Apheresis (M2)
The Apheresis unit consists of 9 beds, three of which are private rooms, and 6 treatment chairs. Services provided by the Apheresis unit include acute and chronic apheresis procedures, outpatient therapeutic phlebotomies/manual exchange transfusion, outpatient blood transfusions, immunoglobulin replacement, antibiotic infusion, monoclonal B infusion, research drug infusion, chemotherapy administration, and hydration. We serve both the pediatric and adult patient population.

Pediatrics (C7)
The General Pediatric Inpatient Service provides comprehensive, specialized care for hospitalized pediatric patients requiring Medical/Surgical Services ages 0-21.
C7 Pediatrics consists of (18) beds, (2) private and (8) semi-private rooms, Inclusive of (4) monitored beds.

Cardiac Catherization Lab
The Cardiac Catherization laboratory consists of three (3) laboratories and one shared holding area. The Cardiac Catheterization laboratories perform diagnostic and therapeutic procedures for the adult and pediatric patients under the supervision of qualified Medical, Nursing, Technical, and other health care personnel.

• Arteriosclerotic Heart Disease
• Vascular Disease
• Peripheral Vascular Disease
• Congenital Heart Disease
  

Electrophysiology (EP) Lab
The Cardiac EP Laboratory consists of (2) laboratories and one shared holding area. Adult and pediatric patients of all ages are cared for. The major conditions/most frequent diagnoses treated include:

• Tachy and Brady Arrhythmias
• Diagnosis of SVT, VT, Sudden Death/VE, A fib, A flutter, cardiomyopathy

Typical services, treatments, procedures, and activities performed are EP studies, RF Ablation, pacemaker, defibrillator/loop recorder, implants, cardioversions and endomyocardial biopsies.

 
Coronary Care Unit (CCU) D2E
The CCU is an (18) bed critical care unit. The unit consists of (12) acute beds and six “swing beds” with each room having invasive monitoring capabilities.

The patient population consists of adult patients with an approximate age group sixteen and older experiencing actual or potential life threatening cardiac dysfunction. One of the services provided by credentialed RPN’s in this unit is continuous EKG monitoring for potential life-threatening dysrhythmias and the implementation of emergency measures in the absence of a physician according to the American Heart Association’s Advanced Cardiac Life Support (AHA-ACLS) Guidelines.

The plan of care is based on standards of care, clinical pathways and practice guidelines as identified by AMC Practice Council, protocols and standards as established by the American Association of Critical Care Nurses (AACN). The RPN coordinates the care of these patients in collaboration with but not limited to: physicians, a Clinical Nurse Specialist, social worker, case managers, pastoral care, dieticians, physical, recreational and occupational therapists.

Center for Cancer and Blood Disorders (D4E)
The Center for Cancer and Blood Disorders is a 27 bed unit: it consists of 9 semi-private and 9 private rooms. The population of this unit is from young adult (18 years) to geriatric (100 years). Care is provided as inpatient care. Observation patients are also accommodated on the unit.

Primary diagnoses of the unit include various cancer diagnoses. These include, but not limited to, breast, lung, bladder, gastric and head and neck. Other diagnosis includes; leukemia, lymphoma, sickle cell, mitochondrial disease and various blood disorders. Gyn and Oncology patients are also cared for post-operatively. The unit also provides care to general medicine and surgical patients. The population consists of both acute and chronically ill patients.

Treatments modalities include, but are not limited to IV therapy, antibiotic therapy, blood and blood products transfusion. Chemotherapy, monoclonal antibodies and radiation therapy is also provided. Patients’ needs encompass bone marrow biopsy, sterile dressings, tube feeding, numerous drains and occasionally some orthopedic devices such as traction and CPM (continuous passive motion) machines.

 
Cardio Pulmonary Services (CPS) D2N
The Cardio-Pulmonary Surgical Unit (CPS) at Albany Medical Center is a 10-bed intensive care unit. The patient population is adult/older adult (age 18 and older). Most patients are between 40-90 years old. The unit is designed to provide post-operative cardiac, thoracic and vascular surgery adult patients with continuous comprehensive specialized medical and nursing care.

