Inpatient Nursing

Acute Rehabilitation Center
The Acute Rehabilitation Center is designed to assist patients and their families with the transition from an acute hospital setting to home. This 24-bed unit has a dedicated rehab medical director, registered nurses, nursing assistants, medical unit clerks, physical therapists, occupational therapists, speech-language therapists and a nurse director who work in an interdisciplinary fashion to ensure an individualized therapy program is tailored to each patient’s needs. One-on-one and group therapy sessions help patients develop toward a higher level of functional independence in order to return home safely and with confidence.

In this department, nurses care for patients with spinal cord injuries, debilitating strokes, traumatic brain injuries, debilitation secondary to illness, amputations, neurological disorders, and orthopedic conditions.

Medical Surgical
Our Medical Surgical Unit consists of one 42-bed unit where our nurses care for medical, preoperative and post-surgical, inpatient dialysis, brain injury, stroke, and telemetry patients. The 20-bed Surgical Unit focuses on preoperative and postoperative patients including orthopedic, bariatric, and general surgery patients. These units have a 1:4 nurse to patient ratio.

Intermediate Care
The Intermediate Care area exists within the Medical Surgical Unit and serves as a place for the monitoring and care of patients with moderate or potentially severe physiologic instability, requiring technical support but not necessarily artificial life support. The Intermediate Care Unit is reserved for those patients requiring less care than standard intensive care but more than that which is available on the Medical Surgical Units. Because these are highly complex patients who require complex care, the unit has an acuity-based staffing model, with a nurse to patient ratio of 1:3.

Intensive Care Unit
The Intensive Care Unit (ICU) is the environment where staff provides expert care for critically ill surgical, medical and trauma patients with acute and chronic conditions. The population of patients admitted to ICU requires close observation, specialized therapy and even extraordinary care for a concentrated, continuous timeframe. ICU patients are cared for by a multidisciplinary team of registered nurses, telemetry technicians as well as a board-certified physician in internal medicine, trauma physician director, supervising nurse and a nurse director.

The Intensive Care Unit core nursing staff consists of RNs trained in the administration of Adult Critical Care Medicine. The RN staff is required to obtain their Advanced Cardiac Life Support, Trauma Nurse Certification (TNCC) and Arterial Blood Gas certification per Natividad policy. The nurses in this unit also care for people who require Continuous Renal Replacement Therapy (CRRT).

Labor & Delivery Unit
The Labor & Delivery Unit (L&D) provides a full range of nursing care to childbearing women and their families, through the antepartum, intrapartum, and postpartum phases of pregnancy. L&D offers a full range of care including Vaginal Birth After Cesarean (VBAC) and Intermittent Auscultation for low-risk laboring patients. Nurses are trained to care for low-risk and high-risk laboring patients. An interdisciplinary approach involving obstetrics, family medicine, neonatology, pediatrics, and nursing provides high quality care to each mother, newborn, and their families. Labor & Delivery nurses work closely with obstetrical technicians and unit clerks along with family medicine and OB/GYN attending physicians, nurse midwives and a certified nurse anesthetist at all times.

Maternal Infant Unit & Newborn Nursery
The Maternal Infant Unit promotes family-centered care and provides a full range of care to childbearing women, the normal newborn, and their families. The couplet care model is practiced in this unit, and babies are only in Newborn Nursery until their mothers are in the recovery area, where we support skin-to-skin. Fathers and significant others are included in our family-centered care and are often encouraged to do skin-to-skin until mom is out of surgery. A lactation consultant is available seven days a week providing inpatient and outpatient care. The core nursing staff is required to be Neonatal Resuscitation Certified and follow “Baby Friendly” guidelines.

Neonatal Intensive Care Unit, Level III
Certified by the California Children’s Services, the Neonatal Intensive Care Unit (NICU) is devoted to the newborn infant requiring specialized care. It provides stabilization of the initially ill newborn and intermediate intensive care and continuing care for growing newborns. A neonatologist/neonatal nurse practitioner — physicians and nurses highly trained in the care of ill newborns — oversee the NICU. The NICU also has a transport team made up of specially trained nurses, respiratory therapists and NNPs that pick up and deliver babies requiring higher levels of care.

Mental Health Unit
The Mental Health Unit is a locked, inpatient, 22-bed LPS 5150-designated unit which treats patients suffering from acute psychiatric illnesses. Patients receive individualized care provided by a multidisciplinary treatment team, which includes psychiatrists, registered nurses, social workers, occupational therapists, and nursing assistants.

Palliative Care Service
The Palliative Care Service is an interdisciplinary service consisting of nursing, physicians, social services, pharmacy, and spiritual care. The team is experienced in comprehensive care and expert symptom management. In partnership with the chronically or terminally ill patient and their family, goals are set to achieve the outcomes they desire. Goals are set to provide symptom management, coordinate potential end of life issues, and complete documents such as Advance Directives or Physician Orders for Life-Sustaining Treatment (POLST).

