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:
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Maze Procedure
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Sternal Rewiring or Debridement Requiring Mechanical Ventilation
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Patients with Pleural and Pericardial Effusions Requiring Mechanical Ventilation
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Cardiac Surgical Intervention Post Cardiac Trauma or Injury
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Aortic Surgery Requiring Bypass
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Pre-op patients requiring IABP or CRRT support
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Patients admitted with myocarditis for possible Surgical Intervention
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Haemodynamically unstable patients requiring Mechanical ventilation or multiple inotropic support – transfers from HDU / Ward
Primary Procedures:
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Immediate Post-operative Care of Cardiac Surgical and heart transplant surgery patients
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Mechanical Ventilatory Support / Invasive and Non invasive
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Invasive Hemodynamic Monitoring device
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Intra- Aortic Balloon Pump (IABP)
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Patients with ECMO ( Extra Corporal Membrane Oxygenation )
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Continuous Renal Replacement Therapy (CRRT ) Post Cardiac Surgery
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Left and Right Ventricular Assist Device ( LVAD )
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Temporary and Permanent Pacemakers Post Cardiac Surgery
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Management of Chest Tubes
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Automated Implanted Cardiac Defibrillators ( AICD ) post Cardiac Surgery
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Administration of Multiple Inotropes and Electrolytes
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Emergency Chest Re-Open for Tamponade
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Direct Cardioversion
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Immediate Post-Percutaneous Tracheostomy
Model of Nursing Care:
Total Patient Care in conjunction with the Partnership Model of Care
