Patient Care Areas

Clinical Services: Inpatient medical/telemetry/isolation unit providing care to normal volunteers, protocols involving a requirement for isolation, including the use of live virus vaccines or challenge studies and those employing intensive pharmacokinetics or other types of intense nursing interactions. The unit serves the medical needs of laboratory workers at federal BSL-3/4 research facilities who have sustained a potential occupational exposure to an infectious pathogen and require close clinical observation and possible treatment under strict isolation precautions. This unit has the ability to respond to global health emergencies such as Ebola and SARS coV-2.

Age of Patient Population: Adults over 18 years of age.

Clinical Facilities: 1 isolation room and 3 Private rooms for a total of 4 beds.

Research Focus: NIAID, CCMD and NHLBI SARS-CoV2 protocols; routinely NIAID protocols to include but not limited to live vaccine administration.

Admitting Institutes: NIAID, NHLBI and CCMD; other institutes with research protocols deemed appropriate for this specialized inpatient facility upon review by unit Medical Director.

Special Environmental Support: The entire unit is negative air flow with the exception of the nursing station and the day room. The unit is equipped for cardiac monitoring; two monitors in the hallway and a central monitor at the nurse’s station. One room has an anteroom designed to care for individuals with an occupational exposure to a Bio-Safety Lab (BSL) 3 or 4 pathogen. The unit has an on-site autoclave, bio sealer, hand sealer, and a bed isolation unit for use with patients on special respiratory isolation (SRI).

Special Patient Care Needs: Isolation, cardiac monitoring, Cyraphone interpretation services; intensive patient education related to protocols, isolation, and illness management, ACLS and ONS Chemotherapy providers.

Specialized Competencies: Blood Products, Cardiac Monitoring, Chemotherapy/Biotherapy, Chest Tube Management, Controlled Substance Infusion, Intravenous Therapy, Oxygen Delivery Devices, Point of Care Testing (POCT); Blood Glucose (BBGM) and urine pregnancy, Pre and Post Invasive Cardiac Procedures, Safe Handling of Hazardous Drugs, Skin and Wound Care, Special Respiratory Isolation (SRI), Enhanced Respiratory Isolation, Enhanced Contact Isolation, Telephone Triage, Temporary Pacemaker, Tracheostomy Care.

Clinical Services: Inpatient nursing care of patients with various endocrine, infectious, autoimmune, metabolic, pulmonary, gastroenterological, hepatic, genetic, and lipid disorders. Serial and provocative blood testing, intravenous catheter care, post-endoscopic procedure care, Point of Care Testing (POCT) blood glucose and specific gravity testing, metabolic testing, skin and wound care, I-131 and Lutathera radiation treatments, liver and skin biopsy, pain management, immunotherapy treatments, and cardiac telemetry monitoring.

Age of Patient Population: Range from 18 years through the life span.

Clinical Facilities: 22 inpatient beds, 2 treatment rooms, 2 lead lined radiation treatment rooms, and 1 negative pressure room.

Research Focus: Endocrine, infectious, autoimmune, metabolic, pulmonary, gastroenterological, hepatic, lipid and genetic disorders. Studies focusing on disorders of calcium/bones, pituitary, gonads, thyroid, pancreas, and adrenal glands, lung disease, lipid disorders, gastrointestinal disorders, chronic hepatitis B & C, Sickle Cell disease, and inborn errors of metabolism.

Admitting Institutes: NIDDK, NICHD, NCI, NHLBI, NHGRI, NIDCR, NIAID, NIAM

Special Environmental Support: Radiation isolation rooms and a negative pressure room is available for populations requiring this support.

Special Patient Education Needs: Teaching for radiation safety and Adrenal Insufficiency. Patient education related to diagnosis, serial blood testing, intravenous catheter care, endoscopic procedures, blood glucose and specific gravity testing, metabolic testing, skin and wound care, post-operative surgical care, and pain management.

Specialized Competencies: Cardiac Telemetry Monitoring, Blood Products, Chest Tube Management, Tracheostomy, Controlled Substance Infusion (IV, PCA, Epidural), Intravenous Therapy, Oxygen Delivery Devices, POCT - Bedside Blood Glucose Monitoring (BBGM) and Specific Gravity, Radionuclide Therapy, Non-Oncologic Chemo-Biotherapy, and Safe Handling of Hazardous Drugs.

Clinical Services: This is an Inpatient research focused medical/surgical/telemetry unit which provides care to newly diagnosed, acutely, chronically ill, and end of life patients with infectious disease, immune disorders, respiratory, rheumatologic, cardiac and sickle cell disease. Care is provided to patients needing cardiac monitoring and cardiology consult services. Negative pressure rooms are available, for patients from all institutes, needing AFB isolation plus a designated section for the care and monitoring of all non-critical hospitalized patients who need highly specialized enhanced isolation. The unit also has the capabilities to support CC patients suspected of or positive for emerging infectious diseases.

Age of Patient Population: Adults over 18 years of age.

Clinical Facilities: 20 private rooms

Research Focus: NIAID, CCMD and NHLBI SARS-CoV2 protocols; Phase I, II, and III protocols of NIAID, NIAMS, NIEHS, NHLBI, NEI, NCI and NIDDK, as well as an in-depth clinical assessment of patients on natural history protocols.

Admitting Institutes: NIAID, NHLBI, CCMD all institutes who have patients requiring specialized enhanced isolation. NIAID, NIAMS, NIEHS, NHLBI, NIDDK, NCI and surgical specialties such as NEI and the dental clinic.

Special Environmental Support: Cardiac monitoring. Four isolation/negative air flow rooms with vestibules; three to four rooms and one nurse station designated for a highly specialized isolation area used for the monitoring and care of all non-critical hospitalized CC patients with specialized isolation needs.

Special Patient Care Needs: Cyraphone interpretation services. Patient education is provided regarding coronary and peripheral artery disease, hypertension, congestive heart failure, venous access device management, infectious diseases, isolation, treatment of iron overload, treatment of pulmonary hypertension, home use of infusion pumps for Desferol and Remodulin, immunosuppressive medications, gene therapy and a heart healthy lifestyle. Patients requiring High Flow Oxygen Device.

Specialized Competencies: Clinical Nursing care supporting patients participating in research studies at the clinical center: Blood Products, Cardiac Monitoring, Chemotherapy/Biotherapy, Chest Tube Management, Controlled Substance Infusion, Intravenous Therapy, Oxygen Delivery Devices, Point of Care Testing (POCT) Bedside Blood Glucose Monitoring (BBGM), Pre and Post Invasive Cardiac Procedure, Safe Handling of Hazardous Drugs, Skin and Wound Care, Special Respiratory Isolation, Enhanced Respiratory Isolation, Enhanced Contact Isolation, Telephone Triage, Temporary Pacemaker, Tracheostomy Care, ACLS and ONS chemotherapy certification also required.

Clinical Services: Multi-institute diagnostic and therapeutic day hospital serving patients with endocrine, metabolic, allergic, immunologic, infectious disease, ophthalmologic and neurological disorders, gynecological, rheumatologic, and nephrology consult services. Clinical Research Nurses assess, plan, and coordinate patient care. CRNs perform and monitor tests, assist with procedures, and administer treatments amongst providing many other services.

