Unit Information

Pediatric / TotalCare Birth Center Nursing

Obstetrics / TotalCare Birth Center

The TotalCare Birth Center includes 10 LDR (labor, delivery, recovery) rooms, 25 postpartum beds and 3 operating rooms. The LDR rooms are designed to create a comfortable atmosphere during labor, delivery, and recovery and are equipped to care for low-risk, as well as, high-risk obstetrical patients. Family-centered care is provided by an RN staff. Specialized staff such as anesthesiologists, neonatologists, and perinatologists are available on-site 24 hours a day to meet any routine or emergency needs that may arise for mother or baby.

Pre- and post-anesthesia / observation / ambulatory care - Unit 2800

Pre- and post-anesthesia nursing provides care to children in a 13-bed observation unit prior to and following anesthesia, sedation for surgery, or other invasive procedures. A full range of nursing skills is required to deliver quality care within a short period of time. Nurses closely monitor their patients using sophisticated technologies. The medical and nursing staff work collaboratively to assure safe management of patients throughout procedural care. In the pre-admission testing area, the nursing focus is on patient and family education, assuring a smooth transition pre- and post-hospitalization. Nurses also care for patients who require observation for short stay procedures such as IV medication infusions, blood transfusions, or require discharge holding.

Neonatal intensive care - Unit 3700

The Loma Linda University Children's Hospital neonatal intensive care unit is an 84-bed tertiary referral center that serves critically ill infants and their families in the Riverside and San Bernardino counties. This state-of-the-art facility provides all subspecialty surgical and consultation services, including a neonatal ECMO program and an infant cardiac transplantation program. The LLUCH neonatal transport team is involved in more than 50 percent of all infants admitted to our NICU. Our programs and resources attempt to maximize health-care access for infants in our region. Our goal is to reduce complications and infant mortality and to improve quality of life through prevention and prompt intervention.

Pediatric hematology / oncology - Unit 4800

The pediatric hematology/oncology unit is a 33-bed unit dedicated to the specialized medical needs of children, from birth through adolescence, with cancer and blood diseases. A multi-disciplinary team approach is used to best meet the medical and psychosocial needs of the hospitalized child. The nursing staff is chemotherapy certified and trained to utilize pediatric cancer clinical trial protocols within their practice.

Pediatric acute care / rehabilitation units 5100, 5200, and 5300

Pediatric acute care unit is an 76-bed unit dedicated to children from birth through 21 years. The care is tailored to meet the physical, psychosocial, and developmental needs of pediatric patients and their families. The acute care pediatric nurses take specialized classes and training to provide whole person care to a wide variety of medical and surgical patients. They work closely with and are important members of a progressive multidisciplinary team with the purpose to continue the healing ministry of Jesus Christ.

Pediatric intensive care - Unit 5700

The pediatric intensive care unit is a 25-bed tertiary care unit dedicated exclusively to the specialized medical and surgical needs of critically ill children from birth through adolescence. A team approach is utilized to provide the most recent clinical and technological advances available. Nurses work alongside with pediatric intensivists, respiratory therapists, nurse practitioners, social workers, chaplains, child life specialists, pharmacists, and other clinicians to provide for the medical, psychosocial, and spiritual needs of children. Opportunities for professional growth for nurses include participation in CVVH team, ECMO team, PICU transport team, pediatric grief program, and peer support program.

Pediatric intermediate care - Unit 5800

Nurses care for infants and children requiring continued monitoring and observation after the intensive care experience. Nurses receive training in management of the unstable patient and address psychosocial, as well as medical/surgical patient care needs.

Pediatric cardiac intensive care - Unit 5800

The Pediatric Heart Center nurses provide care to infants and children with congenital anomalies, including transplantation. A "rapid recovery" program is utilized for the patients in the preoperative through discharge stages. Nurses work in a stimulating environment incorporating state of the art research and technology including ECMO. Patients from around the world seek the specialized and comprehensive care provided on this unit.

Critical Care Nursing

Transplant - Unit 4100

The transplant unit provides comprehensive multi-disciplinary care during diagnostic, pre-operative, post-operative, and discharge stages for the transplant, hepatology and general surgery patient. The medical and nursing staff work collaboratively to assure a safe continuum of care. The nursing staff receive education and training focusing on the special medical, educational, and psychosocial needs of the transplant patient and their significant others. As part of the University hospital, opportunities are provided to enhance and expand nursing, transplant, and critical-care knowledge through continuing education classes.

