Surgical Services

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Surgical Services

Within the Surgical Services area, nurses at the University of Michigan Health System specialize in providing quality, compassionate care to patients – before, during and after surgical procedures. Surgical Services nurses also serve as patient/family advocates and educators. Because of the diverse array of clinical environments and situations involved, the registered nurses practicing in Surgical Services are required to be proficient with a wide variety of surgical techniques, medical technology and emergency procedures.

Join the talented nursing professionals who embody The Michigan Difference in numerous areas of Surgical Services nursing, including:

Cardiovascular Center Operating Room
This state-of-the-art facility accommodates surgical and intensive care level procedures, with surgical nurses assisting in operations and endovascular procedures.

Each of the eight operating rooms and two endovascular procedure rooms is equipped with the latest technology, much of it suspended from the ceiling on movable “booms” that can swing into place as needed. At 700 square feet, each room has enough space to accommodate today’s most advanced medical technology.

In these rooms, everything from aneurysm grafting, heart-valve repair, heart bypass surgery to carotid artery procedures, heart transplants and lung operations will take place.

One of the endovascular rooms has a 64-slice CT scanner, so that a high-resolution image of the heart or blood vessels can be produced right in the procedure room — saving time in urgent situations such as ruptured aneurysms. This scanner complements several CT machines, MRI machines, PET scanners, and other tools in University Hospital.

Cardiovascular Center Post Anesthesia Care Unit
After their operations or procedures, many patients will be wheeled into one of the 20 bays of the Post-Anesthesia Care Unit (PACU), where specially trained nurses carefully monitor their condition.

From the PACU, most surgical patients will be admitted to the 24-bed Cardiovascular ICU, right down the hall. There, they’ll receive attentive care in specially configured private rooms that have a central column for medical gases, electric outlets and monitoring equipment – allowing nurses better access to the patient from any angle.

Certified Registered Nurse Anesthetists
Registered nurses who have advanced education in the administration of anesthesia, providing anesthesia and anesthesia-related care, to facilitate diagnostic, therapeutic or surgical procedures to all patients regardless of age under the medical direction of an Anesthesiologist.

UMHS Certified Registered Nurse Anesthetists (CRNAs) develop the Anesthesia Care Plan together with Anesthesiologists, and prepare preoperative assessments including health histories and physical examinations. CRNAs initiate and maintain appropriate perioperative anesthesia care.

East Ann Arbor Ambulatory Surgery and Medical Procedures Center
Focused on serving patients seeking outpatient surgery and endoscopy procedures, the Center is staffed with U-M’s finest nurses, and patients receive the same excellent care that is offered throughout the University of Michigan Health System.

The center offers four rooms for endoscopy procedures, and six fully-equipped surgery suites, totaling 49,000 square feet of state-of-the-art medical facilities. All six operating rooms are equipped for minimally invasive surgery, where arthroscopic and laparoscopic devices are employed to create smaller incisions, resulting in faster recovery.

Mott Post-Anesthesia Recovery Room (PACU)
Is responsible for pre- and post-anesthesia and procedural care of pediatric (newborn – adult) patients undergoing specific procedures scheduled through Mott Anesthesiology.

The PACU has a total of 76 bays which are staffed by RN’s, LPN’s, and MA’s. This staff cares for patients throughout the perioperative process.

The patient population consists of neonates through adults undergoing diagnostic or major/minor surgical procedures. Approximately 60% of the patients are outpatient, 24% are admission day procedures, and 16% are inpatients.

We use a modified case management approach to care that provides coordination and continuity from the first point of patient contact with preoperative education, through postoperative follow-up via telephone.

Patient care in PACU is family-centered and developmentally founded. Parents are incorporated into all aspects of perioperative care, and postoperatively as early as deemed possible by the PACU nurse. Patient and family education and information are provided at appropriate levels of understanding.

Mott Operating Room
A full-service pediatric OR unit, featuring 16 operating rooms, 2 interventional radiology rooms including robotic surgery capabilities and an intraoperative MRI OR, where nurses care for children of all ages undergoing surgical procedures on an outpatient and inpatient basis.

The Mott OR practices under the guidelines of the American Association of Operating Room Nurses (AORN), and is recognized by The American College of Surgeons, qualifying our OR unit as one of 13 Level I Pediatric Trauma Centers in the country.

We provide comprehensive pediatric perioperative care, be it outpatient, admission post-procedure, planned in-patient or trauma – performing more than 10,000 surgical procedures each year.

