Post.CCU
Post-CCU (Cardiology Department)
Introduction to the Department: The Cardiology Department is located on the first floor, adjacent to CCU2. It consists of 7 rooms and 17 beds, including:
- 4 two-bed rooms
- 3 three-bed rooms
Each room is equipped with:
- Central oxygen
- Central suction
- Cardiac monitoring
- Television
Direct Contact Numbers: 32122314-025 and 32122315-025
Head of the Department: Dr. Gholamreza Jalili
Department Supervisor: Marzieh Fateh
Medical Team
Cardiac Surgeons:
- Dr. Naser Kachouyan
- Dr. Seyed Mojtaba Mirhosseini Mousavi
Cardiologists:
- Dr. Gholamreza Jalili
- Dr. Ali Badi
- Dr. Saeed Salamat
- Dr. Masoud Mozafari
- Dr. Safieh Rezazadeh Lavaaf
Post-Angiography and Angioplasty Procedures For Angiography Patients:
- Transfer to Cath Lab: Patients are transferred via wheelchair after pre-angiography preparations.
- Femoral Angiography:
– After sheath removal, two sandbags are placed on the angiography site.
– The patient is transferred back to the department via wheelchair.
– Leg must remain straight (bending is strictly prohibited).
– Vital signs and bleeding site are checked regularly.
– Sandbags remain in place for 6 hours, then removed once bleeding is ruled out.
– Food intake is allowed 2 hours after angiography.
– ECG is performed based on the physician’s order. Radial Angiography:
– A TR band is applied to the wrist to control bleeding.
– The band is gradually deflated by the clinical nurse every 20 minutes.
– Once bleeding is ruled out, the band is fully removed.
– The patient can eat 30 minutes after arrival at the department.
– The patient must avoid bending or applying pressure to the wrist.
For Angioplasty Patients:
- Patients are transferred to the Post-Cath (P.CCU or CCU) department with the femoral sheath in place.
- The clinical nurse receives the patient from Cath Lab and checks:
– Femoral or radial pulse
– Oxygen saturation (for radial angiography)
– Signs of bleeding - Angioplasty patients typically return to the Cardiology Department after 24 hours.
- If stable, they are monitored for an additional 24 hours before discharge.
Preoperative Routine for CABG (Coronary Artery Bypass Graft) Patients
Pre-Surgery Preparations:
- Routine blood tests, including: CBC, ESR, PT, INR, BUN, Cr, FBS, Lipid Profile, Liver Function Tests, Coagulation Profile, and others
- ECG (Electrocardiogram)
- Blood product reservation (Platelets & FFP – at least 2 units each)
- Chest X-ray
- Informed consent from the patient and companion
- Full-body shaving
- Angiography CD & report attachment
- Carotid Doppler ultrasound (for patients over 60, if ordered)
- Specialist consultations (endocrinology, pulmonology, nephrology, etc.)
- Cardiac anesthesia consultation
- Medication management:
– Aspirin stopped 5 days before surgery
– Plavix stopped 7 days before surgery– Heparin stopped one dose before surgerysurgery
- Right-hand IV line placement
- For patients on Warfarin (e.g., for valve replacement):
– Warfarin is discontinued
– Heparin or Clexane is started as per the physician’s order - NPO (nothing by mouth) for 8 hours before surgery
Postoperative Routine for Heart Surgery: After open-heart surgery, the patient is initially admitted to the ICU OH for up to 4 days, then transferred to the Cardiology Department.
Post-Surgery Monitoring & Care:
- Vital signs monitoring
- Arrhythmia monitoring
- Central Venous Pressure (CVP) line monitoring
- Consciousness assessment
- Urine output monitoring
- Surgical site inspection (for bleeding or abnormal discharge)
- Pressure ulcer prevention and skin integrity checks