Trauma Intensive Care and Stepdown Unit

Teresa Hobt-Bingham

Welcome to Trauma ICU and Stepdown!

The Trauma Unit manages the care of patients who have sustained some form of major trauma to their body. We see patients who have been injured in motor vehicle or bicycle crashes, industrial accidents falls, and pedestrians who have been hit by vehicles. We also care for patients who have suffered from penetrating trauma such as gunshot and stab wounds. Many of our patients have traumatic brain, chest/abdominal, orthopedic or spinal cord injuries. In addition to an ICU and stepdown area, our unit is home to a seven-bed, open-bay receiving area where we admit less critical patients. We have the only open ICU in the adult hospital, which means there are no private ICU rooms. This setting enables us to work more efficiently as a team because we can see all our patients at a glance and quickly assess if a coworker needs assistance which increases teamwork and collaboration. We perform several procedures at the bedside, but we also spend a good amount of time preparing patients for and transporting them to imaging, operating room or treatment areas. We have a very challenging patient family population. Not only are our patients really sick and in need of attention, but the families are also in crisis. We need people who are strong patient advocates, but who also can communicate effectively and can manage very stressful conditions. Families play a large role in the success of care. They participate in bedside rounding and are given a chance to ask questions of each member of the multidisciplinary team. We also look for nurses who are comfortable with autonomy. While we offer plenty of support, our nurses should be knowledgeable of protocol, willing to study and learn new skills and unafraid to ask questions.  Our work can be very intense, but we find ways to have fun together. We’ll go camping or whitewater rafting, for example, and our unit was the first to embrace Spire — an online community promoting fitness and mental wellness. If you want to fight to save lives and learn to be a better nurse in the process, apply now and join us!

Teresa Hobt-Bingham, MSN, RN
Manager, Trauma ICU & Stepdown


Location Location
Tenth floor of Vanderbilt University Hospital
Take a virtual tour of our unit.
Nurse to Patient Ration Nurse to Patient Ratio
ICU = 1:2
Stepdown = 1:2, 1:3, or 1:4
Receiving = 1:3 or 1:4
Beds Number of Beds
ICU = 14
Stepdown = 17
Receiving = 7
Focus of Care Patient Profile
Adult patients who have sustained traumatic head, neck, spinal cord,
abdominal or orthopedic injuries.
Unit Team Staff Mix
•    Registered Nurses
•    Care Partners
•    Case Managers
•    Dietician
•    Pharmacist
•    Respiratory Thereapist
•    Provider
Certifications Required Certifications
•    RN Licensure
•    BLS
•    ALS Certification
•    CCRN Certification preferred
Shift Rotations Rotation/Shifts
•    12 hour shifts, 36 hour week
•    Modified self-scheduling 
awards Award
•    Top ranked Trauma Center for Quality by 
Nurse Residency Program Our unit is part of VUMC's Nurse Residency Program
www Visit Surgery and Transplant Patient Care Center for more information.
Nursing Careers at Vanderbilt


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“The thing I love the most about working on this unit is having the opportunity to make a difference in people's lives. Often our patients are experiencing the worse day of their life. We are able to be there to help them through this difficult and scary time. Sometimes we get to see some amazing outcomes where interventions are effective and lives are saved. Other times when a life is ending, we are with them every step of the way.”

Carleen Y., RN2-CC
Trauma Unit

“I started my career on this unit 18 years ago. I have learned a lot about myself as a nurse, leader and person. I have learned to be a very strong and independent nurse. I am most proud of the nurse I have become because of my time here on this unit, and I am proud of those I have taught and how well they have done.”

Shannon G., RN2-CC, VPNPP
Trauma Unit