CPS is designed to provide immediate post-operative care to patients recovering from major cardiac surgery, as well as thoracic and vascular surgery. The CPS patients’ needs encompass comprehensive physical assessment, monitoring and treatment of laboratory values, ventilator management, hemodynamic monitoring (including arterial and PA catheters), titration of vasoactive and inotropic drug infusions, interpretation and treatment of cardiac rhythms, management of external pacemakers, continuous renal replacement therapy, therapeutic hypothermia, intra-aortic balloon pumps, and ventricular assist devices.

 
Digestive Disease Center
The Digestive Disease Center (DDC) is composed of (6) procedure rooms, (5) pre-procedural bays, (6) acute recovery bays, and (6) step-down recovery bays. Within (2) of the procedure rooms, we have the capability for fluoroscopy and negative pressure accommodation.

The DDC provides care for all patients requiring services from newborn to geriatric ages. The only exception to this support would be patients requiring critical care, i.e. ICU pts. Those patients’ procedures would be done at the bedside or in the Operating Room. Typical patient populations that require endoscopic support are limited to the specialties of Adult & Pediatric Gastroenterology, General Medicine, Pulmonary Medicine, General & Bariatric Surgery, and Cardiology.

The most common conditions that are cared for in the Endoscopy Unit are:

• Gastroespohageal Reflux Disease (GERD)
• Ulcerative Colitis (UC)
• Crohn’s Disease
• Pancreatic and Gall Bladder Disorders
• Colorectal Cancers (and screening)
• Cardiac or Pulmonary Conditions

Procedures performed in the DDC include: EGD, Colonoscopy, ERCP, EUS, TEE, Bronchoscopy, Feeding Tube placement/ Revision.

 
Emergency Department
The ED is a level 1 Trauma Center and serves as a regional referral center for a wide variety of patients requiring acute care. Patients of all ages are seen 24 hours/day, 7 days/week.

There are a total of (45) rooms in the ED, which includes (5) barco-lounger spaces for lower acuity patients. The Emergency Department is divided into four major zones.

• Zone A- Major trauma and critical care
• Zone B- Resuscitation and minor care
• Zone C- Pediatrics
• Zone D- Acute care

There are two distinct waiting areas, one for pediatric patients and their families, and the other for all other visitors. There are seven negative flow rooms, one of which is also an isolation room. Clinical and clerical workstations, nutrition areas, and supply and pharmaceutical dispensing machines are centrally located in each zone. A dedicated radiology suite, including CT, a DECON suite with a separate entrance, and a satellite lab are also situated in the Emergency Department.

Each ambulatory patient is initially evaluated at the triage are patients arriving via EMS are directed to the appropriate patient care room by the charge nurse. Acute psychiatric services are referred to the Psychiatric Crisis Unit at the Capital District
Psychiatric Center. Acute burn patients may be transferred to a burn center after stabilization.

 
Epilepsy Monitoring Unit
The Epilepsy Monitoring Unit (EMU) is an inpatient unit designed to provide comprehensive services to a specialized group of adult and pediatric patients with seizures who require complex monitoring diagnostic procedures. Patients in this program will have continuous video electroencephalogram (EEG) monitoring in conjunction with other studies such as physiological monitoring, anticonvulsant pharmacological studies, and neuropsychological testing. The goal of the Epilepsy Monitoring Unit is to ensure that patients receive comprehensive seizure evaluations and optimal seizure treatment and management with maximum safety. Patients are admitted from home and are on the Neurology Service during their stay in the EMU.

 
Medical-Surgical Unit (E3)
The unit consists of 26 beds, operating at 20 with the capacity for 6 semi-private rooms (12 beds) with capacity to go to 14, 6 private rooms, with capacity to go to 8 beds, and a 2 bed multi-patient room with capacity to go to 4 beds.

The patient population served includes acute and chronically ill patients with a variety of medical/surgical diagnosis. The age of the patients served ranges between 18 years of age and older with the majority of patients between 45 and 85.