Pediatric Services
The pediatric unit is a 12-bed CCS Certified Community Pediatric Unit that is staffed by specially trained pediatric nurses. This unit cares for ill patients from newborns to adolescents and young adults. Family medicine physicians and pediatricians collaborate on the care provided to these patients. Pediatricians are available in-house 24/7.

Surgical Services
Inpatient and outpatient surgical services are provided by highly skilled surgeons and nursing staff in modern operating suites. The surgical team treats various conditions utilizing advanced surgical techniques and provides various therapies. The surgical services staff has the expertise to provide professional and high-quality care through all stages of the surgical procedure from preoperative to postoperative care. Registered nurses, nursing assistants, and or technicians/technologists comprise core staffing throughout the service.

Surgery has five surgical suites. Adults, children, and infants are admitted for surgical care to include the following services: orthopedics, vascular, thoracic, general surgery, neurosurgery, obstetrics, gynecology, gyn oncology, ENT, plastics, dental, ophthalmology, bariatrics and urology. Cardiovascular is excluded. A full service anesthesia department is available for all surgery cases.

Post Anesthesia Care Unit
The Post Anesthesia Care Unit (PACU) provides complex monitoring and moment-to-moment observations for all patients postoperatively. There are five monitored recovery bays. Patients are recovered for one hour or as directed by the anesthesiologist.

Outpatient Nursing

Emergency Services
The Emergency Department at Natividad provides emergency and level II trauma services to the Monterey County community. For emergencies, nursing staff are available 24 hours a day and work with a multidisciplinary team to treat acute illnesses, diseases, injuries and trauma, utilizing state-of-the-art equipment and therapies. Specially trained registered nurses must maintain their Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Trauma Nurse Care Curriculum (TNCC), Basic Life Support (BLS) and Crisis Prevention Intervention Institute (CPI) certifications.

Outpatient Lactation Clinic
The Outpatient Lactation Clinic provides follow-up community services to breastfeeding women and their newborns/babies for the establishment and maintenance of successful breastfeeding, regardless of where the baby was born. Antepartum consults are also available to pregnant women. Internationally board-certified lactation consultants see patients in this clinic seven days a week.

Antenatal Testing Clinic
This unit is staffed by a Labor & Delivery registered nurse who performs Non-Stress Testing and Amniotic Fluid Indexing to high-risk pregnant patients. It is open four to five days per week depending on community volume.

Outpatient Short Stay
The Outpatient Short Stay (OPSS) environment includes pre-admission testing and the preoperative preparation and postoperative discharge care area. Patients receiving care in this area have a surgical procedure or other procedures for acute or chronic illness. Care in the OPSS encompasses preparing the patient/family along the perioperative continuum of care.

Endoscopy Unit
The Endoscopy Unit provides service to patients requiring endoscopy procedures including gastroscopy, colonoscopy, and Endoscopic Retrograde Cholangio Prancreatography (ERCP). RNs collaborate with physicians and health care technicians to provide this service to our patients.

Outpatient Service Departments
The Outpatient Service Departments provide a continuum of physician-directed services for prevention, screening diagnosis, evaluation, treatment, or rehabilitation of patients on an ambulatory (outpatient) basis. Primary and medical specialty care may be provided. Nutritional, educational, and social needs are addressed, as they relate to a patient’s health needs. Patients of all ages are treated. All radiological, laboratory, pharmacy, cardiopulmonary and rehabilitation services for outpatient service patients are provided by Natividad departments.

Outpatient Services — Natividad Specialty Clinics are home to specialists in:

  • Cardiology
  • Cardiopulmonary Neuro-Diagnostic Services
  • Colon and Rectal Surgery
  • Gastroenterology
  • General Surgery
  • OB/GYN
  • Orthopedics
  • Pediatrics
  • Pediatric Cardiology and Pediatric Orthopedics
  • Podiatry
  • Urology
  • Vascular Surgery

Specialty Clinics
In the Specialty Clinic, physician-directed services include evaluation and treatment of presurgical and postsurgical consultation, acute injuries (fractures and sprains), occupational injuries, sports injuries, degenerative and congenital conditions, infectious and metabolic orthopedic processes. Outpatient procedures are performed which include: closed reductions of fractures, subluxation and dislocation, regional aspirations, injections, incision and drainage of abscesses, wound care, application and removal of splints and casts, and percutaneous hardware removal.

General Surgery Clinic
The General Surgery Clinic evaluates, consults, treats and cares for patients with possible diseases related to the fields of general surgery. Follow-up postoperative care and minor surgical office procedures are performed under local anesthesia.

Cardiology Clinic
The Cardiology Clinic is located in the Cardiopulmonary Department and sees patients with problems related to their cardiac function.

Natividad Medical Group
Natividad Medical Group (NMG) is dedicated to improving the health of our patients by offering the best possible health care services for Monterey County residents. NMG offers comprehensive primary care and obstetrics, well-child and adult care, vaccinations, physical exams, pap smears, chronic medical conditions, geriatrics and minor outpatient surgical procedures, and referral to specialty services.