Clinical Services

Represented by Nurse Practitioners

The University of Maryland Medical System is rich in specialty services for the patients of Maryland and the entire region. Nurse practitioners provide expert care within each of the specialty areas below.

To learn more about each area, select a specialty or simply scroll down the page:


Acute Pain Management -- R Adams Cowley Shock Trauma Center

The Acute Pain Management Service provides comprehensive pain management for patients utilizing patient controlled anesthesia, patient controlled epidural anesthesia, regional anesthesia as well as complex oral pain medications.

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Cardiology Advanced Practice

Nurse Practitioners within the Division of Cardiology provide highly specialized, comprehensive care for patients with a wide variety of cardiovascular conditions. Specialty patient populations include post procedural care, and those with pulmonary hypertension, with mechanical assist devices, post heart transplantation, and advanced heart failure. Cardiology NPs are team members in every sector of the Division of Cardiology, as well as in sister hospitals and programs. They are a crucial part of the dynamic UMMS community of providers who advance the care of patients throughout the spectrum of cardiovascular diseases.

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Cardiology Services for Renal Transplantation

Nurse Practitioners work closely with the Transplant Surgery team to evaluate the cardiac needs of patients being considered for renal transplantation. This dynamic service applies evidenced-based evaluations of patients prior to surgery, and therefore contributes to the outstanding success of one of the largest renal transplant programs in the world.

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Cardiac Surgical Intensive Care (CSICU)

In the Cardiac Surgery Intensive Care Unit a team of 10 Acute Care Nurse Practitioners work closely with Intensivists, Cardiac Surgeons, Residents, and Registered Nurses to provide comprehensive 24/7 care to a population of complex cardiac surgery patients who possess high acuity and numerous co-morbidities. The NP team in the CSICU provides acute post operative management to cardiac surgery patients. These patients are recovering from both cardiac surgery and heart lung transplantation. This is an advanced practice model of care and the NPs provide 24/7 coverage to this highly complex cardiac population. The nurse practitioner collaborates with the multidisciplinary team of cardiac surgeons, critical care physicians, pharmacists, nurses, nutritionists, and social workers to ensure safe, streamlined and optimum outcomes of this critically ill population.

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Diabetes

Nurse practitioners within the University of Maryland Center for Diabetes and Endocrinology provide a collaborative team approach to diabetes management. The practice is composed of diabetologists, endocrinologists, nurse practitioners, podiatrists, ophthalmologists and mental health care providers. Care provided by the nurse practitioner focuses on the medical management of diabetes, risk identification and reduction. A multidisciplinary approach is utilized to assist in the prevention of long-term diabetes complications.

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Emergency Surgery -- R Adams Cowley Shock Trauma Center

Nurse practitioners with this team provide care to patients with conditions requiring emergent general-surgery interventions, or are critically ill and require the attention of a surgical team in a tertiary care setting. These patients are followed through their inpatient stay and outpatient recovery.

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Marlene and Stewart Greenebaum Cancer Center

At the University of Maryland Marlene and Stewart Greenebaum Cancer Center Advanced practice nurses treat adults with malignant neoplasm and hematological disorders with a multi-disciplinary approach to patient care. We have 9 NP's, 6 work in the outpatient setting, 2 work on the inpatient Bone Marrow Transplant unit (C9W) and 1 works on the medical oncology unit (N9W).

Major clinical activities/procedures include initial consultation, diagnostic testing, ambulatory follow-up, treatments and symptom management (chemotherapy, IV fluids, blood product administration, and medication administration), procedures (bone marrow aspiration and biopsy), palliative care, clinical research trial accrual and monitoring.

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Medical Intensive Care (MICU)

The Medical Intensive Care Unit is a 29 bed intensive care unit, utilizing 5 Nurse Practitioners in providing direct patient management of varied medical, neurologic, oncologic, pulmonary diseased and multi organ failure, in collaboration with the Intensivist. The nurse practitioners have varied nursing backgrounds, therefore providing a wide base of experience and expertise. Nurse Practitioners have been practicing in the Medical Intensive Care Unit for 7 years. The MICU NPs are part of the integrated teaching model at UMMC. These advanced practice nurses coordinate the care of critically ill patients with complex medical diagnoses. They provide consistent coordinated care as well as ongoing support and education for the nursing staff and families.

