Scope of Service

Overview:

• CSU is a five-bed unit located in the surgical area on 2West Pavilion.
• The source of the patients that come to the CSU is admission from surgery or transfers from the inpatient’s units such as telemetry or MICU.

Types and Ages of Patients Served:

• The primary population types are adult coronary artery bypass graft, valve repair or replacement, pericardial windows, septal defect repairs and aortic repairs.
• CSU cares for varying ages of patients, ranging from late adolescent to geriatrics.
• CSU also cares for patients that are in over flow status from various units of the hospital such as TCU, MICU, or Telemetry. These patients vary late adolescent to the geriatric in age.

Description of Internal and External Customers:

Internal customers served include other nursing units, physicians, patients, families, and all ancillary departments of the hospital. External customers we serve include, but are not limited to: home health care services, area nursing homes, area rehabilitation facilities, medical supply companies, other contracted medical service companies, outlying hospitals, and the local community.

Conditions and Diagnosis Treated:

Conditions treated on the unit may include, but are not limited to:

• Coronary artery disease
• Valve insuffiency
• Aneurysms
• Arial fibrillation
• Cardiogenic shock
• Cardiomyopathy
• Myxoma

Types of Services & Care Provided:

Services provided include treatments and /or activities for cardiac and hemodynamic management, airway/ventilator management, pain management, IV management, cardiac support management, and wound/incision care management.

The nursing staff is provided by a team consisting of registered nurses with 1:1 or 1:2 nurse to patient ratio, depending on acuity. There is a unit clerk Tuesday through Friday, 9-3 used for telephone triage and order transposition.

Cardiac surgeons, anesthesiologists, general surgeons, intensivists, and cardiologists provide the medical care for the patient.

Other multi-disciplinary team members involved in the care of the patient include respiratory care, case management, OT/PT, pharmacy, physician liaison, and dietary.

Sites Where Services & Care is Provided:

Most diagnostic services are provided at the bedside. They include bedside 12 lead EKG, portable x-rays, lab draws, PT/OT therapy, and rehab instruction. For other tests, such as CT, MRI, invasive radiologic exams, patients are transported to the Radiology Department. Nursing staff and various multidisciplinary team members as appropriate escort the patients. Other treatments and procedures performed at the bedside include, but are not limited to cardioversions, TEE’s, ultra sounds, and cardiovascular procedures.

Times When Services & Care is provided:

Care is provided 24 hours a day, 7 days a week, including holidays.