The primary disease focus includes but is not limited to patients with gastrointestinal, infectious processes, metabolic disorders, and general medical & surgical diagnoses including but not limited to hematologic disorders, infectious disease processes, psychiatric diagnoses, orthopaedics, poly-substance abuse, acute and chronic pain management, short stay/uncomplicated surgical cases, end-stage organ failure and end of life therapies and management.

 
General Ortho (C5)
The C5 team members care for adult and geriatric patients having orthopedic or plastic surgery, including patients requiring flaps/free flaps and skin grafts. In addition they care for patients with wound infections, surgical or non-surgical, and with spine pathology and spinal cord injuries.

 
General Pediatrics (D7N)
The General Pediatric Inpatient Service provides comprehensive, specialized care for hospitalized pediatric patients requiring Medical/Surgical Services ages 0-21. The unit consists of 26 beds with 1 exam/treatment room, 4 private and 11 semi-private rooms. There is 1 negative/positive room and 3 other positive pressure only rooms.

 
General Surgery – Short Stay (C2)
The General Surgery and Short Stay Unit consists of 22 beds with 8 private rooms, 7 semi-private rooms and 1 exam room. The patient population served includes male and female surgical patients with a diagnosis requiring surgical intervention. The patient may require telemetry monitoring. The age of the patients ranges between 18 and 90+ with the majority of the patients 45-65. Major conditions/most frequent diagnoses treated are digestive procedures, including but not limited to colostomy, ileostomy, colectomy, cholecystectomy and 23 hour short stay surgical patients from a variety of specialties.

 
General Surgery/Trauma (E4)
The Trauma and General Surgery Department is a 32 bed unit consisting of semi-private and private rooms as well as a Step Down Unit for more acutely ill patients. The department can provide telemetry for all patients.

The patient population consists of both male and female adult patients. The ages range from young adult (18 years) to geriatric (100 years). In addition to our acute trauma population, and a high telemetry step down unit; this department provides care to patients having major surgical procedures. Primarily these surgical procedures include complicated pancreatic surgical procedures, general surgical, urological, ENT, and trauma related injury. The department also serves the population of patients having the gastric bypass procedure and is a Level 1A Center of Excellence for Gastric Bypass Surgery through the American College of Surgeons. The Intermediate Care Unit provides an intermediate level of care for patients who are acutely ill and require focused observation, and high level telemetry monitoring for those patients with Trauma, General Surgery, Urological, or ENT procedures or conditions.

 
Infectious Disease /Secure Unit (C3W/C4)
Infectious Disease
The inpatient unit of the AIDS Program is located on the fourth floor of the C Building. The maximum capacity is 25 patients. All rooms are private with separate showers and bathrooms. Rooms 1-12 and 14-26 are equipped with negative airflow, making them suitable for patients with communicable diseases. Room C416 is the patient lounge. All rooms are equipped to monitor patients on telemetry. Patients are monitored on D2 by telemetry technicians. Unique accommodations are facilitated to provide visitor overnight stays, religious and cultural needs as requested within the unit’s ability.

The inpatient AIDS Program/Medical Unit is an interdisciplinary specialty unit. Patients may be acutely, chronically or terminally ill. The primary disease focus is HIV/AIDS. Patients that are admitted to the ID service or patients requiring any type of isolation that can not be maintained on other units as well as any adult general medical patient who does not require a specialty unit may be admitted to C4.

 
Secure Unit
The Secure Unit is located on the third floor of the C Building, west wing. It is a secured prison model with locked secure doors at the entrance/exit. The maximum capacity is 10 patients. All rooms are private with separate showers and bathrooms with the exception of rooms C316 and C317 which share a common shower/bathroom which is large, accommodating special needs equipment. All rooms are equipped with negative airflow, making them suitable for patients with communicable diseases. All rooms are equipped to monitor patients on telemetry. Patients are monitored on D2 by telemetry technicians. Unique accommodations are facilitated to provide religious and cultural needs as requested within the unit’s ability.

The Secure Unit is an interdisciplinary unit. Patients may be acutely, chronically or terminally ill and are guarded on the unit on a 24x7 basis by the NYS Department of Corrections and/or Albany County. Inmates from the New York State Department of Corrections that do not require intensive care management are housed on C3W. Albany County Inmates may also be housed on C3W in accordance with the Albany County Jail Memorandum of Understanding (MOU).

