Cardiac pre-admission teaching program.
The Royal Columbian Hospital's (R.C.H.) Cardiac Pre-admission Clinic (PAC) in New Westminster, B.C., is an effective new program for patients planning elective coronary angiograms, coronary angioplasties, and cardiac surgeries. Patients are seen in the out-patient clinic approximately one week before their procedure for nursing assessments, diagnostic pre-operative testing, and screening of test results. These pre-admission activities provide the opportunity for the early detection of abnormalities. During the clinic appointment patient teaching is also done. As a consequence, these assessment and teaching activities contribute to the overall PAC goal of improving bed utilization. Since cardiac teaching is a strong clinic focus, teaching plans were developed regarding: coronary angiogram, percutaneous transluminal coronary angioplasty, and coronary artery bypass graft (CABG) Surgery. These detailed teaching plans serve as a reference tool for the clinic nurse and as a guide for new clinic staff. The following article discusses the teaching program's background, design, structure, and evaluation. The benefits of pre-admission teaching are presented and the specific CABG surgery teaching session is described.
LeNoble
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D006331:Heart Diseases / Q000175:diagnosis / Q000451:nursing / Q000601:surgery*; D006801:Humans; D010343:Patient Admission; D010347:Patient Care Planning; D010353:Patient Education as Topic / Q000458:organization & administration*; D011300:Preoperative Care / Q000379:methods*