Medical / Surgical
Location: Pauahi 4     Number of  Beds: 32
Primary Focus: Hospitalist Medical Unit
Description: The primary diagnoses for this unit includes but is not limited to: cellulitis, pneumonia, heart failure, hypovolemia, urinary tract infection, asthma, septicemia, COPD and syncopy. The patients cared for on this unit are adults, 18-64 and geriatric patients 65+ years old. Care is directed by an in house hospitalist who is available 24/7 on campus. In addition to the unit staff, discharge planning needs are supported by a dedicated case manager and social worker. Other support staff include, registered dietician, pain management specialist, wound and skin specialists, etc.

Location: Pauahi 5     Number of  Beds: 28
Primary Focus: Progressive Care Unit (PCU)
Description: For Sub-Acute patients. Licensed for skilled nursing, rehabilitation focus.

Location: Pauahi 6     Number of  Beds: 32
Primary Focus: MED/SURG General Surgery
Description: Abdominal Surgery, ENT, Head & Neck, Breast.

Location: Pauahi 7     Number of  Beds: 21
Primary Focus: MED/SURG Pediatrics/Adults (non-telemetry)
Description: Plastic / Urology

Location: Queen Emma Tower 7 Diamond Head     Number of  Beds: 24
Primary Focus: Medical Oncology and Bone Marrow Transplant (Autologous only)
Description: Immuno suppressed, Chemotherapy, Monitored Biotherapy, Autologous BMT, Hospice, Acute Inpatient Oncology.

Location: Queen Emma Tower 7 Ewa     Number of  Beds: 24
Primary Focus: Medical Oncology
Description: Chemotherapy and symptom management of the oncology patient.

Location: Queen Emma Tower 8 Diamond Head     Number of  Beds: 24
Primary Focus: Orthopedics
Description: Total Joints Replacement, Fractured Hips; Eye Patients.

Location: Queen Emma Tower 8 Ewa     Number of  Beds: 24
Primary Focus: Orthopedic
Description: Back & Spine, Ortho Trauma, Eye Patients.

Location: Queen Emma Tower 9 Diamond Head     Number of  Beds: 24
Primary Focus: General Medicine Team Care, HIV; Pulmonary & Respiratory Team Care.
Description: Chronic Vent Program.

Location: Queen Emma Tower 9 Ewa     Number of  Beds: 24
Primary Focus: Medical/Surgical Telemetry.
Description: Medical/Surgical patients requiring cardiac telemetry monitoring, CHF, syncope, arrhythmias, r/o MI without EKG changes, pacemakers.

Location: Extended Short Stay     Number of  Beds: 14
Primary Focus: Outpatient observation services.
Description: Acute general medical/surgical, pre-or post-surgical care.

Floats
Primary Focus: Provide coverage to medical / surgical (non-critical care) units.


Critical Care and Emergency Services
Critical Care is comprised of specialty units, the Emergency Department and Trauma Services. Private rooms and individual patient care cabinets in the intensive care units provide access to necessary supplies to optimize nursing care. Units include:

Location: Queen Emma Tower 3     Number of  Beds: 10
Primary Focus: ICU (OHS - Open Heart Surgery)
Description: CABG & Heart Valve Surgery, Overflow General Surgery ICU, AICD, PACU/Extended PACU, CVVH.

Location: Queen Emma Tower 4A     Number of  Beds: 8
Primary Focus: CICU (Cardiac)
Description: MI/R.O. MI, Cardiogenic Shock, Chest Pain with EKG Changes, Life Threatening Arrythmias (SVT, VT, Heart Block, etc.) Cardiac Invasive Thrombolytics (T-PA, SK, UK), PTCA with IABP, PTCA with CPS, Complicated Arthrectomy/PTCA, Acute Cardiac Diseases; Cardiomyopathy, Valvular Heart Disease, CHF, Pulmonary Edema, OB with Cardiac Complications, CVVH.

Location: Queen Emma Tower 4B     Number of  Beds: 11
Primary Focus: MICU (Medical)
Description: MI/R.O. MI, Cardiogenic Shock, Chest Pain with EKG Changes, Life Threatening Arrythmias (SVT, VT, Heart Block, etc.) Cardiac Invasive Thrombolytics (T-PA, SK, UK), PTCA with IABP, PTCA with CPS, Complicated Arthrectomy/PTCA, Acute Cardiac Diseases; Cardiomyopathy, Valvular Heart Disease, CHF, Pulmonary Edema, OB with Cardiac Complications, CVVH.

Location: Queen Emma Tower 4C     Number of  Beds: 11
Primary Focus: SICU (Trauma)
Description: MVA, MCA, Blunt and PenetratingTrauma, Falls, Pediatric Trauma/Telemetry, Trauma/Surgery, CVVH

Location: Queen Emma Tower 4D     Number of  Beds: 8
Primary Focus: NICU (Neuro)
Description: S/P Neurosurgical Procedures, S/P Neurointerventional procedures, Head Trauma, Spinal Cord Injuries, Ischemic/Hemorrhagic Stroke, SAH, SDH, Epidual Bleeds, Status Epilepticus, ICP monitoring, Guillan-Barre

Location: Queen Emma Tower 5     Number of  Beds: 40
Primary Focus: Neurovascular Med/Surg, neurovascular telemetry, trauma, 4 bed Epilepsy Monitoring Unit
Description: The most frequent diagnosis include: Cerebral Vascular Accident, Craniotomy, Traumatic Brain Injury, Seizure, Transient Ischemic Attack, Anterior Cervical Fusion, Posterior Lumbar Interbody Fusion, Congestive Heart Failure.
 