Age of Patient Population: 18 years of age or older

Clinical Facilities: 20 treatment stations, 2 dialysis stations, and 2 gynecology suites

Research Focus: Reproductive endocrinology, metabolism, allergy, immunology, infectious disease, mood & anxiety disorders, renal disease, musculoskeletal disorders, and environmental effects on diseases, autoimmune/auto inflammatory diseases, ophthalmologic, gynecological disorders, pituitary, adrenal and sickle cell disorders, diabetes, and total brain injury (TBI)

Admitting Institutes: NIAMS, NIDDK, NICHD, NIMH, NIDCD, NINR, NIAID, NEI, NIEHS, NINDS, NIAAA, NCCAM, NHGRI, NIDCR, NHLBI, NCI

Special Environmental Support: Dialysis, GYN suite, Ultrasound for Fine Needle Aspirations (FNA)

Special Patient Care Needs: Serial testing, dialysis, timed provocative testing, lumbar punctures, biopsies, IV infusions, chemotherapy/biotherapy, post-operative recovery, patient education related to diagnosis, test, same day procedures and treatments; medi-port access, pain management, inoculation, and blood transfusions.

Specialized Competencies: Blood Products, Moderate Sedation, Chemotherapy/Biotherapy, Intravenous Therapy, Oxygen Delivery, Point of Care Testing (POCT) - Blood Glucose and Breath Alcohol, Safe Handling of Hazardous Drugs, Skin and Wound Care.

Dialysis: ACLS and cardiac monitoring.

Clinical Services: Multi-institute in-patient and out-patient setting for supporting clinical protocols that focuses on the study of metabolic processes and nutritional diseases, such as obesity.

Age of Patient Population: Patients are 18 years of age through the lifespan. Pediatric patients, at least 8 years of age, requiring specific metabolic needs, are cared for in collaboration with members of the metabolic program and pediatric program teams.

Clinical Facilities

• 5SW-N: An eight-bed inpatient unit providing 24-hour nursing care to patients participating in metabolic studies. The area supports an exercise testing laboratory, a body scanner, experimental dining area, metabolic kitchen, enlarged shower room, and an exam room designated for outpatient studies.
• 7SW-S: An Inpatient unit providing 23 hours of nursing care to patients undergoing metabolic testing. The area supports three whole-room indirect calorimetry suites with telemetry monitoring capability, three metabolic testing procedure chairs, a body composition room, and an enlarged shower room.

Research Focus: The initial focus of the work is endocrine and metabolic studies related to obesity. Such studies include investigations of the effects of weight gain and weight loss, the physiology and pathophysiology of energy metabolism, and studies related to the co-morbid conditions associated with obesity, including type 2 diabetes mellitus and its complications. Other disorders of metabolism requiring the specialized equipment of the metabolic unit and metabolic suite are eligible for study. Patients are evaluated in both inpatient and outpatient settings. Patients include non-obese and obese research volunteers. All study patients/volunteers considered for study are 450 pounds or less, ambulatory, and able to provide self-care.

Admitting Institutes: All NIH Institutes and Centers with protocols commensurate with research focus.

Special Environmental Support: Expanded capacity supplies, equipment and furniture to accommodate weights up to 450 pounds, YSI machines, treadmills, large scales and wall-mounted stadiometers, upright and recumbent bikes, Bod Pod, DEXA scanner. The unit has three metabolic suites, four metabolic carts, a metabolic kitchen, experimental dining area, and three specialized vending machines.

Clinical Services: Dental consultation service, treatment for dental defects and extractions, conscious sedation extractions of third molar, evaluation of craniofacial defects, oral and lip biopsies, salivary gland harvesting, study of symptoms of Sjőgren’s Syndrome. Usage of the stereo photogrammetry machine, photobiomodulation THOR device, taking digital panographic x-rays, digital cephalometric x-rays, and performing skin biopsies.

Age of Patient Population: Early childhood through adults.

Clinical Facilities: 2 Dental Surgical procedure rooms, 1 Dental Recovery room, 5 Dental Operatory rooms, 1 medical exam room, 1 X-ray room, 1 cone beam CT scanner room, Stereo photogrammetry machine, 1 NIDCR Clinic Lab.

Research Focus: 2D and 3D imaging proteomics, salivary gland dysfunction & Sjőgren’s Syndrome, oral phenotyping of genetic diseases, gene transfer and genetic periodontal diseases, craniofacial anomalies and developmental growth variant, study of microbiome and study of patients with Graft-versus-host-disease (GVHD), evaluation and treatment of bone and mineral disorders, periodontal manifestation of Leukocyte Adhesion Deficiency, McCune Albright syndrome and treatment of tumor induced osteomalacia.

Institute Providing Services: NIDCR

Special Patient Care Needs: Immunocompromised research participants who have gum disease and plaque buildup are taught how to use the End brush and Chlorhexidine rinse. Alcohol Dependency Study research participants are given recommendations for obtaining optimal Dental Health. Pre and Post Stem Cell and Bone Marrow Transplant participants are evaluated and prescribed treatment. Research participants with Behavioral Health disorders are given recommendations on Dental Care. GVHD research participants are evaluated for oral lesions and overall oral health as well as their oral hygiene. Treatments of this population consist of prescribing supplemental fluoride treatments, Triamcinolone injections and/or antibiotics or steroidal mouth rinses and progress is monitored. Sjőgren’s Syndrome research participants are given gene therapy for radiation induced xerostomia to increase salivary flow.

Specialized Competencies: Cardiac Monitoring, Moderate Sedation, Intravenous Therapy, Oxygen Delivery Devices, Telephone Triage, Safe Handling of Hazardous Drugs and blood glucose management.

Clinical Services:

• ENT: ENT consult service, tracheostomy consult service, audiology and vestibular testing, nasopharyngeal endoscopy, epistaxis management, tympanic steroid injections, fine needle aspiration (FNA), ENT biopsies, cerumen removal, pneumatic tube placement.
• Neurology/Neurosurgery:Deep Brain Stimulation Activation (DBS), Sutures and Staples removal, ON/OFF Evaluation of Parkinson’s Disease patients, Botox administration, Skin punch biopsies, Smell tests, Coordination tests and Cognitive functions tests, Optical Coherence Tomography (OCT).
• Audiology: Vestibular Head Impulse Testing (VHIT), Complex Auditory Brain Stem Response (CABR), Audiogram.

Age of Patient Population:

• ENT: Early childhood through adult
• Neurology: 16 years of age

Clinical Facilities: 4 procedure Rooms, 9 exam Rooms, 1 vestibular testing lab, and 3 audiology testing booths, specialized chairs, exam tables and a wheelchair scale for neurology patient population.

Research Focus:

• ENT: Otolaryngology diseases/ disorders, and genetic disorders, head and neck cancers, Von-Hippel-Lindau Syndrome, McCune Albright Syndrome, Neiman Pick Disease, and Inherited Bone Marrow Failure Syndromes (IBMFS), Neurofibromatosis 2 and Neonatal Onset Multisystem Inflammatory Disease (NOMID).
• Neurology: Human motor control disorders, Neuroimmunology diseases, Traumatic Brain Injury (TBI), Neurosurgery, Neurogenetic, and Cognitive disorders, Seizure disorders and Neurodegenerative diseases.

Institute Providing Services: NIDCD, NINDS, NIAID

Special Patient Care Needs: Standard and specialized tracheostomy tubes and related devices, gait assistive devices.

Specialized Competencies: Seizure Management, Intravenous Therapy, Oxygen Delivery Devices, Telephone Triage, Tracheostomy Care, Chemotherapy/Biotherapy.