Acute Adolescent Care - Unit 4200

The 19-bed adolescent acute care unit at Children’s Hospital cares for non-critical patients ages 14 to 21, making it the only dedicated unit in the Inland Empire designed just for adolescent patients.

Cardiac intensive care - Unit 7200

This unit is a 25-bed unit that provides nursing care for adult and elderly patients requiring intensive care. The patient diagnoses are usually cardiac in origin. Nurses are skilled and competent to care for the patients with conditions such as acute myocardial infarction, unstable angina, cardiogenic shock, hypertensive crisis, malignant dysrhythmias, decompensated cardiomyopathy and congestive heart failure, cardiac transplant with infection or rejection episode, hemodynamic instability, and coronary artery stenosis requiring invasive interventional procedures. Nursing care is focused to meet the psychological, physical, emotional, and spiritual needs of patients. Nurses are highly trained to manage intensive hemodynamic monitoring equipment and to provide expertise in using supportive mechanical, i.e., IABP and ventilators.

Adult cardio-thoracic intensive / acute care - Unit 7100

Nurses provide care for adults requiring cardio-thoracic surgery throughout their course of treatment, including recovery, intensive care period, acute care period, and discharge. This includes, but is not limited to patients requiring bypass surgery, valve surgery, heart transplant, cardiac mechanical assist devices, and lung surgery. Nurses are trained to provide intensive hemodynamic monitoring, supportive treatments such as mechanical devices, as well as discharge preparation and follow-up.

Surgical / trauma intensive care - Unit 8100

The surgical/trauma intensive care unit is a 22-bed intensive care unit with an all registered nurse staff, who work closely and collaboratively with the medical staff and other departments to provide nursing care for the critically ill adult and adolescent trauma and surgical patient. The surgical patient population includes, but is not limited to: solid organ transplantation, neurosurgery, vascular, ENT, gynecology, abdominal, general surgeries, and adult trauma.

As a Level I trauma center, the unit staff are supported by the trauma support service and the neurosurgery support services staff to provide optimal care for the trauma and neurosurgical patients. The staff receive training in the management of the unstable patient, utilizing invasive hemodynamic monitoring, intracranial pressure monitoring, and mechanical ventilation, among other modalities and the latest sophisticated technologies. Education and advancement of the nursing staff is encouraged and many of the nurses have obtained the national certification for critical care.

Medical intensive care - Unit 4700

The nurses in the MICU provide care to a diverse patient population, ranging from young adult to geriatric patients. The patients consists of unstable, critically ill individuals which possess a wide variety of illnesses, including respiratory failure, DKA, GI bleed, and sepsis. The MICU patient is frequently in need of intensive treatment including invasive hemodynamic monitoring, vasoactive drug infusions, and mechanical ventilation.

Through a multi-disciplinary approach to patient care this progressive 20-bed unit provides care to the physiological and psychosocial needs of the patients. In addition, a grief recovery program provides support to families who have experienced the loss of a loved one.

Peri-anesthesia Services

The peri-anesthesia departments consist of five pre-procedure and post-anesthesia care areas. We provide in-patient and outpatient services for basic, intermediate, and critical care patients. The peri-anesthesia departments offer a wide variety of patient care opportunities. We provide services for the adult and pediatric populations averaging 600-1000 patients per month. The scope of peri-anesthesia nursing involves the assessment, diagnosis, treatment, and evaluation of actual and potential physical and psychosocial patient needs assuring a smooth transition pre- and post-hospitalization.

Emergency department

Our 34-bed adult emergency department and 18-bed pediatric emergency department offer a wide variety of nursing experience. Our primary specialties include trauma (level I pediatric and adult trauma center), pediatrics (emergency and urgent care), and cardiac (chest pain center). Emergency department nurses enjoy the unique challenge of caring for patients from prenatal through geriatrics, in all levels of acuity. Nurses with advanced skills and experience have the opportunity to pursue specialty areas such MICN (mobile intensive care nurse) and grief counseling.

