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American Family Children's Hospital
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Cardiothoracic Surgery "Acuity Adaptable" Unit

Unit Overview
 
The Cardiothoracic Surgery Unit is a 27-bed "acuity adaptable" or "universal care" unit providing care to adult patients from a variety of specialty areas, including cardiothoracic surgery and transplantation. The patient population range is 18 years and older, with the majority being older adult patients.
 
Common Diagnoses
 
The majority of patients in our unit are immediate post-surgical inpatients who have undergone:
  • Coronary artery bypass
  • Valve replacement (aortic, mitral, pulmonic)
  • Valve repair (aortic, pulmonic, tricuspid, mitral)
  • Thoracotomy for wedge resection, pneumonectomy, lobectomy, or esophagogastrectomy
  • In addition, our team treats transplant patients (heart, lung, or heart/lung) during all phases of treatment

Patients are generally admitted directly from the Operating Room or through the Post-Anesthesia Care Unit, Emergency Room or directly from a hospital clinic. Some patients are transferred from a referring facility or from other units as patient condition warrants.

 

All rooms on this unit are "acuity adaptable," meaning that the patients' needs are met in the same room, regardless of general care, IMC, or ICU level status. Nursing staff practice across the continuum and equipment comes to the patient, making patient room transfers unnecessary.

 

Typical Services, Treatments and Procedures

 

Professional interventions include, but are not limited to:

  • The assessment of patients and planning, implementation and evaluation of care provided
  • Hemodynamic monitoring of arterial and central venous blood pressure, cardiac rhythm and output, systemic venous oxygen consumption and pulse oximetry
  • Treatments including mechanical ventilation, intra-aortic balloon pump therapy, continuous renal replacement therapies, medication administration, IV therapy, incision and chest tube care, oxygen and arrhythmia therapy (pharmacologic and electrical), vasoactive medication administration and ventricular assist devices