Laleh Hospital, located in Tehran's West of Tehran, is a 8-story specialist hospital with separate sections in separate classes. The CCU is located on the first floor, with 11 active beds and an extra bed. All beds are Units are isolated and each unit has complete equipment including a monitor (connected to the central monitor inside the station , which contains complete components including blood pressure recordings, pulse oximetry, heart rate, respiratory, CVP ). Central oxygen, central suction, portable oxygen, mercury barometric measurements. The Nursing Station is located in the central location of the section with a complete envelope on all beds. 4 Corner beds that are less visible with StationEquipped with CCTV cameras that are precisely controlled. Tray cabinets are located inside the station, with all the medications and equipment required by the specific labels and the name of the device in the drawer. The opium wardrobe is also in the separate station space , which is controlled and controlled by the controller every shift in each shift. Each bed individually has a nurse call . If necessary, the nursing staff should immediately leave the patient on the patient's bedside, and the relevant alarm will be cut off. Respond to the patient's need.
Patient Admission to CCU :
Patient admission to the CCU must be done by a cardiologist. First, the patient is admitted to the emergency department and the emergency doctor, and the initial coordination with the heart doctor is done and instructions are given. Taking IV Line and EKG , history, blood pressure, medication orders, occasional CXR , basic routine tests including biochemistry and PT , PTT , CBC , marker, cardiac enzyme, troponin in an emergency, and with an OK doctor and with Coordination with the CCU section of the patient is transmitted by the relevant emergency nurse to the CCU . Meanwhile, the patient's bed in the CCUReady to accept the patient. At the beginning of the entry, the patient is welcomed by the CCU Nurser and welcomed to her and her companion, and they have been invited to only one person to complete the complete biography of the patient. The change of clothes was made by the help of respectable caregivers, immediately The patient is monitored by the nurse and becomes the vital signs of the chart. Nazal catheter is prescribed if needed. The patient's IV line is checked for complete history of the patient and, in the absence of appropriate conditions, accompany the patient with adequate and complete information from the patient's past, and contact the doctor to contact the physician, inform the patient about the incident and give the necessary instructions. And is sealed and signed by the relevant nurse responsible for the Tell Order shifted . Also, at the beginning of the entry all the valuable items of the patient, including the mobile, gold, money, etc., are delivered to the entrances.
Patient Admission Angiography, Angioplasty:
The patient should have an open artery preferably in the left hand. All biochemical tests, PTT , CBC , PT , and markers or immunology (HIV-HBS-HCV) should be sent to the physician if they are prepared and answered and any problems caused by the tests. Inform the relevant person. If the marker is positive, the infection control nurse must be informed and recorded in the specialist office. The angiographic area will be done by the assistant. Coverage, coordination with the angiography section for the exact hour of the angiogram for the patient's NPO (4 hours before), prepare the serum, along with the serum set and the tube K, lifting the pulse mark on the patient's leg from the pre-angioma measures.
For angioplasty, in addition to the high readiness, the patient should have 2 open arms. The reservation of 2 units of blood, for men with external catheter insertion, is mandatory for women with Foley catheter insertion.
Transferring the patient to the CCU unit :
In the case of a patient's transfer to the first part of the patient or companions in the case of a private or two-bed room in the section is questioned. And the department is aligned with accepting the type of bed and patient segment. The patient file is completed by the nurse's completed section of the nursing report, and the report inside the flowcharts is completed. In order to transfer the patient to the IV part of the 48-hour line, it should be replaced, but in the CCU, the history of IV Line 72 hours and microstations are changed every 72 hours. In case of notice and reservation of the bed and in coordination with the relevant department, the patient with wheelchairs or stomach (depending on the patient's condition) and all patient's personal belongings, medications and clinical records with the CCU nurse And the assistance will be transferred to the department. In addition, the relevant physicians and the counselor will be informed about the transfer of the patient and the name of the transferred department, and all the documents will be sent to the department at the transfer office and the nurse will sign it.
How to dismiss a patient from the CCU :
If the patient is discharged from the CCU to the patient's patients, the patient's case will be filled in by the secretary and the necessary items will be entered into the computer. The financial file will be ready by the secretary to the discharged unit, and about half an hour later, the companions will also settle the account to the discharge unit. Refer to. If the discharge card is issued by the attendants of the IV line of the patient by the nurse, the necessary training and necessary pamphlets are given to the patient and the patient is registered in the office and the patient's education form and a patient education sheet is given to the patient himself. All medicines will be delivered to the patient or accompany the summary of the case and all delivery and delivery items at the discharge office. In addition, the discharge report is written in the patient's clinical file. In case of discharging patient CDThe graphs and / or scans are delivered to the patient by radiology, and in a patient's patient name sheet, he will record the graphic date and the admission number and will be given to the secretary to follow the referral and attachment in the case file. Exercise tests other than REPORT and EEG with copywriting are delivered to the patient, but the referral is attached to the application