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The Vanderbilt Observation Unit (TOBS)

The Vanderbilt Observation Unit (TOBS) is located on the first floor of TVC (The Vanderbilt Clinic).  In Spring 2020, it will be relocated to 7 South, VUH.

Janet SiscoHello and welcome to our unit!

I’m Janice Sisco, BSN, MHA, RN, manager of The Vanderbilt Observation Unit (TOBS).  

The environment on our unit is fast-paced and unpredictable.  As a unit, we value team-work, knowledge sharing with our patients, and the delivery of quality safe care.

We care for adult patients 18 years and older who are being treated for a variety of medical diagnoses.  Our patients are unique because of the wide range of medical, surgical and other specialized area of care.

One of the perks of working on our unit is the opportunity to work with a great group of peers and other members of the interdisciplinary team. 

Our nurses are compassionate, have a can-do-attitude, and a zeal for learning.   We, as a team, are committed to their success and share a common goal in the delivery of evidence-based and quality safe care.

We orient new nurses to our unit by providing a four-to- six-week unit specific orientation with a dedicated preceptor, nursing education specialist, and leadership team. 

Our unit is in the Adult Acute Care Medicine track of the Nurse Residency Program.

We encourage professional growth.
If your career goal is advancement to a step-down or ICU, our unit will provide you with the necessary foundation to take steps toward achieving your goals. The Vanderbilt Observation Unit can help enhance your organizational, patient assessment, and time management skills.

If you have any questions about my unit, please email me at or visit Nursing Careers at Vanderbilt to explore open nursing positions.


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“I have learned so much since I've started working on this unit. While I’ve learned several new skills, perhaps the most important thing I’ve learned is to not be afraid to ask questions. I learn something new every night I work because I continue to ask questions, and I have great coworkers who are always there answer those questions and to help me in every aspect of the job. I've gained a lot of confidence as a nurse thanks to them, and I’ve also gained some great friends.”
Kylee R., RN
Nurse Resident

“Although our high patient turnover rate can be challenging at times, I believe it is giving me incredible practice for the future. I plan to do missionary nursing abroad at some point in my career. When I help set up medical clinics, we will be seeing hundreds of people in a day's time. I will be adequately prepared for this because of my experience working on TOBS.”
Lexi D., BSN
"I love working on TOBS because the staff works together really well.  We get a wide variety of patients, and there is always something new to learn.  It is a great place to get wonderful experience as a nurse."
Casey C., BSN