Pregnancy and Postpartum Area

The Pregnancy and Postpartum Area at Vall d’Hebron University Hospital provides comprehensive care for women from pregnancy planning through the postpartum period, supported by a large multidisciplinary team including obstetricians, midwives, nurses, anesthesiologists, neonatologists, psychologists, and social workers. As a reference center in Catalonia, it includes specialized subunits ensuring safe and personalized care. Coordination with primary care maintains continuity through home visits, childbirth preparation courses, and breastfeeding support.

Organization by areas of expertise places the woman and her environment at the center of care, promoting multidisciplinary planning in highly complex cases, such as fetal surgery. A key initiative is the “zero obstetric violence” goal, which fosters respectful, humanized care, ensuring active participation of the mother, immediate contact with the newborn, and early breastfeeding. With this approach, the area combines clinical excellence with close, empathetic support, providing the highest-quality care experience.

Respiratory System Area

The Respiratory System Area at Vall d’Hebron University Hospital provides comprehensive and specialized care for respiratory patients, with conventional hospitalization and a step-down unit. It includes pulmonary function, sleep, and bronchoscopy laboratories. Outpatient care includes general and specialized consultations for severe asthma, COPD, pulmonary hypertension, and interstitial lung diseases, among others, both at the hospital and in regional centers.

Nursing plays a central role in adapting care, education, and research. Future projects include a new management model for the pulmonary function laboratory and the creation of reference nurses for home therapies, ensuring follow-up for patients on mechanical ventilation and sleep therapies. With an evidence-based approach, the area promotes self-care, patient empowerment, and personalized, safe, and high-quality care.

Internal Medicine Area

The Internal Medicine Area at Vall d’Hebron University Hospital includes the inpatient ward and outpatient clinics, with a multidisciplinary team composed of nursing, medical, rehabilitation, social work, and administrative professionals. It is a reference unit in Catalonia and Spain for systemic autoimmune and rare diseases, and cares for patients with chronic conditions in acute exacerbation or acute illness, such as heart failure, COPD, or COVID-19. Most patients have multiple comorbidities and are medically fragile, requiring comprehensive, coordinated care focused on the patient and their family.

Organization by areas of expertise has promoted initiatives such as early detection of social risk using the Gijón scale and immediate social work intervention. Shared clinical processes with other specialties have also been developed, and the use of clinical ultrasound as a diagnostic tool has been consolidated. With this transversal and innovative approach, the area improves coordination, efficiency, and quality of patient care.

Traumatic Frail Patient Area

The Traumatic Frail Patient Area at Vall d’Hebron University Hospital is dedicated to comprehensive care for patients with hip, vertebral, ankle, and other fractures. The interdisciplinary team includes trauma surgery, internal medicine, anesthesia, rehabilitation, physiotherapy, occupational therapy, nutrition, social work, bedside nursing, and advanced practice nursing, aiming to restore patient autonomy safely and efficiently. The area provides care from emergency admission through hospital discharge, ensuring optimal coordination and personalized follow-up.

Working within areas of expertise allows for standardized protocols and the identification of key roles for each professional, improving efficiency, quality of care, and patient safety. Notable initiatives include the implementation of clinical ultrasound to assess bladder volume and determine the need for catheterization, avoiding unnecessary procedures and reducing the risk of urinary infections. This initiative, actively led by nursing staff, strengthens professional empowerment and consolidates the use of ultrasound as a key tool in hospital care, while optimizing patient recovery and reintegration into their environment.

Mental Health Area

The Mental Health Area at Vall d’Hebron University Hospital provides comprehensive care across all stages of life, from childhood to adulthood. It includes inpatient units for children, adolescents, and adults, as well as collaboration with Sant Rafael Hospital within the Integrated Psychiatry Unit. The area also offers hospital consultations, outpatient clinics, day hospitals, home care programs, and an addictions section with a specialized community center, ensuring continuity of care and personalized attention.

The area is committed to innovation and digitalization through the integration of new technologies and the parametrization of healthcare data to improve communication, safety, and patient follow-up. Notably, the project for parametrizing clinical scales in psychotic disorders, bipolar disorder, personality disorders, and ADHD is underway, with plans to expand to other conditions. This model strengthens team flexibility, enhances the role of nursing, and promotes patient-centered care focused on individual well-being.

