patients and families benefit from the staff’s commitment to child health and wholeness.

Women’s and Children’s Resource Pool

Certifications: CPN (Certified Pediatric Nurse), RNC-LRN (Low Risk Neonatal Nursing), IBCLC (International Board Certified Lactation Consultant), RNC-MNN (Maternal Newborn Nursing), RNC-OB (Inpatient Obstetric Nursing)

Specialties include pediatrics, mother-baby and neonatal ICU. This resource pool offers the opportunity to care for neonatal and pediatric patients and their families as well as mother baby couplets.

Surgical Services

Pre-Surgical Screening

Certifications: CPAN (Certified Post Anesthesia Nurse), CAPA (Certified Ambulatory Perianesthesia Nurse), CMSRN (Certified Medical-Surgical Nurse)

This unit provides pre-surgery screening and evaluation of, and communication with, each surgery patient. Nurses also provide discharge phone calls following outpatient surgeries and procedures. Physician documents as well as lab and test results are collected for early chart preparation. Nurses and anesthesiologists telephone each patient for verbal counseling and information sharing, leading to complete pre-surgical case reviews prior to patient admittance. An RN is scheduled three days a week at Hope Orthopedic to provide face to face pre-surgical patient preparation.

Operating Rooms

Certifications: CNOR (Certified Nurse Operating Room)

Twelve operating rooms focus on major surgeries with complete physician, nursing and state-of-the-art equipment services for cardiac and open heart and endovascular surgery, urologic and general surgeries including bariatric (Center of Excellence) services, orthopedic, neuro spine and brain, and trauma surgery. Five operating rooms are dedicated to gynecology and general surgery, and ophthalmology, podiatry, pediatric oral, and ear/nose/throat (ENT). Also in this area are four rooms for endoscopy, one positive pressure room for bronchoscopies, and one room for endoscopy services with anesthesia and two general procedure rooms.

PACU

Certifications: CPAN (Certified Post Anesthesia Nurse), CAPA (Certified Ambulatory Perianesthesia Nurse) Post Anesthesia Care Unit/Stage (Phase) 1

Recovery services are provided for major surgeries, supporting safe and stable continued recovery to an inpatient room or outpatient bed.

NeuroMuscular Service Line

Rehabilitation Services

Certifications: CRRN (Certified Rehabilitation Registered Nurse)

A 24 bed unit specializing in the physical rehabilitation of individuals with both surgical and traumatic orthopedic and neurologic conditions, strokes, and a wide variety of musculoskeletal conditions that impact an individual’s functionality and independence. The unit utilizes an interdisciplinary team model lead by 2 board certified physiatrists who are located on the unit 7 days per week. Our unit boasts a beautiful therapy garden for outdoor activities and a therapy apartment, both aimed at allowing patients the opportunity to practice skills they will need for a safe return to the community.

Outpatient Areas

Imaging

Certifications: CRN (Certified Radiologic Nurse)

The Imaging Department is staffed with RNs specially trained in imaging procedures. Imaging offers some unique settings and challenges for nurses. These nurses use their critical thinking skills and broad-based knowledge of nursing care to deliver the best care possible. Imaging nurses are credentialed in conscious sedation, ACLS, PALS or ENPC certified. The professional certification is CRN (Certified Radiologic Nurse) awarded by the Association for Radiologic and Imaging Nursing. They are called on for biopsies, drain placements, joint aspirations and injections, MRI, VCUs, TEEs and monitoring of all telemetry patients in the Imaging department. They work with inpatient and outpatient populations. Their work is fast-paced and because of this, nurse-patient interactions may be single or multiple brief encounters. Imaging nurses specialty practice team functions as a multidisciplinary team that works closely with each Imaging department to deliver the best possible care.

Cath Lab

Certifications: CRN (Certified Radiologic Nurse), CVRN (Cardiac Vascular Nursing)

The Cath Lab is located in Bldg A, 2nd Floor. The department supports a patient population primarily consisting of adults (both inpatients and outpatients) with cardiovascular disease or those in need of interventional procedures that require fluoroscopy. This includes inpatients and outpatients referred by primary care physicians, cardiologists, vascular surgeons, intensivists and nephrologists. Patient needs include continuous cardiac monitoring, procedural sedation, femoral arterial access management, and often times other interventions such as intubation and/or cardioversion or defibrillation. A multi-disciplinary team including radiologic technologists, registered nurses, and support staff assist and support patients and physicians throughout the intraprocedure process. The Cath Lab treats an average of 22 patients/day in 5 procedure rooms. Hours of operation are 0630-1800 Mon-Fri with an on-call staff evenings and weekends to manage emergency cases. The On-Call team has a designated 20 minute response time from time of page until they are dressed and in the procedure room preparing to care for the designated patient.

Radial Cath Lab

Certifications: CRN (Certified Radiologic Nurse), CVRN (Cardiac Vascular Nursing)

The Radial Cath Lab is an extension of Cath Lab services, located across campus from the main Cath Lab, in Bldg C, 3rd Floor. The Radial Cath Lab is focused exclusively on the outpatient population where catheterization is suited for the radial artery approach. This department supports freely mobile adults with cardiovascular disease referred by primary care physicians and cardiologists. Patient needs include cardiac diagnosis and intervention by fluoroscopy along with continuous cardiac monitoring, procedural sedation, and occasionally other interventions. A multi-disciplinary team including radiologic technologists, registered nurses, and support staff assist and support patients and physicians throughout the pre-, intra-, and post-procedure process. Patients are recovered in this area by the IRU staff and discharged same day after their procedures. The Radial Cath Lab treats an average of 25 patients/week in 1 procedure room. Hours of operation are 06:30-16:00 Mon-Thurs. They partner with the IRU Team who preps and recovers their patients.

