Procedural Areas

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Procedural Areas/Services

Nurses practicing within the Procedural Services specialty at the University of Michigan Health System are well-rounded, versatile professionals, with a wealth of experience and proficiency across a wide spectrum of clinical areas.

Join the talented nursing professionals who embody The Michigan Difference, and exhibit excellence within numerous areas of Procedural Nursing, including our:

Acute Pain Service
APS is a consulting service that encompasses a multidisciplinary approach with a collaboratively managed patient care focus. The team involves physicians and nurses, complemented by other support services, including Pharmacy and the Gifts of Art program with their bedside music therapists. Our patients range in age from15 through those in their 90’s, and most commonly includes those with acute surgical pain, chronic pain, and cancer pain. These patients have PCA’s, epidurals, nerve blocks, implanted intrathecal pumps, spinal cord stimulators, transdermal pain medications, and PO and IV pain medications.

Philosophy of Care
We believe that Acute Pain Service Nurses have an obligation to provide the best quality care for every client, to meet the needs of each individual client as a whole, and to make the inpatient experience as comfortable and non-traumatic as possible. In the process, we continually strive to maintain the highest level of professionalism with a strong emphasis on education and training. In keeping with the Mission of our institution, we seek to “preserve and refine knowledge already acquired as well as the production, dissemination, and utilization of knowledge”.

Our Nursing Team
A multidisciplinary team approach is the nursing care delivery system utilized. APS nurses provide a full range of pain management services to patients and families, including assessment ,education, emotional support, patient/family advocacy, treatment interventions, as well as coordination and collaboration with the patient’s entire health care team. The plan of care is developed based upon assessment data and APS policies/standards.

Cardiac Procedures Unit (CPU)
Comprised of four specialty areas, including Cardiac Catheterization Lab, Electrophysiology Lab, ECHO lab, and EKG. Each of these areas provides either cardiac diagnostic testing or cardiac intervention for adult and geriatric patients. The Cardiac Procedures Unit staff preps, monitors and manages patients during their cardiac test or procedure and recovers the patient after their test or procedure.

Procedures Performed
Approximately 2,500 diagnostic cardiac catheterizations, 600 interventional cath lab procedures and 1,600 electrophysiology patient cases are handled annually.
In the operating suite there are additional echocardiographic units for intraoperative evaluation of left ventricular function and valve repair studies. Echocardiography activity information for UMHS was approximately 1,300 2D ECHO’s, 1,600 TEE’s, and 4,850 Stress procedures performed.

Diagnostic and Interventional Radiology
Every day we strive to deliver the right care, at the right time, in a way that leverages our expertise and demonstrates our patient-centered philosophy. We perform more than 500,000 examinations annually, provide imaging services at numerous hospitals and clinics in Ann Arbor and surrounding areas, administer image-guided interventions at University Hospital and the U-M Cardiovascular Center, and offer services at the VA Ann Arbor Healthcare System. Our researchers want to advance the field of radiology. That’s why their investigations are designed to discover new information about health, disease pathophysiology, diagnosis, treatment, teaching methods and efficient health care delivery. When it comes to imaging services and radiology research and education, the University of Michigan is home to the Leaders and Best.

Extracorporeal Life Support (ECLS)
Works in conjunction with the Surgical, Thoracic, Pediatric and Neonatal Intensive Care staff as well as the Divisions of Pediatric, Thoracic and General Surgery and the in the care of adult patients. Under the direction of Drs. Jonathan Haft (Director) and Gail Annich (Co-Director), the University of Michigan Extracorporeal Life Support (ECLS) Program is a comprehensive care team consisting of 21 specialists, a manager, an administrative assistant and an equipment technician.

Approximately 90-130 patients undergo extracorporeal life support at the University of Michigan per year. Adult patients undergoing ECLS are cared for in both the Surgical and Thoracic Intensive Care Units. Pediatric and Neonatal patients are cared for in the Pediatric, Pediatric Cardio-Thoracic, and Brandon Neonatal Intensive Care Units respectively, all located within C.S. Mott Children’s Hospital.

