Cath Lab Digest - September 2007 - (Page 31)

31 rooms, a lounge/kitchen and a multipurpose classroom that can be divided into two smaller classrooms. Lots of supply areas were added. In addition, both lab areas have physician review and dictation space, including PAC stations for both radiology and cath images. Prior to occupying its new heart facility, The University of Kansas had two cath labs, with a four-bed holding area right outside of the cath lab and a six-bed cardiac treatment and recovery space on another floor. When the new lab space was designed, cardiac treatment and recovery (CTR) was expanded to include 22 private rooms immediately adjacent to the cath lab. These are used for shorter stays and as an overflow for the chest pain area. CTR has its own central nursing station and 11 direct observation nursing stations immediately outside of each CTR room. Like other areas of the facility, these nursing stations are designed so CTR nurses are just steps away from anything they need to take care of patients. The eleven separate nursing/charting areas ensure that nurses are available for direct patient observation. Each private treatment and holding room is 171 square feet. The entire CTR area is sized at 7,606 square feet. Patients who require longer stays are transferred to one of the progress care units located in the Center for Advanced Heart Care. These rooms are all private, larger than the CTR rooms and measure 306 square feet. They feature a zone for the patient, the family and the caregiver, as well as a bathroom with a walk-in shower and folding shower bench. Handwashing sinks are located just inside the door. The rooms also have individual thermostats that can be controlled by the patient or a family member. The observation/charting area is located between two patient rooms and has space for medications, supplies and patient records. A large lobby consisting of 5,566 square feet is immediately outside of the CTR area and is shared with the adjacent Coronary Care Unit. A patient learning and resource center located on this same level supports all of the cardiovascular activities within the Center for Advanced Heart Care. Typically, staff from the CTR area brings patients from the facility’s admitting area up to the waiting areas. The family is usually asked to wait in the lobby area until the patient is in one of the individual CTR rooms and prepped. At that point, the patient’s family is free to come into the room and remain there until the patient returns from the procedure and is ultimately discharged. The CTR area has storage, and clean and dirty utility rooms similar to those on each end of the cardiac laboratories. Access into the CTR area is card-controlled, as are most areas within the Center for Advanced Heart Care. The cardiac labs, CTR area and coronary care are right above the emergency department and connected by large service elevators. This close proximity has contributed to a significant decrease in door-to-balloon time. Surgical suites and a cardiovascular surgical intensive care unit are located on the floor directly above the cardiac labs. These operating rooms were designed using virtual reality techniques because of the large number of booms and surgical lights. The rooms feature flat-panel display technology in a fully integrated system with high-definition video systems. to isolate a technical staff member in an outside control room away from the procedure. To resolve these issues, an outer corridor was created away from the cath lab. A control room was created inside the lab so the technical staff member could very easily move from monitoring and recording to assisting with procedures. The role of the nursing staff was also carefully examined. It was decided that nurses needed a designated work area for charting and other tasks associated with the procedure, so a desk was added to the room. Each cardiac cath lab is 775 square feet. In addition to making the cath lab large enough to accommodate unidentified future equipment, one of the other most significant construction decisions was ensuring that all of its systems conformed to operating room standards. This created an environment that could accommodate combined surgical/interventional procedures in the future or allow a scheduled interventional endovascular procedure to become an open surgical case without moving the patient. Within the cath lab, all air handling is similar to that found in operating rooms, with the required number of changes and filters in place. In addition, no sinks or drains are located in the cath lab. Since the rooms were already large, it seemed perfectly feasible that if the right equipment was installed, the rooms could be used for a variety of procedures by different groups of specialists. Within the cath and EP labs, there is a central core (similar to an operating room central core) that serves all rooms. Patients are transported into the rooms using an outside corridor surrounding all of the laboratories. If cardiac labs were ever converted to surgery rooms or combined facilities became routine, it would be easy to connect all perimeter areas to sterile corridors. To further support this potential, an extensive card access system is used in this area and throughout the facility to regulate traffic. Space planning called for modest office space for the clinical and technical director of the labs, as well as for the coordinators of the cath and EP labs. Space also was created for scheduling patients, two on-call A Place for the Heart, Built from the Heart (The Devil is in the Details) The cardiac labs are a part of the Center for Advanced Heart Care at The University of Kansas Hospital. One of the ads for the new facility says it all when it notes, “The Heart Center features capture and reflect a collective vision.” The ad goes on to say that evidence-based design was used to create a healing environment. Taking the lead from the architects, many design features were incorporated that have been shown in literature and in practice to: • Produce better patient outcomes; The University of Kansas Hospital is ranked as the 30th best heart hospital in the country, according to U.S. News & World Report. It ranks 4th among best hospitals for cardiac survival.

Table of Contents Feed for the Digital Edition of Cath Lab Digest - September 2007

St. Dominic Hospital The Genous Bio-engineered R Stent Percutaneous Treatment of Peripheral Arterial Chronic Total Occlusions: Device Options and Clinical Outcomes Contents Clinical Editor’s Corner Percutaneous Revascularization of Peripheral Chronic Total Occlusion — Which Patients, Why, and How? Myocardial Infarction and Syncope: A Manifestation of the “Raynaud-Prinzmetal Syndrome”? Essential Technical Components of the Transradial Approach If You Build It, Will They Come? Evidence-Based Medicine with Drug-Eluting Stents Back to School: The Value of Education in Cardiovascular Services The ACVP Standards and Competencies: Are You Using Them Effectively? What Do You Think? My Experience with Fibromuscular Dysplasia and Stroke A Brief Review of Fibromuscular Dysplasia Letter to the Editor A Look at On-the-Job Training: Perceptions, Reality and Our Profession Doing the Wave: Inventory Management with RFID The Ten-Minute Interview with… Paul Pinsker, RCIS CLD’s Annual Salary Survey Harrisburg Area Community College Volunteer Survey CEU Education Center SICP* Section Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab Clinical & Industry News

Cath Lab Digest - September 2007

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