Clinical Services: Stem cell transplant care, complex respiratory diseases, venous access device care, wound care, pain management, and skin punch biopsies.

Age of Patient Population: >18 years of age

Clinical Facilities: 16 exam rooms, 1 negative flow room, and four treatment bays.

Research Focus: Hematological, cardiovascular, pulmonary diseases and immunodeficiency disorders.

Institute Providing Services: NHLBI, CC, and NCCIH

Special Patient Care Needs: Specific guidelines for patients who are immunocompromised and /or neutropenic. Treatment is readily available for febrile neutropenia. A designated treatment area to meet the needs of more complex patients requiring medications, vaccines, and electrolyte replacement. A pharmacist is available in the clinic 1 day a week to facilitate care. Use of protocol coordinators to facilitate research and care of patients based on disease etiology. Nurse-led patient education clinics for complex hematology and pulmonary patients. Flexible patient scheduling system to meet the care demands of the patient population. Utilizing consultants and the interdisciplinary team, a patient-centered care model is used with complex patients to facilitate the delivery of patient care.

Specialized Competencies: Telephone Triage, Intravenous Therapy, Safe Handling of Hazardous drugs, Medication Administration, and Stem Cell Transplant Care.

Clinical Services: Initial and Follow-up Nursing Assessments, Emerging Infections analysis, Abuse and Neglect screenings, and Falls risk analysis/prevention. IV blood draws, Covid-19 testing, and Specimen collection. Administration and Education of medications, biotherapy, and vaccines. Patient education to include patient safety, isolation and infectious diseases, pain management, falls risk prevention, and reinforcement of protocol and research participant education.

Age of Patient Population: > 18 years of age

Clinical Facilities: 17 exam rooms and 1 treatment room with 3 chairs and 1 stretcher.

Research Focus: Infectious diseases, COVID 19, First-In-Human Vaccines, Parasitic Diseases, and acute and chronic conditions of the immune system.

Institute Providing Services: NIAID

Special Patient Care Needs: Safe sex counseling, medication administration management, psychosocial assessment needs, social work support for vulnerable populations, language barriers, pharmacist 2-4 days per week, patient access to contact team and protocol support services.

Specialized Competencies: Clinical Emergency Response, Safe Handling of Hazardous Drugs, Oxygen Delivery, Telephone Triage, Environment of Care and Point of Care Testing (POCT) for Urine Pregnancy.

Clinical Services: Nursing assessments. Emerging Infections and Abuse and Neglect screenings. Patient education: safety, pain management, falls risk prevention, pressure injury prevention. Medication and vaccine education/administration. Vascular Access Device (VAD) care, specimen collection, blood glucose measurement. Multiple medical specialties, including but not limited to the digestive, endocrine, immunology, hepatology, rheumatology and reproductive systems. Protocol screening, pre and post procedure teaching, consultations and follow-up with patients. Procedures include fine needle aspirations (FNA), joint injections, ultrasound guided, Fibro-Scan, Consent Support, skin biopsies, skin testing, sweat tests and COVID-19 testing.

Age of Patient Population: >10 years through adulthood

Clinical Facilities: 3 nursing assessment rooms, 20 exam/diagnostic/treatment rooms, 1 negative flow room, high “hip” chairs designed to accommodate patients with arthritis, arm span measurement ruler, medication, clean and dirty utility rooms.

Research Focus: Endocrinology, Hepatology, Gastroenterology, Rheumatology, Nephrology, Autoimmune and Genetic disorders.

Primary Institute Providing Services: NICHD, NIDDK, NIAMS, NHGRI, NCI, NINDS, NIEHS, NIDCR, NINR, CC and consults from all institutes

Special Patient Care Needs: Falls risk, language barrier, pain management, skin/wound care, low vision, diabetes management, vasculitis, adrenal insufficiency monitoring and teaching, colon cancer screening, obtaining sitting and standing measurements.

Specialized Competencies: Evidence Based Practice, Telephone Triage, Health Assessment, Research Participant Education, Pain Management, Skin/Wound Care, Clinical Emergency Response, Medication Administration, Safe Handling of Hazardous Drugs, Chemotherapy/Biotherapy, Point of Care Testing (POCT) for Blood Glucose (BBGM), Peripheral Vascular Access Device (VAD) Care and Maintenance, Environment of Care, Genetics/ Genomics, Electronic Medical Record, Model of Care, and Clinical Research Nursing Domain of Practice: Clinical Practice, Study Management, Care Coordination & Continuity, and Human Subjects Protection.

Clinical Services: Ophthalmology consultation service, vision screening and testing, intravenous therapy administration, Visudyne-photodynamic therapy; administration of IV fluorescein (FA) and indocyanine green (ICG) for ocular angiogram, intravitreal injections, ocular and intra-ocular injections, retinal laser treatments, photography, pediatric visual screening, genetic counseling, electro retina gram, advanced optics and anterior chamber tap.

Age of Patient Population: Infants through adults.

Clinical Facilities: Complex structural design to meet the needs of ophthalmology. This includes various rooms for assessment, testing, photography, procedure areas, ERG, ultrasound, laser, and visual optics program.

Research Focus: Ophthalmologic disorders and genetic diseases that affect vision.

Institute Providing Services: NEI

Special Patient Care Needs: Patients with low visual acuity are provided extra support by the clinic staff to navigate the environment. Active falls prevention program. A friendly environment for service animals and their owners. Interpreter services for non-English speaking patients and deaf research participants. Specialized consult scheduling and care coordination program. Flexible closing time to accommodate the research and clinical care needs for the ophthalmology patients. FA/ICG administration management, Visudyne-photodynamic therapy management, pre and post ocular procedure management. Expertise in working with families with genetic disorders. Collaboration with Certified Ophthalmology Technicians and Photographers. Use of protocol coordinators to facilitate the research and care of patients based on disease etiology.

Specialized Competencies: Intravenous Therapy, Safe Handling of Hazardous Drugs, Chemotherapy/Biotherapy, Medication Administration, Invasive Ophthalmic Procedures, and Telephone Triage.

Clinical Services:

• Allergy/Immunology/Infectious Diseases: Vaccine administration, Peripheral intravenous (PIV) care, wound care, Nasal swab/wash, IV Blood draws, allergy testing and skin biopsies, and IND studies.
• Genetic Eye Disease Clinic: Ophthalmology consultation service, vision screening and testing, photography, pediatric visual screening, genetic counseling, electro retinagram, advanced optics.

Age of Patient Population:

• Allergy/Immunology/Infectious Diseases: Older adolescents through adults or > 16 years of age
• Genetic Eye Disease Clinic: Infants through adults

Clinical Facilities:

• Allergy/Immunology/Infectious Diseases: 9 exam rooms, plus 1 negative flow isolation room and 1 triage room
• Genetic Eye Disease Clinic: 10 exam/testing rooms, Complex structural design to meet the needs of ophthalmology. This includes various rooms: Assessment, testing, photography, ERG, and visual optics program.

Research Focus:

• Allergy/Immunology/Infectious Diseases: Acute and chronic conditions of the immune systems, infectious disease and allergy disorders
• Genetic Eye Disease Clinic: Ophthalmologic disorders and genetic diseases that affect vision.

