Skip Ribbon Commands
Skip to main content

Adult Cardiac Intensive Care Unit​ 

Adult Cardiac Intensive Care Unit (ACICU) is a critical care unit where all cardiac surgical patients are admitted post operatively.

Patient Population: Adult mixed gender

Hours of Operation: 24/7

No of Beds: 8

Occupancy Rate: 90%

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

Primary Diagnosis:

  • Heart Transplant Surgery

  • Coronary Artery Bypass Surgery

  • Cardiac Valvular Surgery

  • Aortic Surgery ( Aneurysms / Dissection )

  • Adult / Pediatric Congenital Heart Disease ( Depending on Age and Weight )

  • Maze Procedure

  • Sternal Rewiring or Debridement Requiring Mechanical Ventilation

  • Patients with Pleural and Pericardial Effusions Requiring Mechanical Ventilation

  • Cardiac Surgical Intervention Post Cardiac Trauma or Injury

  • Aortic Surgery Requiring Bypass

  • Pre-op patients requiring IABP or CRRT support

  • Patients admitted with myocarditis for possible Surgical Intervention

  • Haemodynamically unstable patients requiring Mechanical ventilation or multiple inotropic support – transfers from HDU / Ward

Primary Procedures:

  • Immediate Post-operative Care of Cardiac Surgical and heart transplant surgery patients

  • Mechanical Ventilatory Support / Invasive and Non invasive

  • Invasive Hemodynamic Monitoring device

  • Pulmonary Artery Catheters

  • Arterial Lines and Central Venous Catheters

  • Intra- Aortic Balloon Pump (IABP)

  • Patients with ECMO ( Extra Corporal Membrane Oxygenation )

  • Continuous Renal Replacement Therapy (CRRT ) Post Cardiac Surgery

  • Left and Right Ventricular Assist Device ( LVAD )

  • Temporary and Permanent Pacemakers Post Cardiac Surgery

  • Management of Chest Tubes

  • Automated Implanted Cardiac Defibrillators ( AICD ) post Cardiac Surgery

  • Administration of Multiple Inotropes and Electrolytes

  • Emergency Chest Re-Open for Tamponade

  • Direct Cardioversion

  • Immediate Post-Percutaneous Tracheostomy

Model of Nursing Care:

Total Patient Care in conjunction with the Partnership Model of Care





Adult Cardiac Intensive Care Unit


Unit name

Adult Cardiac Intensive Care Unit

Patient population

Adult: Mixed Gender; Pediatric: Mixed Gender under 14 years old, weighing over 55kgs

Hours of operation

24 hours, 7 days a week

Number of beds

8 beds

Occupancy Rate

80 – 100%

Staff categories

Registered Nurse

Unit Assistant

Patient Care Technicians

Primary patient diagnoses

  • All patients from OR following post:

  • Coronary Artery Bypass Grafts Surgery

    • Cardiac Valvular Surgery

    • Aortic Surgery (Aneurysms/ Dissection)

    • Adult / Paediatric Congenital Heart Disease

    • Maze Procedure

    • Sternal Rewiring or Debridement Requiring Mechanical Ventilation

•Pleural and Pericardial Effusions Requiring Mechanical Ventilation

•Extra Corporal Membrane Oxygenation (ECMO)

•Continuous Renal Replacement Therapy (CRRT) Post Cardiac Surgery

•Cardiac Surgical Intervention Post Cardiac Trauma or Injury

Procedures

  • Mechanical Ventilatory Support

  • Invasive Haemodynamic Monitoring Devices:

    • Pulmonary Artery Catheters

    • Arterial Lines

    • Central Venous Catheters

  • Temporary and Permanent Pacemakers post Cardiac Surgery

  • Intra Aortic Balloon Pump

  • Chest Tubes

  • Automated Implanted Cardiac Defibrillators (AICD)

  • External Cardiac Membrane Oxygenator (ECMO)

  • Left and Right Ventricular Assist Devices

  • Multiple Inotropic Support

  • Continuous Renal Replacement Therapy (CRRT)

  • Emergency Chest Re-open for Tampanade

  • Direct Cardio Version

  • Immediate Post Percutaneous Tracheostomy

Nursing care Delivery system

Total Patient Care in a Partnership Model