Location: Emergency     Number of  Beds: 30
Primary Focus: 24-hr Emergency Room Trauma Center - Helipad
Description: Full Service ER, between 90 -120 patients seen per day.

Location: Acute Hemodialysis     Number of  Beds: 6
Primary Focus: Med/Surg, stable Telemetry
Description: Acute Hemodialysis services.

Location: Cardiac Ambulatory Care Center     Number of  Beds: 8
Primary Focus: Cardiac
Description: Cardiac catheterization, electrophysiology studies (EPS), permanent pacemaker insertion, peripheral transluminal angioplasty (PTA), percutaneous transluminal angioplasty,coronary artery stent placement.

Critical Care Float Pool
Description: Provide coverage to ICU and telemetry units.


Mental Health
We recognize that a variety of mental health services are needed to support a healthy community. A team of psychologists, psychiatrists and social workers assists patients with social and family problems:

Location: Kekela - Makai     Number of  Beds: 25
Primary Focus: Psychiatric, Makai Unit
Description: Inpatient, acute psychotic disorders.

Location: Kekela - Crisis     Number of  Beds: 10
Primary Focus: Psychiatric Crisis UnitInpatient psychiatric intensive care.

Location: Kamehameha 2 Makai     Number of  Beds: 20
Primary Focus: Family Treatment Center - Adolescents
Description: Residential treatment of adolescents.

Location: Kamehameha 2 Mauka     Number of  Beds: 8
Primary Focus: Family Treatment Center - Adolescents
Description: Acute Psych Care - adolescents,

Counseling & Clinical Services
Primary Focus: Adults
Description: Mental health assessment and treatment, crisis intervention.

Location: Day Treatment     Number of  Beds: 24
Primary Focus: Psychiatric illness, chemical dependency diagnosis.
Description: Partial hospitalization, day treatment and intensive outpatient services.


Surgical Services
Our nursing staff in surgical services includes includes inpatient and ambulatory surgery care for multiple specialized areas.

Location: Same Day Surgery (SDS)     Number of Suites: 6 OR suites, 4 procedure rooms.
Primary Focus: Outpatient surgical procedures.
Description: Lasik, retinal eye laser treatment, pain management.

Location: Operating Room     Number of Suites:: 17
Primary Focus: Major or minor surgical specialty services
Description: Thoracic/Cardiovascular, Neurosurgery, Orthopedics, Opthalmology, Urological,Gynecologic, Plastic, Dental/Maxillofacial, Otolaryngology, General, and Trauma Surgery.

Location: Short Stay / Pre-Admission Teaching Program     Number of Suites: 14
Primary Focus: Med/Surg care. Short stay unit.
Description:  Pre and post procedure care. Endoscopy, Cardiac catheterizations, Angiograms, Lithotripsy.

Location: IV Therapy
Primary Focus: Med/Surg care. Short stay unit.
Description:  Pre and post procedure care. Endoscopy, Cardiac catheterizations, Angiograms, Lithotripsy.


Maternity Services
Location: Queen Emma Tower 10 Ewa     Number of Beds: 11
Primary Focus: Labor & Delivery (9 LDR Beds) / 2 Surgical Suites
Description: Fetal non-stress testing.

Location: Queen Emma Tower 10 Diamond Head     Number of Beds: 25
Primary Focus: Post Partum / Nursery, Intermediate Nursery
Description: Mother/Baby Care, GYN Surgicals, MED/SURG-overflow.


Outpatient Services
Location: Outpatient Oncology     Number of  Beds: 10
Primary Focus: Outpatient and inpatient services
Description: Oncology, hematology, medical infectious diseases, orthopedic, and renal.

Location: Short Stay / Pre-Admission Teaching Program     Number of  Beds: 20
Primary Focus: Med/Surg care. Short stay unit
Description: Pre and post procedure care, Endoscopy, Cardiac Catheterizations, Angiograms, Endourology (includes Cystoscopy & Lithotripsy).

Location: Endoscopy     Number of  Beds: 7
Primary Focus: Outpatient and inpatient services
Description: EGD, Colonoscopy, ERCP, Bronchoscopy, Manometry's.

Location: Cystoscopy/Kidney Stone Center of the Pacific (KSCP)
Number of  Beds: 2 operating rooms
Primary Focus: Outpatient and inpatient minimally invasive services.
Description: Endourologic procedures for kidney tumors and stones, bladder tumors & stones, ureteral tumors, stones & strictures, prostate enlargement & brachytherapy, and shock wave lithotripsy.

Location: Urological Center
Number of  Beds: 2 operating rooms
Primary Focus: Outpatient and inpatient services
Description: Urodynamics, Prostate Biopsy, Pelvic Floor Biofeedback.


Queen Emma Clinic
Primary Focus: Primary, secondary and specialty care
Description: Adult medicine, Women's Health, Pediatrics. Specialty clinics include surgery, psychiatry, orthopedics, ENT, hematology/oncology, urology, cardiology, rheumatology, plastic surgery, renal, pulmonary, and dermatology. 


Float Pool
The Critical Care and Med-Surg/Tele Float Pool  is a special nursing unit with the primary purpose of filling staffing needs when health care providers are ill. Flexibility is essential as staff must maintain a professional caring attitude in a variety of patient care environments. Monthly staff/unit council meetings promote team building and flexible scheduling increases employee satisfaction.