Institute Providing Services: NIAID and NEI

Special Patient Care Needs:

• Allergy/Immunology/Infectious Diseases: Case Management model of care for added patient and research support. Psychosocial support for vulnerable population. Patients with special needs and low visual acuity are provided extra support by the clinic staff to navigate the environment.
• Genetic Eye Disease Clinic: Patients with low visual acuity are provided extra support by the clinic staff to navigate the environment. Active falls prevention program. A friendly environment for service animals and their owners. Interpreter services for non-English speaking patients and deaf research participants. Specialized consult scheduling and care coordination program. Flexible closing time to accommodate the research and clinical care needs for the ophthalmology patients. Expertise in working with families with genetic disorders. Collaborate with Certified Ophthalmology Technicians and Photographers. Use of protocol coordinators to facilitate the research and care of patients based on disease etiology.

Specialized Competencies:

• Allergy/Immunology/Infectious Diseases: Telephone Triage, Intravenous Therapy, Environment of Care and Oxygen Delivery Devices
• Genetic Eye Disease Clinic: Intravenous Therapy, Medication Administration, and Telephone Triage

Clinical Services: Protocol screening, specimen collection, study product administration, follow-up, and data documentation.

Age of Patient Population: > 18 years of age

Clinical Facilities: 4 exam rooms, 1 procedure room

Research Focus:Development and evaluation of vaccines and other products to prevent infectious diseases using healthy volunteers.

Institute Providing Services: NIAID/Vaccine Research Center

Specialized Competencies: Venipuncture, Insertion of peripheral Venous Device (VAD) and blood Draws via a Peripheral VAD. Point of Care Testing (POCT) Urine Pregnancy Test. Study product administration and documentation of side effects of study agent.

Clinical Services: This clinic is a comprehensive outpatient area that performs structured bio-psychosocial assessment of alcohol and drug use problems, as well as healthy volunteers for inclusion into clinical studies of substance use disorders.

Age of Patient Population: Late adolescent to adulthood.

Clinical Facilities: 3 exam rooms (2 with beds), 1 neuropsychological interview room, 1 cognitive testing room, one group therapy room.

Research Focus: Substance use disorders related protocols.

Institutes Providing Services: NIAAA, NIDA, NIMHD

Special Patient Care Needs: A safe and secure and private environment.

Specialized Competencies: Prevention and management of aggressive behavior, suicide-self harm prevention, locked seclusion, restraint application and maintenance, positional restraint, team control and transport, seizure management, psychological ratings, and withdrawal assessment & management.

Clinical Services: All pediatric research participants that require a screening or testing in outpatient setting, with the exception of those on behavioral health protocols.

Age of Patient Population: Pediatric patients with diseases that extend into adulthood are seen in the pediatric clinic until age 30 when they are transitioned to appropriate adult outpatient clinical areas.

Clinical Facilities: This outpatient clinic has 14 exam rooms, two triage rooms, one isolation/exam room, one procedure room, three interview rooms, one playroom and two testing room for pediatric research participants requiring care.

Research Focus: All NIH studies involving pediatric research participants that do not require inpatient admission or Day Hospital level of care.

Admission Privileges: All NIH Institutes with IRB approved protocols.

Services Provided: This pediatric clinic provides treatments for children such as oral /IV push chemotherapy/biotherapy, skin biopsies and skin testing, allergy testing, patient education, and care coordination.

Special Environmental Support: Child-friendly environment, phones with access to translation services, exam/treatment room, consultation room, playroom, family room and nutrition area are available.

Specialized Nursing Competencies: Include oral and IV push chemotherapy/biotherapy administration, management and care of venous access devices, skin testing, palliative care, intravenous therapy (bolus bag), oxygen delivery devices, telephone triage, safe handling of hazardous drugs, tracheostomy care, and seizure management. Patient and family education programs.

Clinical Services: All pediatric research participants that require an inpatient admission, with the exception of those on behavioral health protocols.

Age of Patient Population: Pediatric research participants range in age from 3 years up to 18 years. Pediatric patients with diseases that extend into adulthood are transitioned to appropriate adult inpatient units at age 18.

Clinical Facilities: 18 total beds including 9 positive pressure (transplant) and 2 negative pressure isolation rooms.

Research Focus: All NIH studies involving pediatric research participants that require inpatient admission.

Admitting Institutes/Centers: All NIH Institutes with IRB-approved protocols for ages up to 18 years are eligible.

Special Environmental Support: Child-friendly environment, phones with access to translation services, negative flow rooms, HEPA filter rooms, exam/treatment room, playroom, family room, sleeping accommodations for parents, restricted access to unit, a nutrition area, and a Montgomery County accredited school program is available for age-appropriate education.

Services Provided: Family-centered care, chemotherapy, biotherapy, stem cell transplantation, blood product administration, medication infusions, serial blood sampling and pharmacokinetics, age-appropriate patient and family education related to diagnosis, procedures and tests, age-appropriate specialized recreation therapies (music, art, relaxation, medical play, and animal assisted).

Specialized Competencies: Nursing competencies are focused on the specialized needs of the pediatric research participants. Competencies include: family centered patient education, specialized infection screening and control, intravenous therapy, post-operative care, chemotherapy, biologic therapy, investigational and hazardous drug administration, blood product administration, controlled substance infusions, end of life care, chest tube care, tracheostomy care, central line care and management, oxygen administration, cardiac monitoring, pulse oximetry monitoring, timed provocative testing, frequent blood sampling, seizure management, biopsies, stem cell and bone marrow transplantation, post sedation monitoring, age- appropriate nutrition, Bedside Blood Glucose Monitoring (BBGM), and Point of Care Testing (POCT).

Clinical Services: The pediatric outpatient day hospital provides care for pediatric patients that do not require overnight admission.

Age of Patient Population: Pediatric research participants up to 18 years. Pediatric patients with diseases that extend into adulthood are transitioned to appropriate adult clinical areas at age 18. Exceptions made on a case-by-case basis.

Clinical Facilities: The Day Hospital has six rooms, which includes seven beds, six treatment chairs, one vital signs room, and a procedure room for pediatric research participants requiring care. The DH can accommodate for 1 to 2 patients on isolation precautions.

Research Focus: All NIH studies involving pediatric research participants that do not require inpatient admission.

Institutes/Centers: All NIH Institutes with IRB-approved protocols for ages up to 18 years are eligible.

Special Environmental Support: Child-friendly environment, phones with access to translation services, exam/treatment room, consultation room, playroom, family room and nutrition area are available.

Services Provided: Outpatient pediatric family-centered care, chemotherapy, biotherapy, stem cell transplantation care, blood product administration, medication infusion, serial blood sampling and pharmacokinetics, skin biopsies, lumbar punctures, pre- and post-operative outpatient care, post-stem cell transplantation care, age-appropriate patient and family education related to diagnosis, and age-appropriate recreation therapies (music, art, relaxation, medical play, animal assisted).

Specialized Competencies: Nursing competencies include family-centered patient education, specialized infection screening and control, intravenous therapy, oral/IV chemotherapy and/or biologic therapy, investigational and hazardous drug administration, blood product administration, controlled substance administration, end of life care, tracheostomy care, central line care and management, oxygen administration, pulse oximetry monitoring, timed provocative testing, frequent blood sampling, seizure management, biopsies, post-stem cell and bone marrow transplantation care, post-sedation care, age appropriate nutrition interventions, Blood Glucose monitoring and Point of Care Testing (POCT).

Clinical Services: 14 bed locked inpatient unit.

Age of Patient Population: 18 to late adulthood.

