Clinical Specialties at BIDMC

• Ambulatory practices encompass close to 70 locations, representing more than 35 medical-surgical specialties employing over 2,300 staff.
• In addition to the main BIDMC hospital campus in Boston, multi-specialty ambulatory care centers are located in Dorchester (Bowdoin Street), Chelsea, Chestnut Hill, Lexington and Needham. 
• Ambulatory Nurses at BIDMC are part of a multidisciplinary team that delivers extraordinary care by focusing on improving the health of our patient population, while nurturing the patient and family experience.

• Exceptional patient-centered care from a highly skilled multidisciplinary team that collaborates across roles and divisions
• Legacy of leadership and innovation, with commitment to engaging front-line staff in continuous improvement initiatives
• Over 100 inpatient beds devoted to advanced cardiovascular care including intermediate level of care beds
• Specializing in the care of the patient requiring advanced therapies including:
• Complex cardiac surgery, including Ventricular Assist Devices
• Leading center for transcatheter valve repair
• Endovascular and open repair of aneurysms and other aortic conditions
• Lower extremity bypass
• Advanced heart failure management requiring tailored therapy
• Complex arrhythmia management
• Post-procedure care following stents, devices and ablations
• Cardiac Direct Access unit (CDAc) for same day/urgent evaluation of ambulatory patients presenting with cardiac symptoms that are not life-threatening, with access to diagnostic testing, six bed observation area and diuretic infusion capability

• Learn more about the Cardiovascular Institute

Case Management at BIDMC is an interactive, collaborative process centered on the patient, family and primary care team promoting effective, fiscally responsible, high-quality care from pre-admission and the emergency department to post-acute providers in the community. Nurse case managers match the most clinically appropriate plan of care to the patient's and family's identified needs and resources. We strive to provide the right care in the right place at the right time.

• 7 adult Critical Care Units, 77 beds in total
• Cardiac / Vascular Surgery
• Coronary Care: State-of-Art Cath and EP Labs
• Trauma: Level I accredited; Thoracic Surgery
• Surgical: Transplant / General Surgery
• Neurosciences: Endovascular, Stroke, Epilepsy, Brain Tumor, and General Neurology
• Medical: Progressive Pulmonary Program
• Medical/Surgical: includes Obstetrics and Hematology/Oncology

The Berenson Emergency Department at BIDMC is designed to meet the needs of a high volume of acutely ill or injured patients. It provides comprehensive care for patients having acute cardiovascular events and is a Level I Trauma Center. Our staff treat nearly 55,000 patients annually in a state-of-the-art facility designed to meet the needs of a high-volume of acutely ill or injured patients.

Emergency nurses are part of a multidisciplinary team consisting of physicians, technologists, social workers, case managers, and ancillary personnel who work collaboratively to achieve optimal outcomes and patient-centered care.

Nurses in the Harvard Catalyst Clinical Research Center (CRC) at BIDMC practice within the collaborative practice model used by all nurses at BIDMC. CRC nurses manage the nursing care of research subjects while implementing research study protocols and coordinating services throughout each patient's hospitalization. The CRC nurses offer expertise in a wide variety of clinical disciplines.

The Hemodialysis Unit provides care for inpatients with acute and chronic renal failure. The HD unit provides daily and on-call services as needed for the hospitalized patient. All treatments are provided by specially trained hemodialysis RNs.

• The Venous Access Team consists of skilled professional nurses, including five vascular access board certified nurses, who provide 24-hr assistance to the nursing staff for their patients requiring IV therapy.
• Our team also includes two PEVA RNs who consult with nursing and hospital staff to ensure appropriate vascular access.
• We place peripheral IVs, midline catheters and PICCs and consult with the medical and surgical teams regarding all vascular access devices.
• We provide support for IV care in all diagnostic areas across two campuses.
• All members of the team are available for continuing education, vascular access assessments and troubleshooting.

We have a wide range of clinical departments. We're celebrated for our excellence in the care of medical and surgical patient in the following specialty areas: general surgical, general medical, cardiovascular, thoracic, gastrointestinal, solid organ transplant, vascular, neurosciences, AIDS, colorectal, oncology, orthopedics and diabetes.

• The Klarman Family NICU at BIDMC is a 47 bed unit comprised of 16 critical care (Level 3) beds and 31 special care (level 2) beds. The 16 critical care beds provide care for premature infants as well as unstable infants with a wide variety of complex medical conditions. The special care beds provide options for short stay patients as well as a supportive atmosphere for discharge planning.
• The NICU utilizes a family-centered care model designed to maintain the physiologic stability of the infant while providing an environment supportive of the needs of the whole family.
• A collaborative care delivery method is used that considers parents and family an integral part of their infant's life. A multidisciplinary team works collectively to ensure the best possible outcomes for each infant and family, while providing individualized, developmentally-supportive care to support the infant's optimal development.

• High-acuity unit with neurology and neurosurgery patients
• 14 bed Neuroscience Intermediate Care Unit
• 8 Bed Neuroscience Intensive Care Unit
• Epilepsy monitoring unit
• Inpatient care for patients from the BIDMC Brain Tumor Program
• Care for patients with brain aneurysms, stroke and neurovascular disorders
• Care for patients with multiple sclerosis and demyelinating disorders

• Nursing Informatics at BIDMC is a team of nurses who participate in the strategy, design, and implementation of Clinical Systems, advanced technology, and innovation at BIDMC to facilitate the integration of technology that supports patient outcomes and clinical decision-making.
• Nursing Informatics collaborates with key stakeholders to ensure that cohesive interoperable systems and standards support the Medical Center's safety, quality, and regulatory goals and improve communication

• Antepartum, Labor and Delivery and Postpartum Units
• Approximately 5,000 deliveries per year
• Supported by a full-time obstetrical anesthesia service, dedicated ultrasound, central electronic fetal monitoring, blood gas laboratory and full blood bank services
• Providing tertiary maternal, fetal and newborn care. Approximately 40 percent of the obstetrical patients at BIDMC have special risk factors or are transferred on an emergency basis from surrounding community hospitals
• Actively support participation in AWHONN

• Focused on expert, compassionate, patient- and family-centered care
• A global, nationally recognized clinical leader in biological and immunotherapy research
• Providing excellence in evidence-based clinical care
• Fifth largest independent hospital in NIH funding
• Providing the full spectrum of multidisciplinary oncology care for patients in all phases of treatment
• Support for professional development through involvement with ONS (Oncology Nursing Society)
• Learn more about the Cancer Center at BIDMC

• The perioperative nursing staff provides patient-focused care to the surgical patient population, including cardiothoracic, vascular, orthopedics, neurosurgery, transplant, general surgery, trauma, ENT, GYN, podiatry, ophthalmology and urology patients on two campuses.
• A multidisciplinary team consisting of RNs, surgical technologists and ancillary personnel working collaboratively with the surgical and anesthesia teams provides perioperative patient care.
• The scope of nursing practice in the perioperative area includes preoperative assessment and planning, intraoperative intervention, post-operative assessment and intervention, discharge planning and documentation to ensure the delivery of safe, outcome oriented care.
• Practice is developed, implemented, and reviewed by the Perioperative Practice and Performance Improvement Committee. Membership includes perioperative leaders and staff.
• Continuing education programs are designed to reflect and meet the developmental needs of staff. 
• Staff development opportunities include the Perioperative Program for clinical nurses, with and without perioperative experience. Through this program, perioperative clinical experts provide didactic and clinical orientation and ongoing education.
• Clinical advancement opportunities are available for nurses and surgical technicians.
• State of the art Shapiro Ambulatory Surgical Center.
• Our participation in and support for the local Boston AORN chapter is strong.

The Acute Psychiatric Inpatient Unit utilizes a multidisciplinary model to care for patients with major mental illness, including those with:

• A first onset of symptoms
• A recent exacerbation of symptoms
• Medical comorbidity who are in need of intensive psychiatric treatment but not in need of medical admission

We work with our patients to help them achieve a healthier and more stable future using individual, milieu, and group treatments, as well as intensive family intervention and comprehensive discharge planning.

• Specializing in the care of kidney, liver, and pancreas transplant
• Living donor program
• Patient population highly acute and often chronically ill as common diagnoses include end-stage liver and end-stage renal disease.
  
  
• Learn more about the Transplant Institute at BIDMC

Beth Israel Deaconess Medical Center is an American College of Surgeons verified Level I Trauma Center, offering every trauma care specialty with the exception of pediatrics and burns.

• The Wound Ostomy Continence Nurses (WOCN) at BIDMC are certified through a nationally accredited board (WOCNCB) to provide evidence-based, state-of-the-art care for inpatients and outpatients with complex wounds, ostomies or continence concerns.
• They provide in-depth, pre-operative education and stoma marking for patients planning ostomy surgery, and they continue to support and teach these patients post-operatively and upon discharge.
• They educate staff and patients in pressure injury prevention and participate in quarterly pressure injury surveys.
• They facilitate a monthly "Ostomy Support Group" with the Social Work Department to provide ongoing support for the ostomy patient.