Adult Cardiac Surgical High Dependency Unit
Ward 29-ACSHDU is designed to manage and deliver care to patients both Pre and Post Cardiac Surgery.
Patient Population: Adult mixed gender
Hours of Operation: 24/7
No of Beds: 11
Occupancy Rate: 98%
Staff Categories: Nurse Manager, Clinical Resource Nurse, Nurse Coordinator, Staff Nurse I & II, Patient Care Technician
Primary Diagnosis:
Post Cardiac Surgery:
Coronary Artery Bypass Graft
Valve Surgery ( Valvuloplasty, Repair or Replacement )
Aortic Aneurysm / Dissection
Adult Congenital / Heart Disease
Sternal Re-Wire / Debridement
Maze Procedure
Pulmonary Embolectomy
Cardiac Surgery Intervention for Trauma or Injury
Arrhythmias as Complications Post–Operatively
Pleural and Pericardial Effusions
Chronic Airway Management in patients post cardiac surgerydel of Care
Pre Cardiac Surgery:
Patient management pre-operatively Cardiac Surgery for Moderate to high risk, non-ventilated patients.
Other Adult Cardiology diagnosis and management
Primary procedures:
24-Hour Monitoring and Telemetry
Non-Invasive Ventilation Nasal Mask, Full Face, BIPAP / CPAP
Chronic Airway Management (Tracheostomy)
Venous, Arterial, PICC, CVP / ART Line Management
12-Lead ECG (Performance and basic interpretation)
Administration of vasoactive infusions, thrombolytics Low-medium dose inotropes
Pleural Aspiration and Thoracentesis (Assist)
Invasive Hemodynamics monitoring (CVP / ART Line)
Ventricular Assist Device (VAD) and Heart Transplant
Emergency Transvenous Pacing, Temporary Cardiac Pacing and Pacing Wires Management
Cardioversion (Elective and Emergency-assist)
Chest Tubes (Insertion / Removal / Management)
Moderate Sedation
Hemodialysis (Nursing Care provided by HD staff)
Model of Nursing Care:
Total Patient Care in conjunction with the Partnership Model of Care.