Clinical Facilities:

Research Focus: Addiction disorders including alcohol abuse and dependence; non-treatment seeking heavy drinkers; Post-Traumatic Stress Disorder; anxious alcoholics; translational studies applying animal models to addiction disorders; mechanisms underlying addiction and craving; prevention of alcohol/co-morbidity relapse; genomic exploration of processes underlying addiction.

Admitting Institutes: NIAAA, NIDA

Special Environmental Support: Behavioral Health Milieu with psychosocial treatment modalities.

Clinical Services Provided: The alcohol and addictions unit conducts interdisciplinary assessments and treatment of alcohol and drug abuse addiction problems. This includes medical and psychiatric co-morbidities and intensive management of suicidality and aggression. Clinical monitoring includes severity and dependency measures, family and psychosocial factors, and personality measures. A structured four-week treatment program provides Family Education, Alcoholics Anonymous® and Smart Recovery® programs, and multiple Rehabilitation Medicine group and individual therapies.

Special Patient Care Needs: A safe environment is maintained and complies with federal confidentiality laws regarding alcohol treatment. IRB approved use of certificate of confidentiality.

Specialized Competencies: All nurses are skilled in addictions and psychiatric nursing and have demonstrated competence in Behavioral Health nursing prevention and management of aggressive behavior, suicide-self harm prevention, locked seclusion, mechanical restraints, seizure management, intravenous therapy and venipuncture, and withdrawal management. Additionally, all nursing staff receive certification in the Crisis Prevention Institute training for the prevention of violence/aggressive behavior. Specialized competencies of nursing and clinical research staff expertise include PET studies, FMRI studies, infusion studies, serial testing, drug trials, lumbar punctures and psychological ratings scales.

Clinical Services: Includes inpatient and day hospital treatment in child and adolescent psychiatric research and care.

Age of Patient Population: Patients range from 4-17 years of age and are admitted from national and international localities.

Clinical Facilities: 1 SW is a 6-bed unit with flex capacity for patients in Day Treatment programs. The unit has four dedicated inpatient rooms with two additional rooms serving as flex beds. Flex Beds: 1 testing suite (used for overnight sleep studies/video EEG) and 1-day hospital bed.

Research Focus: Autoimmune encephalitis, sleep disorders, adolescent depression.

Admitting Institutes: NIMH, NINDS.

Special Environmental Support: One seclusion room is available. One procedure room is available for use on the unit that has the capability for EEG video telemetry, video monitoring, and Transcranial Magnetic Stimulation. There is an accredited Montgomery County special education program located on the unit that is staffed with two professional teachers.

Special Patient Care Needs: Locked unit, milieu management, and other measures to ensure safety. Observation levels are based on patient needs for safety and support and can range from 1:1 or 2:1 staff monitoring to every 30-minute checks. Social work, recreation therapy, occupational therapy, art therapy, speech and language therapy, nutritional care, and pastoral care services are provided as needed.

Specialized Competencies: Staff are all certified in the Crisis Prevention Institute (CPI) method of prevention of aggression, Seclusion and restraint, Suicide and self-harm prevention, Safe management of the patient in a medical or psychiatric emergency, Intravenous therapy, Biologic therapy, Investigational and hazardous drug administration, Management and care of peripheral venous access devices, Oxygen delivery, Pulse oximetry, Seizure management, Age-appropriate nutrition, Bedside blood glucose monitoring.

Clinical Services: Adult Psychiatry

Age of Patient Population: 18 - 65 years

Clinical Facilities: 13 beds, 2 flex beds-locked unit, 2 sleep study rooms, 3 procedure rooms, 1 TMS research room, 2 seclusion room, 1 interview/participant group room and 2 large conference rooms.

Research Focus: Adult Psychiatry: Mood and Anxiety Disorders, Suicide, Schizophrenia Spectrum Disorders, and Phase 1B Clinical Trials and Protocol Evaluation Studies.

Admitting Institutes: NIMH

Special Environmental Support: Therapeutic and research milieu includes a therapeutic group room, safe smoking area, milieu management, locked unit, patient lounge, activity room, dining areas, kitchen, two quiet/seclusion rooms, testing/interview rooms, and two patient computers and printers.

Special Patient Care Needs: This is a secured unit with milieu management, therapeutic interaction, observational levels, privilege status system, sharps management, safety checks, Crisis Prevention Intervention, IV, phlebotomy, neuroimaging, TMS, ECT, and sleep studies. Interdisciplinary teams include clinical social worker support, a clinical pharmacy specialist, a recreational therapist, an occupational therapist, and a human subjects protection unit (HSPU) team. Also provided are an independent medication management program, behavioral rating scales, community living groups, and research education.

Specialized Competencies: Psychopharmacology, neuropsychological testing, psychopathology ratings, sleep studies, FMRI studies, drug trials (proof of concept studies), PET studies, infusion studies, lumbar puncture, genetics, behavioral health crisis nursing prevention, and management of aggressive behavior. Additional skills include suicide-self-harm prevention, locked seclusion, mechanical restraint, positional restraint, children's control and transport, team control and transport, seizure management, intravenous therapy and venipuncture, and abuse and neglect assessment and reporting.

Clinical Services: This comprehensive neurological care unit provides seizure monitoring, sleep study, post-operative neurosurgical care, High-dose Fosphenytoin Administration with EKG monitoring, Immunotherapy Administration, Biotherapy administration, investigational and hazardous drug administration pharmacologic therapies and natural history assessments.

Age of Patient Population: Adults, 18 years and older.

Clinical Facilities: 10 inpatient beds and 2 sleep study rooms and one flex bed. Total capacity for up to 13 patients.

Research Focus: Neurosurgical Disorders, Seizure Disorders, Neuro-Immunology Disorders, Neuro-Cardiology Disorders, Movement Disorders, Neurological Developmental Disorders, Unknown Disease/Disorder and Psychiatric Disorders.

Admitting Institutes: NINDS, NHGRI, NIMH

Special Environmental Support: Two sleep study rooms, EEG video telemetry, four beds with video monitoring capability, one Negative Flow Room, Exam/Treatment Room, and an elopement prevention system (Wonder Alert System) are in place.

Special Patient Care Needs: Cyraphone, portable Golvo lift, fixed Liko Patient Lift system, Sit-to-Stand, Ultrasound bladder scanning, bedside blood glucose monitoring, specific gravity monitoring, suicide precautions, speech and language assistive devices, CSF-Lumbar-Subarachnoid drain monitoring, seizure management, scalp and subdural GRID seizure monitoring.

Specialized Competencies: CRN’s require advanced neurological assessment and monitoring, blood glucose and specific gravity point of care testing, CSF lumbar/subarachnoid drain management. CRN’s administer cytotoxic and chemotherapeutic agents in the study of neurological disorders, seizure management and monitoring.

Clinical Services: Adult/Pediatric Psychiatry and Complementary and Integrative Health.

Age of Patient Population: 5- > 65 (there is no upper age limit for some of our studies which focus on dementia).

Clinical Facilities: 6 general exam rooms, 8 general interview rooms, 10 specialty rooms, 1 overflow interview rooms and 1 conference room.

Research Focus: Adult and Child Psychiatry and Complementary and Integrative Health.

Institutes Providing Services: NIMH, NCCIH

Special Patient Care Needs: Suicide precautions and play area for children.

Services Provided: Psychiatric assessments, nursing assessments, telehealth assessments; case management, suicide assessment, serial blood draws, pharmacokinetic studies, skin biopsies, aggressive behavior management, support for imaging studies.