Pediatric Solid Organ Transplant Area

The Pediatric Solid Organ Transplant Knowledge Area of Vall d’Hebron University Hospital includes heart, lung, kidney, and liver transplant programs, providing comprehensive care to patients and their families from pre-transplant through post-transplant follow-up and transition to adult care. Activities are carried out in inpatient units, dialysis and peritoneal dialysis units, the Multipurpose Day Hospital, and outpatient clinics, with a multidisciplinary team of clinicians, surgeons, nurses, auxiliaries, social workers, psychologists, and orderlies working in coordination.

Notable projects include the integration of an advanced practice nurse for each transplant program, providing expert support to patients and families and facilitating complex decision-making. Other significant initiatives include the pediatric transplant training program, which provides health education and follow-up through to adult care, and a blood draw schedule from 7 to 8 a.m. to ensure reliable laboratory results in immunocompromised patients. Altogether, these efforts reinforce the area’s commitment to excellence and the humanization of care.

Neonatal Area

The Neonatal Knowledge Area of Vall d’Hebron University Hospital is made up of a multidisciplinary team of more than 270 professionals, including nursing staff, TCAI, lactation support, home care, physicians, and speech therapists. This team works in coordination with organizations and associations to provide high-quality care to families, ensuring support for every newborn from birth until discharge at home. The area is a reference center for full-term newborns with complex pathologies and for very premature infants. Home care is integrated as a key element, ensuring continuous, newborn-centered care.

The care model places the newborn and the family at the center of the process, promoting parental involvement as primary caregivers. Notable initiatives include the humanization project of the new family room “With You at Home”, which supports the newborn’s neurodevelopment, facilitates breastfeeding, and provides a welcoming and supportive environment. Other significant initiatives include the family school and the project to improve initial care for very premature newborns, reinforcing comprehensive, personalized care that is sensitive to the needs of each infant and their family.

Postoperative Pediatric Care Area

Vall d’Hebron University Hospital is the reference center for high-complexity pediatric surgery in Catalonia. The Postoperative Care Area is responsible for the comprehensive care of patients across all surgical specialties, with a multidisciplinary team that includes specialist physicians, pediatric nurses, physiotherapists, speech therapists, and social workers. The area includes inpatient units, a pre-admission unit, and outpatient clinics with advanced practice nursing.

This approach ensures personalized and coordinated care, centered on the child and their family. Current innovative projects include a humanization program using virtual reality glasses to reduce preoperative anxiety, a tailored communication plan for children with communication difficulties, and the Pediatric Enhanced Recovery program to optimize perioperative care. With this approach, the area combines the highest level of specialization with humanization and continuous improvement in pediatric surgical care.

Infection, Tumors, and Reconstruction Area

The Infection, Tumors, and Reconstruction Area of Vall d’Hebron University Hospital, located on the second floor of the Traumatology Hospital, is a national reference center within the CSUR Program for the treatment of complex osteoarticular infections, such as prosthetic infections, osteomyelitis, or massive bone reconstructions. Managing these cases requires close collaboration among specialists in infectious diseases, microbiology, reconstructive plastic surgery, pharmacy, and nursing, who work together within the Osteoarticular Infections Committee.

Organizing care by knowledge areas has allowed the consolidation of an expert team in complex care, improved multidisciplinary communication, and ensured comprehensive and continuous care. Initiatives such as discharge recommendation sheets, a direct patient follow-up line, training sessions, and postoperative care protocols have been implemented. With this approach, the area combines research, innovation, and humanization to provide high-quality care focused on patient safety, comfort, and well-being.

Postoperative Woman Care Area

The Postoperative Care Area of the Women’s Hospital provides comprehensive care in oncologic gynecology, breast pathology, pelvic floor disorders, benign gynecology, and endoscopy. It includes hospitalization units, pre-admission, outpatient clinics, ambulatory care, and community-based services. Since 2014, it has implemented the Enhanced Recovery After Surgery (ERAS) protocol, accredited by the Spanish Group for Multimodal Rehabilitation and internationally recognized by the Era Society.

The multidisciplinary team coordinates gynecology, anesthesiology, nursing, rehabilitation, psychology, social work, and other specialties, ensuring safe, coordinated, and high-quality care. The ERAS model reduces hospital stays, reoperations, and readmissions, promoting recovery and return to daily life. Patient and caregiver empowerment is central, and the collaborative approach ensures the application of standardized protocols and care focused on the well-being and safety of patients.

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