Cardiac Nursing

Nurses work with patients and the families of patients who suffer from heart disease. Cardiac nurses care for patients with acute and/or chronic health conditions of the heart.

Cardiac care nurses work with patient's in a variety of setting including CSU, and CIU inpatient units and COP, assisting with the overall care, education, and well being of the cardiac patient and their family.

Step-Down Unit

  • Number of Beds: 33
  • Type of Patients: Cardiac arrhythmia & conduction disorders, heart failure and shock, Cardiac defibrillator implants, Coronary bypass without cardiac cath, Percutaneous cardiovascular procedures, Permanent cardiac pacemaker implants
  • When the patient capacity of 33 is reached on CSU, less acute patients are triaged to the CIU (Cardiovascular Intervention Unit).
  • An outpatient Heart Failure room is located in one of the rooms on the floor. It occupies the equivalent of 2 patient rooms and meets the needs of the Heart Failure out patients. Patients sit in recliners during their stay of one to eight hours. Outpatient Heart Failure Program hours vary depending on volume and need of patients.
  • Care Delivery Model: Primary Nursing – The charge nurse is responsible for assignment of primary nurses upon admission.
  • Clinical make-up: Manager, charge nurses, registered nurses, licensed practical nurses, unit secretaries, unit assistants, certified nursing assistants and monitor techs.
  • Shift availability: 8-hour shifts, 12-hour shifts, 8 & 12 hour shifts
  • Specialty Practice Standards:
    • American Association of Critical Care Nurses and the Progressive Critical Care Nurses.
    • American Heart Association of CPR and ACLS Standards

    Interventional Unit

    • Number of Beds: 33
    • Type of Patients: Acute coronary syndromes, arrhythmias, heart failure and other vascular diagnoses. Most patients on this unit require coronary or peripheral procedures, either diagnostic or interventional.
    • When patient capacity is reached on CIU, triage of appropriate patients is to the Cardiovascular Stepdown Unit (CSU) and Surgical Specialty Unit. It may be necessary to hold patients on the Cardiac Outpatient Unit for short periods of time until beds are available, or to triage, as overflow from the Cath Lab to the ICU.
    • Clinical make-up: Manager, charge nurses, registered nurses, unit secretaries, and clinical assistants.
    • Shift availability: 8-hour shifts, 12-hour shifts, 8 & 12 hour shifts
    • Care Delivery Model: Primary Nursing – The charge nurse is responsible for assignment of primary nurses upon admission.
    • Clinical make-up: Manager, charge nurses, registered nurses, licensed practical nurses, unit secretaries, unit assistants, certified nursing assistants and monitor techs.
    • Shift availability: 8-hour shifts, 12-hour shifts, 8 & 12 hour shifts
    • Specialty Practice Standards:
      • American Association of Critical Care Nurses and the Progressive Critical Care Nurses.
      • American Heart Association of CPR and ACLS Standards

      Outpatient Unit

      Cardiac Outpatient unit is designed to care for patients admitted for both outpatient and inpatient cardiovascular procedures. Outpatients are admitted, recovered and discharged from the Cardiac Outpatient unit. Patients are admitted through the unit, have their procedure and become inpatients, are transferred to the CIU following their interventional procedure.

      • Number of Beds: 14-bed unit with 4 private and 5 semi-private rooms.
      • When the patient capacity is reached on the unit, placement of patients who are candidates to become inpatient admissions, are admitted to the Cardiovascular Interventional Unit (CIU), Medical Unit, and less likely the Surgical Unit on the East Rusholme Campus.
      • Type of Patients: Circulatory disorders with cardiac caths, Permanent cardiac pacemaker implants with AIM, Heart failure or shock, Other permanent cardiac pacemaker implant or AICD, Arteriosclerosis, Cardiac defibrillator implant without cardiac cath
      • Clinical make-up: Manager, charge nurses, registered nurses, unit secretaries, unit assistants, certified nursing assistants.
      • Shift availability: Nursing care is provided 15 hours a day, 5 days a week, Monday through Friday. The hours of operation are 0530-2030.
      • Care Delivery Model: Primary Nursing – The primary nurse is assigned to a patient upon admission.
      • Specialty Practice Standards
        • American Association of Critical Care Nurses Standards of Practice
        • American Heart Association CPR and ACLS Standards

      Cath Lab

      • Number of Beds: 6 diagnostic/interventional procedures rooms, and 2 Bi-plane procedure rooms
      • Invasive pediatric cardiovascular procedures are referred to Iowa City
      • In time of high procedure volumes, emergency and salvage procedures, as defined by ACC standards, are scheduled before elective and urgent cases. Elective and urgent cases are subsequently scheduled in a prompt manner.
      • Type of Patients: Percutaneous Cardiovascular Procedures, Acute MI, Circulatory Disorders, Vascular Procedures, Other cardiac Pacemaker Implants, Cardiac Arrhythmia with Cardiac Caths, Cardiac Defibrillator Implants, Coronary artery stent implants
      • Clinical make-up: Manager, advanced registered nurse practitioner, charge nurses, registered nurses, radiology technician registered, unit secretaries, certified nursing assistants, and unit assistants.
      • Care Delivery Model: Total Patient Care
      • Shift availability: Scheduled operational hours 0700 to 2330 Monday through Friday. Staff is available on-call for 24-hour coverage.
      • Specialty Practice Standards:
        • American College of Cardiology
        • American College of Cardiovascular Administrators
        • American Registry of Radiologic Technologist
        • Cardiac Roundtable
        • Nuclear Regulatory Commission