A number of research projects are also ongoing within the University of Michigan Cardiopulmonary Physiology and Extracorporeal Circulation Research Laboratory, and include projects such as thrombogenicity in extracorporeal circulation, perfluorocarbon liquid ventilation, implantable prosthetic lung devices, pulmonary fibrosis in acute lung injury, and the development and evaluation of devices and techniques for prolonged extracorporeal circulation.

Medical Procedures Unit (MPU)
Opened in 1991, the Medical Procedures Unit provides a wide array of services, including Gastrointestinal Endoscopy, Pediatric Gastrointestinal Endoscopy, Adult Pulmonary Bronchoscopy, Transtracheal Oxygen Therapy and Cardiac Biopsy.

For more information, check out the Medical Procedures Area website at

Pediatric Continuous Renal Replacement Therapies (CRRT)
A program dedicated to providing renal replacement therapy to pediatric patients with acute kidney injury ranging in age from neonates to young adults. Pediatric CRRT leverages a multidisciplinary team approach to quality patient care, which includes dietitians, pharmacists, respiratory therapists, nurses, and physicians. Together, our comprehensive team provides critical care for a wide variety of diagnoses including liver disease, congenital heart disease, sepsis, respiratory failure, bone marrow transplant, other oncological diseases, and inborn errors of metabolism that require CRRT. In addition, faculty members are actively involved in high-quality research aimed at improving treatments as well as prevention of potential complications related to kidney injury.

Specialized Workforce for Acute Transport (SWAT)
The SWAT team consists of critical care RNs and Paramedics who work together to provide skilled transports from patient care units to procedural areas. SWAT also provides procedural sedation for painful/stressful procedures. The SWAT team services all inpatient units including those in C.S. Mott Children’s, Von Voigtlander Woman’s Hospital, University Hospital (UH), and the Cardiovascular Center. SWAT also provides support to patients in the Emergency Department (UH) to procedure areas who require sedation.

SWAT team personnel provide continuation of expert bedside care while the patient is travelling to various tests and procedures throughout the health system. Patients cared for range in age from premature infants to geriatrics. Patient populations are diverse as well, ranging from the multisystem trauma patient, critically ill/injured medical/surgical patients, ED patients, telemetry patients as well as patients with ventricular assist devices. The SWAT Team is also available to assist with procedural sedation for urgent or pre-scheduled procedures. Our priority is to enhance the patient/family experience by helping to coordinate procedural sedations and complete transports safely and in an efficient manner.

Vascular Access Service Team (VAST)
Provides “Right Line – Right Time” nursing service, in conjunction with the University of Michigan Health System’s overall patient and family first philosophy. The Vascular Access Service Team (VAST) mission is guided by and accomplished through putting our values in action, and by demonstrating our commitment to quality patient care every day, becoming true partners in care with those we serve.

  • Our values and priorities include:
  • Protecting patient’s welfare by providing 24/7 appropriate IV service
  • Improving patient satisfaction and comfort by keeping patient care/procedure at the bedside
  • Recognizing the importance of and consistently applying the “Right Line-Right Time” paradigm
  • Using the latest technology to be efficient and cost-effective
  • Communicating collaboratively via the website for all patient requests
  • Applying clinical education and technological advances to promote the highest standard of patient care

Wound/Ostomy Team
Serves as a resource and consultant to patients, families, nursing and medical staff, specializing in Wound and Ostomy care for both pediatric and adult populations. The Wound/Ostomy nursing team provides care/recommendation via consults focusing on Wound/Ostomy patients needs at UMHS. Clinicians work collaboratively with nursing and physician teams to assess, plan, implement and educate patients/families/staff regarding the nursing care of the patients with ostomies, vascular wounds, diabetic ulcers, acute and chronic pressure ulcers, surgical wounds, fistulas, dermal wounds, and skin breakdown due to urinary or fecal incontinence.

In addition, they serve as clinical experts in institutional initiatives to optimize Wound and Ostomy care, prevent pressure ulcers, and offer presentations/educational lectures to staff.