The OR patient population consists of neonates through adults undergoing diagnostic or major/minor surgical procedures in areas as varied as Otolaryngology, Neurosurgery, Cardiovascular, Orthopedics, Urology, Ophthalmology, General Surgery, Dental, Plastics and Transplants.

We endeavor to deliver the highest standard of nursing care to patients and families in the perioperative setting, in keeping with UMHS’ Vision Statement of “Patients and Families First.” We strive to enhance the educational enrichment of our surgical team to promote retention and individual growth while maintaining an environment that values diversity, respect, honesty, fairness and compassion for all team members.

UM Main Operating Room
A unit consisting of 27 procedure rooms serving (primarily) adult patients requiring surgical interventions for all services, with the exception of Ophthalmology. Occasionally, non-adult clients are admitted to the unit.

We believe that Operating Room Nurses have an obligation to provide the best quality care for every patient, to meet the needs of each individual as a whole, and to alleviate as much stress and trauma from the OR experience as possible for the patient and their family.

In the process, we continually strive to maintain the highest level of professionalism, with a strong emphasis on nurse education and training.

In addition to our adherence to the UMHS Mission, we also seek to “preserve and refine knowledge already acquired, as well as empower the production, dissemination, and utilization of new knowledge.”

Within the OR Unit, a multidisciplinary team approach is the nursing care delivery system utilized; as well as a form of primary nursing.

UM Main Post-Anesthesia Care Unit (PACU)
Provides care (primarily) to adult patients who have received general, regional or monitored anesthetic and pharmacologic support (MAPS). Pediatric surgical and other post-procedure adult patients may also be accommodated in the unit.

Our goals within PACU are to provide patients with emotional and physical support during the perianesthesia period; anticipate potential preoperative and postoperative problems through nursing intervention; deliver intensive nursing care for optimal continuity of care; provide staff coverage with a mix of registered professional nurses and unlicensed assistive personnel for an unpredictable patient census; and provide quality-nursing care through orientation and continuing education programs.

The various divisions within PACU at UMHS provide intensive nursing care and acute observation for patients in all phases of perianesthesia care. These areas include:

PACU Phase I is a 28-bay unit with an open room setup that provides more than one vantage point for visualizing patients. Phase I recovery of the patients occurs in the PACU. Patients are stabilized and meet discharge criteria before transfer. One isolation room has also been designated for patients, as described in the Isolation Precautions policies of the Hospital.

PACU Phase II is a 9-bay unit that admits outpatients postoperatively. Outpatients are recovered and prepared for discharge from the facility, after receiving postoperative discharge instructions. Outpatient surgery follow-up includes instructions to call with questions or concerns, return appointments as requested, and a courtesy telephone call by the nursing staff.

Preoperative Holding is a 17-bay unit where patients receive preoperative care. There are 17 fully monitored bays for patients requiring invasive line placement or regional anesthesia before transfer to the Operating Rooms.

W.K. Kellogg Eye Center
The new and expanded Kellogg Eye Center at the University of Michigan opened in April, 2012, as the premiere eye center in the country.

We not only see adults and children for routine examinations, we also have experts who can diagnose and manage simple – and complex – vision problems that, if left untreated, can have a devastating effect on a person’s ability to see clearly.

As we have since our founding in 1872, we continue to offer patients in Michigan and across the country, the latest and most effective treatments for all eye conditions and diseases.

At our primary location, on Wall Street in Ann Arbor, we have a comprehensive ophthalmology clinic and seven subspecialty clinics. Most of our neighborhood clinics offer subspecialty services, as well. Please see the descriptions of the clinics in your community to find out which subspecialty experts are on staff.

At Wall Street, you will also find an Optical Shop, a Low Vision Clinic, and a Contact Lens Clinic that can fit and dispense both cosmetic and therapeutic contact lenses for children and adults. Our refractive surgery service offers LASIK, and a full range of other refractive procedures.

At the Wall Street location, we have experts in these areas, to see patients from across town and across the country:

  • Comprehensive Ophthalmology
  • Contact Lens Fitting and Dispensing
  • Cornea, Cataract and Refractive Surgery
  • Emergency Eye Care
  • Eye Plastic and Orbital Surgery
  • Facial Cosmetic Surgery
  • Glaucoma and Cataract
  • LASIK
  • Low Vision and Visual Rehabilitation
  • Neuro-Ophthalmology
  • Orbital and Ocular Oncology
  • Pediatric Ophthalmology and Adult Strabismus
  • Retina, Uveitis, and Ocular Oncology
  • Thyroid Eye Disease Clinic

Please visit the Kellogg Eye Center website for more information about services provided at the Wall Street location.

Other Kellogg Eye Center locations: