Adult Cardiac High Dependency Unit

Ward 30- ACHDU is a 12 bedded mixed gender unit providing cardiac care for adult patients who present with cardiac conditions that do not require invasive mechanical ventilation.

Patient Population: Adult mixed gender

Hours of Operation: 24/7

No of Beds: 12

Occupancy Rate: 98%

Staff Categories: Nurse Manager, Clinical Resource Nurse, Nurse Coordinator, Staff Nurse I & II, Patient Care Technician.

Primary Diagnosis:

• Acute Coronary Syndrome

• Heart Failure without the need for Mechanical Ventilation

• Post Cardiac Arrest for monitoring without need for Mechanical Ventilation

• Valvular Heart Disease

• Disease of the Aorta and Pericardium

• Adult Congenital Cardiac Disease

• Cardiac rhythm abnormalities requiring continuous monitoring or TPM / PPM, AIC insertion

• Patients diagnosed with NSTEMI with / or without Acute Pulmonary Edema

• Pre and Post Percutaneous Coronary Intervention with arterial or / and venous sheath

• Anticoagulation (INR) Management (for arrhythmia / valve prosthesis)

• Infective Endocarditis
  

Primary procedures:

• 24 Hour Bedside or Telemetry Monitoring

• Non-invasive ventilation: Nasal Mask, Full Face CPAP / BIPAP

• Venous, Arterial, PICC, CVP / ART Line Management

• Trans-esophageal Echocardiography (Assist)

• Percutaneous coronary intervention care

• Arterial and Venous Sheath Removal
  

• 12-Lead ECG (Performance and basic interpretation)

• Cardioversion (Elective and Emergency-assist)

• Pleural Aspiration (Assist)

• Chest Tube Insertion (Assist and Removal)

• Transcutaneous Pacing (Emergency)

• Administration of vasoactive infusions

• Administration of thrombolytics

• Pericardiocentesis (Assist)

• Moderate Sedation

• Hemodialysis (Nursing Care provided by HD staff)
  

Model of Nursing Care:

Total Patient Care in conjunction with the Partnership Model of Care.