Emergency Cardiac Care Center

This emergency department program represents a joint effort between emergency services and cardiology services. Patients are provided rapid access to evaluation and treatment of chest pain and other emergent cardiovascular symptoms by specially trained staff. The program's case management approach involves admission of patients to specialized cardiac inpatient units, referral to appropriate testing, referral to other specialists as indicated, and outpatient follow-up. The program's mission also affirms the critical importance of educating patients, families, and the community about the signs and symptoms, and significance of cardiovascular disease.

Critical care transport program

The intrafacility critical care transport team consists of highly trained nurses functioning in an expanded practice role to manage patients who require transport for diagnostic procedures. Specialized care is provided during the transport and throughout the diagnostic procedure. The patient population, ranging from newborn to geriatric, can present with a wide variety of medical, surgical and/or traumatic disorders.

The interfacility critical care transport team is nurse managed and consists of highly trained nurses functioning in an expanded practice role to provide specialized care for adult patients who require transport between facilities via ambulance, helicopter or fixed wing aircraft.

Adult trauma services

Adult trauma services provide support for all patients who meet the criteria of traumatic injury. We have been designated since 1980 as a Level I trauma center. We recently were designated as a Level I trauma center for adult and pediatrics by ICEMA. Our average number of trauma admissions is approximately 3,000 per year.

Level I trauma adult center resources:

  • Trauma attending emergency department response
  • Trauma resident (PG-4/PG-5) on site 24 hours a day
  • Neuro-surgical resident on site 24 hours a day
  • Neuro/trauma intermediate/acute care unit
  • Organ procurement program
  • Surgery/trauma intensive care unit with intensivist
  • Burn transfer agreement with SBCMC-Burn Center
  • Formal trauma research program
  • Inpatient rehabilitation
  • Teen outreach - Youth Alternative Solutions Program
  • Cardiac/thoracic surgery
  • Operating suites open 24 hours a day
  • Adult trauma support service
  • Hand and microvascular surgery for reimplantation

Pediatric trauma services

Loma Linda University Medical Center and Children's Hospital is the only Level I regional trauma center serving San Bernardino, Riverside, Inyo, and Mono counties. We are dedicated to providing timely and comprehensive care to traumatized pediatric patients and their families, from the time of injury until the child's reintegration into the family and community. We also strive in educating our community on methods of trauma prevention.

Traumatic injuries are the most serious and most preventable of all major health problems. Trauma is considered an epidemic in our society and accounts for one of the most expensive health problems in the United States. Traumatic injury is the leading cause of death in children resulting in approximately 7,000 deaths a year.

The pediatric trauma service admits approximately 600 children each year. Our resources consist of the following:

Level I pediatric trauma center resources

  • Pediatric trauma attending emergency department response
  • Pediatric trauma support service
  • Pediatric trauma residents (PG-4/PG-5) on site 24 hours
  • Pediatric ECMO program
  • Pediatric emergency department
  • Pediatric intensivists
  • Pediatric intensive care unit
  • Pediatric neurosurgeon
  • Formal pediatric trauma research program
  • Pediatric emergency physicians
  • Pediatric rehabilitation physicians
  • Hand and microvascular surgery for reimplantation
  • Pediatric surgery
  • Specialized nursing for pediatrics
  • Pediatric cardiac/thoracic surgery
  • Organ procurement program
  • Pediatric operating suites open 24 hours a day
  • Child life specialists
  • Pediatric radiology
  • Extensive injury prevention outreach programs--SAFE KIDS
  • Youth Alternative Solutions Program (YASP)
  • Tattoo Removal for Youth Program (TRY)

Medical / Surgical Nursing

Medicine, acute / intermediate - Unit 6100

This is a 26-bed unit, staffed by registered nurses who provide patient care for acute/intermediate adult medicine patients. Care is tailored to meet the special medical and psychosocial needs of the adult patient. Highly trained staff treat a wide variety of illnesses including: pneumonia, venous thrombosis, and congestive heart failure. Care required may include: Central Line Therapy, Telemetry, and continuous oxygen saturation monitoring. Recently an expanded medicine patient program was instituted to accommodate the large number of medicine patients.

