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Discussion

Do you agree with me?

If you were to take a Pediatric Acute Care Hospital and divide up the units would they be something like this; General: medical units and surgical units, Critical Care Units: PICU, NICU, PIMU and ER, and finally Specialty Care Units: renal units, hemo/onc/bmt units, and orthopedics/rehab. units...... Do you agree with me or do you think it would be divide up differently?

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I have worked in an acute peds hospital that was divided up by age on general floors with specialty units as you described, it worked well that way.

I'd do it your way- according to specialties. I once worked breifly at a hospital where the floors were divided up by age. Know what happeded? The CV surgeons kept the kids in the PICU until the went home because they felt the floor nurses were not "experienced" enough, the Neurosurgons did the same thing, as did the orthos. They never had any PICU beds because floor kids were occupying them and the floor nurses never got a chance to get that "experience" that they were worried about. What a mess!

When I was director of Emergency and Pediatric Services at Ben Taub in Houston, we were divided up as Pedi ED, general pediatrics, pediatric intermediate care and pedi ICU.

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