Interventional Recovery Unit (IRU)

Certifications: CRN (Certified Radiologic Nurse), CVRN (Cardiac Vascular Nursing)

The IRU is a sister unit to the Cath Labs. The IRU is located next to the main Cath Lab in Bldg A on the 2nd Floor next to the Prep-Recovery area and consists of 18 single patient rooms. There is also an extension of this department across campus in Bldg C conjoined with the Radial Cath Lab that allows for 5 patients. Patients come to the IRU to be prepped and then recovered from their procedure(s). Some procedures that do not require catheterization or fluoroscopy can be done in the IRU itself (Loop Recorder Insertions, Cardioversions, Trans-esophageal Echocardiogram (TEE) are just a few). The IRU also supports preps and recovers patients undergoing invasive procedures in the Radiology Department. A multi-disciplinary team including registered nurses, certified nursing assistants, pharmacy technicians, and other support staff assist patients and physicians throughout the pre-, intra-, and post-procedure process. They manage approximately 100 patients / week. Hours of operation are 05:30-21:30 Mon-Fri.

Cardiac Rehab

Certifications: PCCN (Progressive Care Certified Nursing)

Cardiac Rehab is a team of ACLS-certified RNs and exercise specialists providing inpatient and outpatient education and telemetry monitored exercise for patients following their cardiac interventions. Nurses in cardiac rehab have an opportunity to improve the health and wellbeing of patients as they recover from simple to complex cardiac diagnoses and interventions, including heart failure, MI, PCI, LVAD placement, valve repair, and CABG, along with other comorbidities such as diabetes. Cardiac Rehab holds National Certification through the AACVPR, and the RN specialty is the Cardiac Vascular Nurse Certification.

Coagulation Clinic

Certifications: CMSRN (Certified Medical-Surgical Nurse), PCCN (Progressive Care Certified Nursing), CVRN (Cardiac Vascular Nursing)

The Salem Hospital Anticoagulation Clinic manages the anticoagulation therapy for outpatients referred to the clinic by a licensed practitioner. The clinic serves more than 90 patients daily with disorders ranging from heart valve replacement, atrial fibrillation and deep-vein thrombosis, to those recovering from some types of stroke. RNs monitor patients during regular clinic visits to determine the best dose of therapy and work with patients to improve adherence to therapy and recommended clinic visits.

Salem Cancer Institute Support Services

Certifications: OCN (Oncology Certified Nurse), Certified Breast Care Nurse (CBCN)

The Salem Cancer Institute Support Services team includes oncology certified nurse navigators, social workers, and dietitians providing resources and support in an outpatient setting for patients and families from point of concern throughout treatment. Nurse navigators help patients and families: identify needs, assist with problem solving, understand diagnosis and treatment options, learn what to expect from treatment, manage symptoms and side effects, navigate appointments, understand medications, find community support services, and facilitate communication between clinicians to assure continuity of care.

Clinical Research

Certifications: OCN (Oncology Certified Nurse)

The Salem Health Clinical Research department has a variety of treatment and quality-of-life protocols available in partnership with our medical and radiation oncology providers. We have an average of 12 to 16 active trials available. We also have an affiliation with Southwest Oncology Group (SWOG) through our affiliation with OHSU that provides greater access to clinical trials and brings cutting-edge research to our community.

Radiation Oncology

Certifications: OCN (Oncology Certified Nurse)

Salem Health has provided Radiation Oncology services for over 35 years. Our department is committed to offering the latest technology with the Trilogy Rapid Arc, TrueBeam stereotactic radiosurgery, Calypso, and the Varian Real-time Position Management system. We also have a dedicated treatment space for high dose rate brachytherapy. Our team includes physicians, nurses, medical assistants, therapists, dosimetrists, physicists, and support staff caring for an average of 75 patients each day.

Gynecologic Oncology

Certifications: OCN (Oncology Certified Nurse)

Gynecologic Oncology is a joint program between Salem Health and OHSU with OHSU surgeon specialists seeing patients in clinic and performing surgery weekly in Salem. This means patients and their families can stay close to home for this specialty care. Comprehensive services include oncology certified nurses and providers, care coordination by a dedicated gyn/onc nurse, access to clinical trial networks, direct collaboration with Salem Cancer Institute support services, dedicated survivorship clinic, gynecologic cancer support group, and a community cervical cancer screening. The department sees nearly 200 patients each year.

Infusion and Wound Care

Certifications: CWCN (Certified Wound Care Nurse), COCN (Certified Ostomy Care Nurse), CRNI (Certified Registered Nurse Infusion)

The Infusion and Wound Care Clinic is an RN-led interdisciplinary team providing physician directed care to outpatients. The patient population includes those with multiple diagnoses, infections, cancer, blood disorders and wound care not requiring admission to the hospital. Nurses also provide care for implanted intrathecal pumps. Patients are referred from primary physicians, surgeons, medical oncologists, pediatric physicians, ENT physicians, GI physicians, vascular surgeons, cardiologists, to name a few. We provide support to inpatient areas for implanted intrathecal pumps. All direct care staff are BLS-certified with two ACLS-certified RNs. Of the 23 direct care nurses, 12 are nationally certified. This clinic consists of six private wound care treatment rooms, eight private infusion treatment rooms, one outpatient ostomy room, and nine open room non-private treatment chairs. Census runs 65-to-100 patients per day.