Specialized Competencies: Psychiatric nursing skills, telephone triage, phlebotomy, intravenous therapy, crisis prevention and management training, psychiatric rating scales, aggressive behavior management, behavioral health positional restraints, child control and transport, team control and transport, suicide prevention, neuroimaging, and TMS

Clinical Services: Provides services to all inpatient and outpatients participating in NIH clinical trials.

Age of Patient Population: All ages

Clinical Facilities: There are 4 procedural rooms. A semi private area for PACS/RIS consult and consenting /discussions with the patient and family.

Research Focus: Interventional Oncology, device development, minimally invasive and image guided therapies, Effusion Imaging Navigation and bench top to clinical translation (Bench to Bedside).

Admitting Institutes: All Institutes

Special Environmental Support: Interpretative phone services.

Special Patient Care Needs: Standardized care/procedure plans are modified to meet the unique care needs of the patient. Special needs are noted from CRIS documents and reports from the patient’s unit nursing staff as positioning limitations, language barriers, age, etc.

Specialized Competencies: Nurses maintain BLS, ACLS, PALS certification.

Clinical Services: The operating room attends to patients enrolled on experimental protocols that require surgical interventions, diagnostic and invasive therapeutic procedures. Over 2000 surgical procedures are performed annually in the main operating room suites.

Age of Patient Population: All ages.

Clinical Facilities: Operating Room consists of 11 operating room suites, including 1 intraoperative MRI suite, and three rooms dedicated to laparoscopic/robotic surgery. An electronic medical record- Perioperative Information System (POIS) with a state-of-the-art E-board real time patient tracking system.

Research Focus: All patients are involved in a clinical trial. Surgeries include but are not limited to: biopsies, laparotomies, perfusions, craniotomies, robotic surgery, and endoscopy procedures.

Surgical Specialties include: Thoracic, Surgical Oncology, Neurosurgery, Urology, Endocrine, ENT-Dental, Eye, GYN, GI, Ophthalmology, and others.

Institutes: All

Special Environmental Support: Perioperative care plans are modified to the individual’s age and needs. Supporting departments include: Sterile Processing Section, Environmental Services, Department of Pharmacy, Department of Pathology, Department of Laboratory Medicine, Department of Clinical Research Informatics, and DFOM/Hospital Engineering and Facility Services.

Special Patient Care Needs: Special needs are noted in pre-op data assessment such as language barriers, learning deficits, metal implants, latex sensitivity, positioning limitations, and infection prevention/isolation status.

Specialized Competencies: Staffing provided by Perioperative Registered Nurses, Surgical Technologists, and Department of Anesthesia personnel (Anesthesiologists, Certified Registered Nurse Anesthetists (CRNAs) and Anesthesia Technologists) with professional staff and certified health technicians. Clinical Research Nurses and Surgical Technologists may hold certifications that include OCN, CNOR, CSSM, CST, CSFA as well as other certifications.

Clinical Services: Provide pre-operative, post-operative and procedure care to inpatients and outpatients who receive sedation, monitored local, regional or general anesthesia in the main Operating Room (OR), offsite locations, and special procedure locations.

Age of Patient Population: Infants (one year of age or greater), toddlers, children, adolescent, adult, and geriatric.

Clinical Facilities: located on 2nd floor of the CC ACRF building. Pre-operative unit six pre-operative bays, Post-operative unit, one A-line treatment room six regular bays with three isolation rooms without negative pressure, patient locker/clean supplies.

Research Focus: Phase I, II, and III protocols from all institutes within the NIH.

Admitting Institutes: Support patient populations from all NIH Institutes that require surgical, procedural, support under anesthesia.

Special Environmental Support: All bays equipped with Cardiac, NBP, ETCO2, hemodynamic monitoring, SPO2, and suction, advanced life support code cart, dedicated bedside computers, bedside KBMA, Point of care testing (POC), Barcode lab labeling, Pyxis supply storage, Omnicell medication storage, bladder scanner, Bair Hugger, PCA pumps, Syringe pumps, Alaris pumps, Prevalon MATS, POIS electronic computer charting, patient tracking boards, SISAnalytics data, huddle boards, bedside patient huddle, nutrition refrigeration.

Special Patient Care Needs: Cyracom cordless phones, CC translator services, Family waiting room, private consultation room within family waiting room, waiting room patient tracking boards, waiting room patient check-in board, MSA support in waiting room.

Specialized Competencies: RN staffing; all complete the PACU/Anesthesia competencies; all are Advance Cardiac Life Support (ACLS) certified, some have instructor certification, Pediatric Advance Life Support (PALS) certification, CC Privileged for IV, medications, angd blood product administration, MRI safety, Malignant Hypothermia, ECT pre and post care.

Clinical Services: The Sterile Processing Section provides cleaning, high level disinfection, assembling, sterilizing, and distribution of various surgical instruments and medical devices supporting multiple departments within in the Clinical Center as well as the Operating Room. Services include high level disinfecting over 1,500 flexibles scopes yearly as well as sterilization services via Sterrad 100NX, Steam, or EtO.

Age of Patient Population: SPS does not provide direct patient care. However, the service does support the care of all ages.

Clinical Facilities: Currently located on B1 of the CC ACRF building, the Sterile Processing Section consists of a high-level disinfection room, decontamination room, Sterile Processing Room and Scope storage room. The Sterile Processing Section has the following equipment within those rooms that support the Clinical Center needs:

• Three Advantage Plus Medivators to support High Level Disinfection of Flexible Scopes
• Trophon 2 machine for High Level Disinfection of Ultrasound Probes
• Three Steam Sterilizers
• A Sterrad 100NX All Clear for Low Temperature Sterilization through Hydrogen Peroxide
• Two EtO Sterilizers
• Height adjustable workstations
• Height adjustable cleaning Sinks
• An electronic E-board with real time surgical tracking

Research Focus: Sterile Processing Section supports all Clinical Center departments that have patients involved in clinical trials that require our services through High Level Disinfection and Sterilization needs of Medical devices and instruments.

Admitting Institutes: All Institutes.

Special Environmental Support: Supporting Departments Include: Hospital Epidemiology Service, Department of Perioperative Medicine, Materials Management and Environmental Services Department, Department of Clinical Research Informatics, and DFOM/Hospital Engineering and Facility Services.

Special Patient Care Needs: N/A

Specialized Competencies: Staffing provided by Sterile Processing Technicians as well as Medical Supply Techs. Sterile Processing Technicians may hold certifications that include Certified Registered Central Service Technician (CRCST), Certified Endoscope Reprocessor (CER), and Certified Instrument Specialist (CIS).

Clinical Services: Comprehensive medical care and research support offered to patients with solid tumors, malignant and non-malignant hematologic disorders, lymphomas, leukemia’s, autoimmune diseases, immunological disorders, and those patients receiving blood and marrow transplants (e.g. bone marrow and peripheral blood stem cells from autologous and allogeneic sources). Administer per protocol regimens with chemotherapy, biotherapy, gene therapy auto transplants and targeted immunotherapies, e.g., CAR cells.

Age of Patient Population: Early through late adulthood

Clinical Facilities: 26 inpatient beds (22 private rooms and 2 semi-private rooms) and 1 exam room

Research Focus: Phase I and Phase II Clinical Research protocols for malignant and non-malignant hematologic disorders, autoimmune diseases, immunological disorders, and some solid tumors and lymphomas.

