The Cardiac Surgery Step-Down Unit is a 23-bed unit that provides care to adult patients requiring pre- and post-operative care for cardiac surgery. There are 17 private and 6 semi-private beds, all with telemetry monitoring. The unit is budgeted for an average daily census of 21 patients. Since many patients have been referred for specialized cardiac surgery and, therefore, travel long distances to the hospital, we offer open and flexible visiting hours for families. All private rooms have a fold-open chair for family sleepovers. There is also a kitchen with a stove for patient/family use.
The nursing care model is practiced through Relationship Based Care, wherein the relationship between the nurse, patient, and family is an important part of the patient care experience. The goal is to create a healing environment that is best achieved when we know what matters most to each patient and his/her family. A Primary Coordinating Nurse (PCN) is assigned to each patient at or near the time of admission to the unit. The PCN is responsible for coordinating care throughout the patient's stay on the step-down unit. The patient and family are included in the planning of care and setting daily goals, which includes daily and discharge-related goals on the whiteboard in the patient's room.