 
Labor & Delivery/ High Risk Antepartum/ Obstetrical/Gynecology/Newborn Unit (E6, D6E, D6N)
The Birthplace consists of 3 separate units.

• E6 has 16 private rooms for mother baby care, 5 semi private rooms for private mother/baby care or semi private low risk gyn/general surgical patient care, and a ten bed well baby nursery.
• D6N has 6 private rooms, one Isolation room (D627), 4 semi-private rooms, 2 semi private/triage rooms, and 3 LDRP’s.
• D6E has 9 private LDR rooms, 3 OR’s and a 4 bed PACU.

Obstetrical patients over 16 week’s gestation presenting themselves to the Emergency Department shall be escorted to the Delivery Room for examination and treatment except when special resources or facilities are necessary for patient care.

Gynecological and low risk female surgical patients may be admitted to the Birthplace in accordance with the Rules and Regulations of the New York State Department of Health Section 405.

Newborns admitted to the Nursery shall be greater than or equal to 35 weeks gestation, free from contagious diseases, (i.e. pneumonia, diarrhea, infectious skin lesions), weight greater than or equal to 2000 grams, and able to feed effectively.

 
Medical Cardiology (D4N)
The Medical Cardiology unit is a thirty-- bed unit consisting of thirteen (13) semi-private rooms and one four- (4) bed room on D4N There are no exam rooms on the unit. Patients are received from the Emergency Department, Cardiac Catheterization Lab, physician offices, and other facilities.

The patient population served includes male and female, acute and chronically ill patients with a variety of cardiac and medical diagnoses. Most patients admitted to the unit require telemetry monitoring. The age range is from young adult (18 years) to geriatric (100+) years.

 
Medical Intensive Care Unit (MICU) D3E
The MICU consists of 18 private patient rooms. The Adult Medical Intensive Care Unit (MICU) is designed to provide specialized care to the critically ill adult (18 and older) patient, both male and female. The focus of patient care is primarily medical in nature, but may include surgical patient care needs. Specialized medical and nursing care is provided to patients with life-threatening conditions related to respiratory failure, renal disease, GI bleeding, coagulopathy, drug overdose, neurological events, sepsis, and hemodynamic instability. In the event the intervention is beyond our scope of practice, every attempt will be made to contact a clinical nurse specialist for support or collaborate with the expert nursing unit to co-assign the patient.

 
Neuroscience General Unit (M5)
The Neuroscience General Units M5 consists of 22 beds with 2 private rooms and 10 semi-private rooms located in the M building on the 5th floor.  The patient population served includes both males and females, ages 18 years and older, with neurological and neurosurgical conditions. The population consists of both acutely and chronically ill patients.

The major conditions treated include, but are not limited to:

• Stroke (ischemic and hemorrhagic)
• Brain tumors, aneurysms and other cerebrovascular disorders (craniotomies)
• Traumatic head injury
• Seizure disorders
• Movement disorders

Treatment modalities include, but are not limited to IV therapy, antibiotic therapy, blood and blood product transfusion, tracheostomy care and suctioning, wound care, wound drain management, delivery of oxygen, telemetry, sterile dressings,  tube feeds, braces/splints.

Neuroscience Unit (D5E)
The unit consists of 22 beds with 4 private rooms, one 4-bed room and a 14 bed neuroscience progressive care unit (1 8-bed room and 1 6-bed room).

The patient population served are both male and female ages 18 years and older with neurological and neurosurgical conditions. The Neuroscience Progressive Care Unit serves higher acuity, complex patients who do not meet the intensive care unit criteria yet require closer observation and/or frequent medical/nursing intervention.

The major conditions treated include, but are not limited to:

• Stroke (ischemic and hemorrhagic)
• Tumors and aneurysms (craniotomies and endovascular interventions)
• Traumatic head injury
• Seizure disorders
• Movement disorders.
  