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Neurology -- Brain Attack Center (MBAC)

The Maryland Brain Attack Center is a multidisciplinary core of patient care providers, researchers, and educators working together to recover and minimize disability from stroke. We provide comprehensive acute stroke consultation for the state of Maryland, including a network of hospitals that cooperatively work toward achieving the best outcomes for our region's stroke patients. Our objectives target the potential stroke patient, the EMS community, emergency medicine providers and the stroke patient and family. We seek to:

  • Provide timely and comprehensive pre-hospital, inpatient and emergency department critical care consultation and treatment for the acute stroke patient.
  • Improve the outcomes of acute stroke patients through a multidisciplinary team of health care professionals utilizing state-of-the-art strategies for stroke prevention, treatment of acute stroke and transient ischemic attack and early rehabilitation.
  • Provide the most innovative and advanced treatments for acute stroke patients throughout Maryland.

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Neurosurgery

The Neurosurgery team offers an array of treatments for all types of neurosurgical conditions. The department places special emphasis on neuro-oncology, spinal surgery, epilepsy surgery, Gamma Knife radiosurgery, cerebrovascular surgery and pediatric neurosurgery. A multidisciplinary approach to patient care is maintained.

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OB/GYN

The talented team of obstetricians, gynecologists, midwives and nurse practitioners at University of Maryland Women's Health are committed to guiding patients through every stage of pregnancy and assisting you with issues related to reproductive health through its Division of General Obstetrics and Gynecology.

The University of Maryland Women's Health Center is committed to making your delivery as stress-free as possible. The healthy mother-to-be and baby receive prenatal care and delivery in comfortable, attractive birthing rooms that are staffed by obstetric anesthesiologists 24 hours a day. They also provide assistance for a range of other gynecologic problems facing women. The Urogynecology (urinary incontinence) Program features complete diagnostic evaluation with the most advanced technologies and offers a variety of treatments ranging from exercise and diet to surgery.

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Oncology -- Breast

Nurse Practitioners for the Marlene and Stewart Greenebaum Cancer Center and the Breast Evaluation and Treatment Program (BEP) manage outpatients during any part of their breast cancer treatment from initial diagnosis, during chemotherapy, long-term follow-up, metastatic disease, etc. NPs also see patients in the BEP, which is a high-risk clinic for women with non-invasive breast carcinoma (DCIS< ADH), mastitis, fibro adenoma, family history, etc.

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Pediatric Cardiothoracic Surgery

The Pediatric Cardiac Surgery Nurse Practitioner role includes pre- and post-operative cardiac surgery care, including congenital heart disease. The PNP follows the pediatric cardiac surgery patient throughout their hospital stay in collaboration with the Pediatric Cardiac Surgeon. The PNP will perform complete history and physical examinations, post-operative management, and discharge teaching on all patients requiring cardiac surgery. Post-operative management includes collaborative development and implementation of plans of care, ordering diagnostic evaluations, and performing therapeutic interventions during surgical recovery.

The PNP will also directly provide comprehensive cardiac surgery education to patients and families, as well as nurses, residents, and associated health care professionals. The PNP manages the Congenital Cardiac Surgery Database at UMMC. The PNP collaborates with the Pediatric Cardiac surgeon with quality improvement initiatives, protocol development, research and publications.

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Pediatric Endocrinology

Nurse Practitioners provide care for Diabetes / General Endocrinology patients: such as thyroid, growth, puberty, or other hormonal disorders.
They provides testing in our Endocrine Diagnostic Unit performing tests which ascertain problems with Growth Hormone, Cortisol, glucose/insulin tolerance, gonadatropins, etc. as well as provide care for pediatric diabetes patients, combining diabetes education and physical exam visits in the Joslin Diabetes Center.  They also provide education for new-onset families in the in-patient setting. NPs provide care for both diabetes patients and general pediatric endocrinology patients. Our NPs precept PNP students from the University of Maryland School of Nursing.

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Pediatric Intensive Care Unit (PICU)

The pediatric critical care nurse practitioners have been essential members of the pediatric critical care team for over a decade. The nurse practitioners provide comprehensive care to children in the combined 24 bed pediatric intensive care and intermediate care units. The nurse practitioners, in collaboration with the pediatric intensivists and the PICU team, holistically manage critically ill infants, children, and adolescents with a wide array of acute and life-threatening medical and surgical conditions requiring specialized technology. In this advanced practice role, the nurse practitioners are also leaders in nursing education, quality improvement, and research and are dedicated to providing quality and innovative care to achieve optimal patient outcomes.

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Pediatric Surgery

The pediatric nurse practitioner team provides expert advanced practice nursing care to infants and children with complex congenital anomalies requiring surgery. In addition we support the outpatient surgical elective surgical population. Inpatient care involves daily management of children recovering from surgery, coordinating care, planning complex discharge transition from hospital to home of children and families who may need to continue to provide complex postoperative ongoing care at home. These include children with intestinal failure (short gut) who require home TPN, enteral feeds and ongoing close monitoring, children with anorectal anomalies as well as ongoing support for social bowel continence.