Admitting Institutes: NCI, NHLBI, NIAID

Special Patient Care Needs: Cyraphone/AT&T Line, Look Good/Feel Better program, pain and palliative/end of life care, and patient and caregiver support groups. Patient teaching groups, physical, occupational and recreational therapy, spiritual ministries, nutrition, and social services support. Telemetry monitoring and support.

Specialized Competencies: Chemotherapy and hazardous drug administration, blood and marrow transplant, cellular and blood product administration; neutropenic precautions and Ommaya Reservoir care/access, granulocytes, Bedside Glucose monitoring, telemetry monitoring, end of life care, point of care testing and care of central VAD devices.

Clinical Services: Provides comprehensive care to adult Medical / Surgical oncology patients on Phase, 0, 1 and II research protocols. The care provided includes administration of chemotherapy, biotherapy, targeted immunotherapy, blood products, pharmacokinetics, post-surgical care, care of venous access devices, research sampling.

Implementation of Phase 0, I, and II biomedical protocols treating solid tumors, as well as consult surgical patients. Administer chemotherapy, biotherapy and blood products. Provide pharmacokinetics sampling, symptom management, post-surgical care, insertion and care of venous access devices.

Age of Patient Population: Early to late adult.

Clinical Facilities: 24 private rooms.

Research Focus: Solid Tumor Malignancies (melanoma, renal cell, lung, pancreatic, liver, colo-rectal, breast, ovarian, uterine, prostate), Mesothelioma, Surgical Endocrine and GI Malignancies.

Admitting Institutes: NCI

Special Environmental Support: 1 Negative flow isolation room, telemetry / continuous pulse ox monitoring, portable and ceiling lifts, cleansing tub, laundry facilities.

Special Patient Care Needs: Cryaphone / Language phones and interpreters, Certified Wound Care Nurses, Pain and Palliative Care consult service, Rehabilitation services.

Specialized Competencies: Chemotherapy administration, Immunotherapy and Biotherapy administration, Epidural and PCA management, telemetry monitoring, complex wound, ostomy and skin management, tracheostomy management, End of Life management, chest tubes, TPN, CVAD management, Point of Care Testing (bedside blood glucose monitoring), Post thyroidectomy care, bone marrow aspiration and biopsy care.

Clinical Services: Comprehensive outpatient center which provides care to patients on phase 0, I and II clinical trials. The majority of care provided is chemotherapy/ immunotherapy administration, supportive care, blood product administration, care of transplant recipients and donors, and outpatient procedure recovery.

Age of Patient Population: Early through late adulthood.

Clinical Facilities: 30 treatment chairs and 4 beds.

Research Focus: NCI Solid Tumor, Neuro-Oncology, NCI Transplant, Thoracic and GI malignancies, Genitourinary malignancy, NHLBI Transplant/Hematology, POB, NCI Surgery and Urologic Oncology, MDR, Lymphoma, HIV malignancies.

Institutes: NCI, NHLBI, NIAID

Special Patient Care Needs: Serial Testing, Cellular Therapy infusions, Symptom Management, Telephone Triage, Stem Cell Transplant Education class.

Specialized Competencies: Blood Product & Cellular Therapy Administration, Cancer Symptoms Management, Central Venous Device Management, Immunotherapy, Chemotherapy and Biotherapy Administration, Complex Care of Transplant Recipients and Donor, Glucose Management, Hepatic Arterial Infusion Pump, Intraperitoneal and Intravesicular Treatment, Ommaya Reservoir Care/Access, Pharmacokinetics Studies, Post Procedure Recovery, Vaccine Administration (Intradermal, Subcutaneous, Intramuscular)

Clinical Services: Comprehensive medical oncology care and research support offered to research participants with Lymphoma malignancies. Two (2) Hospice suites are dedicated to provide hospice and End-of-Life care for patients throughout the Clinical Center.

Age of Patient Population: Early through late adulthood

Clinical Facilities: 10 inpatient beds (8 private rooms and 2 Hospice suites)

Research Focus: Supporting Phase I and II clinical trials focused on CNS Lymphoma, B-cell Lymphoma, Other types of Lymphoma and Rapid Autopsy protocol for tissue sampling.

Admitting Institutes: NCI Lymphoma

Special Environmental Support: Telemetry monitoring for rapid autopsy protocol, pulse oximetry, bed alarms, over the bed ceiling lifts, assistive mobility devices, mobile phones connecting to patient call and telemetry alarms.

Special Patient Care Needs: Ommaya reservoir management, after-hours ambulatory pump management, telephone triage, serial testing.

Specialized Competencies: Chemotherapy/immunotherapy administration, Ommaya Reservoir care/access, Point of Care Testing, Central venous access device management, Pharmacokinetics Studies, Patient Controlled Analgesia (PCA), Telemetry Monitoring, Hospice and Palliative Care

Clinical Services: Venous access, conscious sedation, and procedure support services. The service also supports endoscopy, bronchoscopy, and NHLBI cardiac services: catheterization lab and 1 exercise lab (location: 5NE/Diagnostic), and research procedures (bone marrow biopsy, liver, adipose tissue and skin biopsy) from all institutes. Provide support for procedures with anesthesia.

Age of Patient Population: 2 years old to late adult

Number of Beds: 3 procedure beds, 1 endoscopy and 1 bronchoscopy suite(s). All beds have cardiac, NBP, ETC02 and hemodynamic monitoring capabilities, 02 and suction, hemodialysis hook up and drainage.

Institutes: Supports inpatients and outpatients from all institutes.

Special Environmental Support: Isolation/negative air flow rooms (one room with a vestibule), hepa-filtered rooms.

Specialized Competencies: Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), endoscopy, bronchoscopy, conscious sedation, pediatrics, central apheresis/venous catheter placement, Peripherally Inserted Central Catheters (PICCs), Peripheral Intravenous catheter placement with ultrasound, exercise lab physiology, hemodynamic monitoring. 

Clinical Services: Acutely ill patients requiring intensive monitoring or advanced life support are eligible for admission to the Intensive Care Unit. Intensive monitoring includes hemodynamic, respiratory and cardiac as well as complex nursing care, post- procedure observation, continuous renal hemofiltration/therapy and other interventions for life-threatening problems. Patients requiring specialized or continuous monitoring for a research protocol are also eligible for ICU admission.

Urgent ACLS- Level Transport: Responsible for the care of a patient requiring urgent transport to another facility (Suburban Hospital) under the direction of a CCMD Attending.

After Hours Triage: Management of care for the unplanned after-hours adult outpatients presenting with acute care needs. This program utilizes a designated “triage bed” in the ICU for a maximum 2-hour stay. The patient’s primary medical team is the team responsible for the care and treatment of the triage patient until a decision is made to admit or discharge the patient home.

Rapid Response Team: Attends to all inpatient Rapid Response calls which include calls from any medical team, staff, the patient, and family members.

Code Blue Team: Responds to all Code Blue emergencies within the Clinical Center and the Magnuson Building which includes patients, visitors and employees.

Age of Patient Population: Three years of age (>15kg) through late adults.

Clinical Facilities: Twelve private intensive care rooms on 3SW-S, and six private rooms on 3SW-N that serve as ICU overflow and/or specialized Isolation for critically ill patients.

Research Focus: Phase I, II, and III protocols from all institutes within the Clinical Center.

Admitting Institutes: Supports patient populations from all Institutes within the Clinical Center that require Critical Care Services. Emergency support to the state of Maryland to accept ICU or critically ill patients from area hospitals during states of emergency.