 
Neonatal Intensive Care Unit (NICU) D7E
The NICU is located on D7E and consists of 31 ICU beds and 19 intermediate beds. The NICU is designed to provide specialized care for the neonate with comprehensive medical, nursing and family needs. It is a component of the Level IV Regional Perinatal Center. The population of the unit consists of acutely ill premature and full term infants.

 
Operating Room
The Operating Room is comprised of 22 functioning rooms. It is designed in a circular fashion surrounding a central supply core, with the main staff station at the entrance from the unrestricted hospital areas.

In the Operating Room we are committed to providing high-quality patient care. We are a multidisciplinary team that functions to provide safe, effective and appropriate levels of patient care across the life span.

The Albany Medical Center Operating Room is designated as a Level 1 Trauma Service in a Tertiary Care Institution. This designation dictates that we provide a broad range of general and specialized surgical interventions to the region served. This includes any invasive procedure where the procedure or the patient condition dictates use of the surgical environment or intensive anesthesia monitoring. Patients will also be treated in other areas of the institution if specific contraindications to patient movement exist.

 
Orthopedics Unit (C6)
The orthopedics unit is a 18 bed unit. This orthopedic unit provides care to male and female patients aged 21 and older with preoperative and post operative orthopedic needs. The most frequent diagnoses treated include total joint replacements, hip fractures and multiple traumas.

Pulmonary, Renal and General Medical Unit (M4)
The Pulmonary, Renal and General Medical Unit is located on M4. It is a thirty-bed unit consisting of semi and private rooms. There are eleven semi-private rooms, four private rooms and four beds that are equipped to care for chronic, stable ventilator patients. The population served includes male and female, acute and chronically ill patients with a variety of medical/surgical diagnoses. The primary disease focus includes patients with pulmonary, renal and general medical diagnoses. The age of the patients ranges between 16 and 90+ with the majority of patients between 45 and 65.

Post Anesthesia Care Unit (PACU)
The Post Anesthesia Care Unit consists of 20 critical care stations within an open area designed to provide maximum visibility of all patients. Additionally, five stations are designated for our pediatric population. There is a negative pressure isolation room. Support rooms include pediatric waiting areas, clean and dirty utility rooms, staff break area and two centralized nursing areas.

The population cared for in the PACU includes male and female patients from newborn through geriatric age groups. The PACU is designed as a short term intensive care setting, serving all patients who require Phase I recovery following general, regional, spinal or monitored anesthesia care. The average case load in the PACU is 65-70 patients per day.

 
Ambulatory Surgery Unit (HOSPITAL)
The Ambulatory Surgery Unit is an outpatient surgical unit designed to provide maximum visibility of patients. It consists of five post-op stations, and one central nursing station. The average case load is 15 - 20 patients per day.

The Ambulatory Surgery Unit is a Phase II recovery area caring for all patients returning to home the day of surgery. The age group served in this area includes young adults 15 years old through geriatrics.

 
Pre-Operative Care Unit (POCU)
The Pre-Operative Care Unit is a pre-operative assessment unit. The area is designed to provide maximum visibility of patients. There are eleven stations and a central nursing station as well as a four bay pediatric pre op unit. The average case load is 65 to 75 patients per day.

The population of this unit is all pre-surgical adult patients arriving from home or care facilities, ED and all units within the hospital just prior to surgery.

 
Post-Cardiothoracic Surgical Unit (C8)
The unit consists of 29 beds with 7 private rooms and 11 semi-private rooms.

The patient population served consists of males and females both acute and chronically ill medical and surgical cardiothoracic patients. The primary disease focus includes patients with cardiac disease, and medical and surgical patients requiring telemetry monitoring. The age of the patients ranges between 18 and 90+ with the majority of the patients 55-75 years of age.