The NP team has established a Center for Bowel and Bladder Management that supports children with dysfunctional voiding and enuresis as well as ongoing continence care.

Post Surgical Services (SIMC)

The Surgical Intermediate Care Unit (SIMC) was opened in the spring 2001 and is a 10 bed unit offering continuous hemodynamic and pulse oximetry monitoring to a wide array of post surgical patients. The SIMC is managed by unit-based Nurse Practitioners (NP's) Monday through Friday from 7am-7pm with occasional weekend coverage. The NP's provide routine assessments, collaborate with respective surgical teams to provide optimal patient care, assist in expediting patient flow to and from the unit as well as provide a continual resource for the nursing staff. The SIMC receives patients from the Post Anesthesia Care Unit (PACU), other intensive care units, surgical patients on the general surgical ward requiring a higher level of care and patients from outside facilities via express care. There is admission and discharge criteria in place for patients needing the SIMC level of care and requests are handled by the Nurse Practitioners.

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The Children's Heart Program

The Children's Heart Program is responsible for managing patients in both an out-patient setting as well as the in-patient setting. The Nurse Practitioner for this department will see patients with the attending physicians in the clinic setting. These children present with complaints of murmur, chest pain, palpitations, syncope and of course heart disease. All children with any form of congenital heart disease are followed throughout their lives by the cardiology team.

In-patients are found in the NICU, PICU, Pediatric Intermediate Care Unit and the Pediatric Floor. These patients are managed by the nurse practitioner with the goal of facilitating a timely, organized discharge that is smooth for the patient and family. Patient, family and staff education is a large component of the Cardiology Nurse Practitioner's role as well. The nurse practitioner is also directly involved with all patients requiring cardiac catheterization.

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Transplant

The solid organ transplant (STO) is responsible for kidney, liver and pancreas transplantation. The University of Maryland's Division of Transplantation is one of the nation's largest transplant programs. A multidisciplinary approach is utilized to deliver state-of-the-art care to recipients of kidney, liver and pancreas transplants.

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Traumatology -- R Adams Cowley Shock Trauma Center

The Traumatology nurse practitioners at the R Adams Cowley Shock Trauma Center are a vital part of a trauma admitting team, which provides comprehensive care for patients from admission through discharge. These patients range in severity of illness from simple single-system injury to multi-system injury and failure. Additionally, many of the nurse practitioners are experts in specific aspects of patient injury such as abdominal trauma, ARDS and trauma pathophysiology.

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Trauma Neurosurgery -- R Adams Cowley Shock Trauma Center

Nurse practitioners with the trauma neurosurgery team are key members of a service that sees more than 1,500 patients a year. As part of the team, the nurse practitioners perform initial evaluations, assist with operative repair and follow neurosurgical patients through their recovery both as inpatients and outpatients.

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Trauma Orthopaedic Surgery -- R Adams Cowley Shock Trauma Center

Nurse practitioners with the Orthopaedic Trauma Service provide care for patients with musculoskeletal injuries from admission through outpatient follow-up including casting and splinting, insertion of traction pins and fracture reductions.

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Trauma Plastic Surgery -- R Adams Cowley Shock Trauma Center

Part of a service that specializes in microvascular tissue flaps and cranio-facial reconstruction, the nurse practitioner on this team performs initial evaluations, bedside surgical repair and assists with operative treatment of a variety of injuries. After initial evaluation and treatment, the nurse practitioner follows these patients through their recovery.

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Vascular Surgery

The Maryland Vascular Center at UMMC and the Baltimore Washington Medical Center provides comprehensive evaluation and treatment of all major vascular disorders, specializing in the most complex vascular problems. Services include: outpatient consultation, sophisticated non-invasive diagnostic testing, endovascular diagnosis and treatment and inpatient consultation and treatment.

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Division of Wound Healing and Metabolism Soft Tissue Service -- R Adams Cowley Shock Trauma Center

The Soft Tissue Service receives patients by referral locally and from surrounding states with the diagnosis of necrotizing fasciitis, fournier's gangrene or complex infected ulcers. Most patients are systemically septic or in compensated septic shock on arrival and require aggressive resuscitation and hemodynamic line placement and monitoring. Multiple operative debridements, aggressive antibiotics and hyperbaric oxygen are the cornerstones to successful outcomes for these complex patients.

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This page was last updated: November 12, 2013

         
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