Special Environmental Support: Three negative air flow rooms with vestibules; six hepa-filtered rooms; video monitoring capability, cardiac/hemodynamic monitoring, advanced life support, bedside computers on wheels, and hemodialysis connections, Clinical Data Viewer Flowsheet, Point of Care Testing.

Pandemic Preparedness: Ability to adapt to any epidemiological environment by changing unit workflow and environment.

Special Patient Care Needs: Cyraphone/AT&T interpretation services, word/picture charts for intubated patients, preoperative teaching and tours of the ICU, family waiting area and private consultation rooms, sleeper chairs for "rooming in", open interdisciplinary rounds to include family twice a day, weekly family meetings.

Specialized Competencies: Hemodynamic Monitoring, Continuous Renal Replacement Therapy, Intra-Aortic Balloon Pump, Temporary Transcutaneous and Transvenous Pacemaker, management of Mechanical Ventilation and Vasoactive Medication Administration, Intracranial Pressure (ICP) Monitoring, Subdural Video EEG Monitoring, Pediatric competencies, Rapid Response Team and Code Blue Team, Triage, Chemotherapy/Biotherapy, Cellular Therapy, Special Respiratory Isolation to care for Ebola patients.

Advanced Certifications and Training: Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Critical Care Nurse certifications (CCRN), ONS Bio/Chemotherapy Administration, Urgent Transport, and Emergency Neurological Life Support (ENLS) training.

Clinical Services: Provides patient centered care to oncology research patients receiving radiation therapy. The care provided includes radiation therapy treatment delivery, care coordination, patient education, medication administration, research sampling (blood, urine), symptom management, short- and long-term treatment follow up, survivorship, emotional support services.

Age of Patient Population: Pediatric and Adult

Clinical Facilities: Pediatric and Adult

Research Focus: Radiation Oncology and consult services to support research patients

Institutes Providing Services: NCI, NHLBI, NIAID, NIDDK

Special Patient Care Needs: Education regarding treatments and procedures performed in Radiation Oncology.

Services Provided: Radiation therapy (curative and palliative), image guided intensity modulated radiation therapy (IMRT), SBRT, prostate biopsy and imaging, stereotactic radiosurgery, high dose brachytherapy, Space Oars placement, fiducial marker placement, wound and skin care, pain and palliative care, chemotherapy administration, medication administration, bladder scanner.

Specialized Competencies: Telephone triage, radiation safety, administration of chemotherapy/biotherapy, intravenous therapy.

Clinical Services:

• Donor collection of whole blood and apheresis components in support of:
  • Clinical Center patient transfusion needs, including collection of whole blood by phlebotomy and packed red blood cells by apheresis, and the performance of automated plasmapheresis procedures in volunteer donors.
  • Collection of blood components for NIH institute (intramural) investigators, including collection of whole blood, leukapheresis, and hematopoietic progenitor cell collections, plateletpheresis, and plasmapheresis components from normal volunteers under protocol 99-CC-0168.
• Patient apheresis procedures, including:
  • Procedures performed for therapeutic intent (including plasma exchange, red cell exchange, leukapheresis, and extracorporeal photopheresis)
  • Procedures performed as part of clinical trials investigating the therapeutic efficacy of apheresis.
  • Procedures performed to collect cellular therapy components for hematopoietic reconstitution, generally as part of collaborative hematopoietic transplantation protocols
  • Procedures performed to collect components for further ex vivo manipulation, such as long-term culture, CAR-T cells, gene therapy, tumor vaccine development or targeted cell therapy.
  • Procedures performed to collect components from patients for in vitro research use by institute investigators (covered by IRB-approved protocols)

Age of Patient Population: Pediatric through late adults.

Clinical Facilities: 2 isolation rooms, 7 bay beds, 1 phlebotomy chair, 6 research chairs, 5 donor area chairs.

Research Focus: All Phases of protocols from all institutes within the Clinical Center.

Institutes Providing Services: Supports patient populations from all Institutes within the Clinical Center that require Apheresis/Therapeutic Blood Services.

Special Environmental Support: 2 isolation rooms, bedside computers on wheels, Point of Care Testing HemoCue device, bedside commode, Accuvein finder, Bair Huggers, Sartorious and Pelouze Scales, Hemoflow Scale (flow monitoring device) REES environmental monitoring system, ABO suites/BBCS blood banking computer system.

Special Patient Care Needs: CyraPhone/AT&T interpretation services, Donor information in Spanish, Donor History Forms in Spanish, venous assessments and pre apheresis teaching, Apheresis Donor Educational information in Spanish.

Specialized Competencies: Point of care testing HemoCue device, VAD management, Hazardous drug administration, operation of apheresis devices, cGMP, and AABB/FDA donor eligibility requirements.

Advanced certifications including: Qualification in Apheresis (QIA) ASCP, Hemapheresis Practitioner Certification (ASCP).

Clinical Services: We provide care to Medical/Surgical oncology patients on Phase I and II research protocols. The care provided includes patient education, medication administration, research sampling (blood, urine, tissues), and oncological symptom management.

Age of Patient Population: Pediatric and adult.

Clinical Facilities: 18 exam rooms (3 Room designated to Perioperative Service).

Research Focus: Oncology - Solid organ cancers, immunodeficiencies, clinical genetics counselling.

Institutes Providing Services: NCI, CC

Services Provided: Oncology: Ultrasound bladder scanning, punch skin biopsies, care of central venous access device, EKG, flexible laryngoscopy, uroflowmetry studies, urodynamics testing, patient education (pre and post-surgery), medication administration, wound/ostomy/continence nursing.

Special Patient Care Needs: Pain and Palliative Care, Consult Services, genetic counseling for patients/families and phlebotomy service.

Specialized Competencies: Bladder irrigation, voiding trials, management and care of central venous access devices, intravenous therapy, telephone triage.

Age of Patient Population: > 18 years of age

Clinical Facilities: 1 medical consultation room and 14 medical exam rooms, 2 patient waiting areas.

Research Focus: Hematologic disorders and malignancies, solid tumor cancers, immunodeficiency disorders. Focus on Lymphomas, multiple myelomas, Prostate and Bladder oncological diseases, Ovarian and Breast Cancers, and Transplant (ETIB/LTIB).

Institutes Providing Services: NCI MOS

Services Provided: Venous access device care, intravenous therapy, trache care, wound and skin care. Procedures: walking pulse-ox monitoring and saliva testing. Consult services by Pulmonary, Cardiology and Surgery, and Genetic Counseling.

Special Patient Care Needs: Phlebotomy services- port access and deaccess, Venous access device care and trache care.

Specialized Competencies: Management and care of venous access devices, wound and skin care, intravenous therapy, trache care, seizure management and oxygen administration.

Age of Patient Population: Age 13 through adult.

Clinical Facilities: 2 consultation rooms, 12 exam rooms, 2 patient waiting areas, 1 photography room.

Research Focus: Dermatological diseases and/or disorders, solid tumor cancers, brain and spinal cord tumors.

Institutes Providing Services: NCI and NIAMS

Services Provided: Dermatology consultation services, rheumatology consult services, genetic counseling, skin and wound care, venous access device care, intravenous therapy, skin biopsies.

Special Patient Care Needs: Phlebotomy services, venous access device care.

Specialized Competencies: Management and care of venous access devices, intravenous therapy, seizure management, oxygen administration and wound and skin care.