 
Psychiatry Unit (E2)
E2 is a 26 bed acute psychiatric unit serving patients ages 18-93 with a primary psychiatric diagnosis of a major mood disorder, or a type of psychotic process. An interdisciplinary treatment team provides interventions. There are also milieu management, individual, group and family interventions. This psychiatric unit has two treatment teams consisting of an attending physician a 4th year resident and 1st and /or 2nd year resident, social worker, psychologist, nurses, recreational therapists and mental health assistants. The types of groups provided are again multidisciplinary in nature. Nursing groups include relapse prevention, medication education, diagnosis groups, process groups and health education groups. Other groups include: depression management, community meetings, exercise groups, leisure groups, journaling groups, healthy lifestyle groups, pet therapy, and music therapy. Each week family members are offered a Family Support Meeting with the intention to explore their adjustment to a family member's illness and ways to support the prevention of relapse and or to identify early signs and symptoms indicating their family member may be in need of greater interventions and treatment. The average length of stay currently is at 11 days

 
Renal-Pulmonary Unit (E5)
E5 provides comprehensive, patient and family centered care to general medical/surgical adult and geriatric patients with specialties including Cystic Fibrosis, Eating Disorders, Renal Disease, Diabetic Keto Acidosis (DKA), Pulmonary Disease (including, but not limited to, stable mechanically ventilated patients and tracheostomy patients), and I-131 Isotope patients. The RPN coordinates the interdisciplinary plan of care and collaborates with members of the health care team to achieve positive outcomes using quality improvement activities and evidence-based standards of care.

 
Renal/Pancreas Transplant Unit (C3E)
The Renal/Pancreas Transplant Unit consists of 7 private rooms, one semi-private, and one 3 bed room. This 12-bed unit is open 7 days a week, 24 hours a day. Unique accommodations are facilitated to allow for increases in patient census, provide visitor overnight stays, private rooms, religious and cultural needs as requested within the unit’s ability.

The age range is from adolescent to older adult. Primary diagnoses of the unit include pre and post-operative surgical patients with a focus on the renal transplant patient,
simultaneous pancreas/kidney (SPK) transplant patient patients with End Stage Renal Disease requiring access for renal replacement therapy and patients requiring telemetry monitoring. Although all patients experiencing surgery have special needs, the renal transplant and SPK patient require extensive education on self-care measures that are necessary to maintain the health of both the patient and the transplanted graft(s). This unit also provides care to general medicine and surgical patients. The general level of acuity is both acute and chronic.

 
Surgical Intensive Care Unit (SICU)
The Adult Surgical Intensive Care Unit (SICU) consists of 17 fully equipped private rooms located in the D building, third floor, north corridor (D3N). The SICU operates 24 hours a day, 7 days a week. Albany Medical Center is a Regional Level I trauma center.

The Adult Surgical Intensive Care Unit (D3N) of Albany Medical Center Hospital is an area where sophisticated monitoring and therapeutic techniques, as well as specially trained staff are utilized in the management of surgical critically ill patients. A multi-disciplinary team approach is used to provide a high level of medical care.

 
Vascular Surgery (D5N)
The unit consists of 25 beds with 5 private rooms, one 4-bed room and 8 semi-private rooms. The patient population served includes male and female both acute and chronically ill surgical patients. The primary disease focus includes patients with vascular disease, and surgical patient requiring telemetry monitoring. The age of the patients ranges between 18 and 90+ with the majority of the patients 45 to 65.
Plans of care in use include but are not limited to:

• Carotid Endartectomy
• Lower Extremity Revascularization
• Renal Stent
• Vascular AAA Patients
  

 
Vascular Intensive Care Unit
The Vascular ICU (VICU) at Albany Medical Center is a 4 bed intensive care unit. The patient population is adult/older adult (age 18 and older). Most patients are between 40-90 years old. The unit is designed to provide post-operative vascular, thoracic and cardiac surgery adult patients with continuous comprehensive specialized medical and nursing care. Any patient requiring critical care may be cared for in the VICU.

The Vascular ICU is designed to provide immediate post-operative care to patients recovering from major vascular surgery, as well as thoracic and cardiac surgery. The
VICU patients’ needs encompass comprehensive physical assessment, monitoring and treatment of laboratory values, ventilator management, hemodynamic monitoring (including arterial and PA catheters), titration of vasoactive and inotropic drug infusions, interpretation and treatment of cardiac rhythms, management of external pacemakers, continuous renal replacement therapy, therapeutic hypothermia, and intra-aortic balloon pumps.