Rehabilitation / Neurology - Unit 6200

This is a 26-bed unit, staffed by nurses who provide and coordinate patient care for adults who have had various types of traumatic brain injury, stroke, or who have other neurological disorders. Care is provided 24 hours per day, on eight-hour shifts, through the use of a primary care and interdisciplinary model. If you value patient education and relationships, you will love rehabilitation.

Physical Rehabilitation - Unit 1100

This is a 26-bed unit, accredited by CARF, staffed by nurses who provide and coordinate patient care for adults who had have various types of spinal cord injuries, strokes, or who have other neurological disorders. Care is provided 24 hours a day, on eight-hour shifts, through the use of a primary care and interdisciplinary model. If you value patient education and relationships, you will love rehabilitation.

Orthopaedics and urology - Unit 8300

Unit 8300 specializes in the care of patients, aged adolescence through geriatrics that are in need of a variety of orthopedic, urology, plastics and clinical decision observation interventions. These patients require acute or intermediate care. Patient care is provided using an interdisciplinary approach: Registered Nurses, Patient Care Assistants, Attending Physicians, Resident Physicians, Interns, Physical Therapists, Social Workers, Case Managers, Dieticians, Chaplains, Advanced Practice Nurses, Nurse Practitioners and multiple student services.

This is a 26-bed unit, staffed by registered nurses who provide and coordinate nursing care for neurosurgery and multi-system trauma patients ranging in age from late adolescence to geriatrics. The patients require continuous monitoring and observation. Patients are admitted to this unit from the emergency department, critical care, or surgery. Nursing staff receive education in the management of the unstable patient, as well as addressing psychosocial, medical and surgical patient care needs.

Medical and surgical oncology - Units 9200 and 9300

These two 24-bed units are staffed by nurses who provide and coordinate acute and intermediate care for medical and surgical adult patients. Patients are admitted for diagnostic work-up, medical management, and post-operative care. Patient care required may include: induction therapy, on-going treatment regimes, surgery, and radiation treatments. Patient population includes: hematology/oncology, gynecology, general surgery, head and neck surgery, and radiation medicine services. Great emphasis is placed on excellence in care giving, teamwork, and education, and all the nursing staff are encouraged to become certified by the oncology nursing society.

Pediatric hemodialysis department

This department has five beds, staffed by registered nurses with specific pediatric dialysis training who provide and coordinate hemodialysis treatments for those with renal failure. Hospitalized children and those who come in on an outpatient basis receive their treatments in this bright and cheerful unit. Each nurse is assigned to follow the care and medical needs of specific patients during the months and years they receive dialysis. Staff work together with an interdisciplinary team, which meets monthly, to optimize the medical care of each child.

Loma Linda University Kidney Center

This center is a 20-station facility, located in a separate building near the Medical Center. Outpatient adults receive ongoing hemodialysis treatments from specially trained registered nurses and licensed vocational nursing staff. This facility also has the only home hemodialysis training program in the Inland Empire. Patients who come to the Kidney Center have the option of being trained to do their own dialysis at home. The pediatric and adult Peritoneal Dialysis and Training Program is nationally recognized for its excellence.

Center for Joint Replacement

This new specialty unit is staffed by nurses who provide and coordinate specialized nursing care for the total joint replacement patient. Patient care focuses on wellness, pre- and post-operative education, and the opportunity for patients to be competitive in group physical therapy sessions.

Operating Room Service

Medical Center Operating Room Services

LLUMC has a 16-room OR suite and is open 24 hours, seven days a week. Nurses may choose from 8 and 12 hour shifts. Specialty areas include: general, pediatric, vascular, cardiothoracic, plastic/reconstructive, head and neck, urology, gynecology, orthopedics, neurosurgery, trauma (Level I), oral and transplant surgery. Cutting edge technology and opportunity for professional growth are available and encouraged.

Outpatient Surgery Center

Pre-admission nursing assessment and testing begins our state-of-the-art pre-/post-operative and special procedure nursing care. We have a seven-room OR suite. It is available Monday through Friday 6:00 a.m. to 6:00 p.m. Specialty areas include: pediatrics, general, orthopaedics, vascular, plastic/reconstructive, head and neck, urology, gynecology, ophthalmic, lithotripsy, ECT and pain blocks. We encourage leadership through participation in a multi-disciplinary team. Professional nursing skills are required to deliver quality care in a short length of time. Opportunities for professional growth are available and strongly encouraged.