Sentara Heart Hospital of Sentara Norfolk General Hospital is the only dedicated heart hospital in southeastern Virginia and northeastern North Carolina. The Sentara cardiac program started over 40 years ago and has become a nationally recognized program for it’s quality. The Sentara Heart Hospital offers specialized heart care from diagnostics to heart transplants. It has 5 cardiac surgery operating rooms, 6 catheterization labs, 45 pre-post procedure rooms, 84 patient beds, 8 cardiac intensive care unit beds, 20 cardiac surgery intensive care unit beds and a Cardiac Diagnostic Center. Sentara’s cardiac program consistently meets or surpasses the quality national standards established by the American College of Cardiology and the Society of Thoracic Surgeons.
The CARE (Care Assessment Recovery Evaluation Unit) manages a wide variety of cardiac patients as the intake area for the hospital. This unit has 45 monitored beds with 7 beds allocated for critical care. The unit is segmented in 6 care zones allowing for maximum monitoring and a team approach for direct patient care. The patients on this unit include those receiving pre and post catheterization, electrophysiology, interventional services, pre cardiac and thoracic services, procedures such as tilts, TEE’s and cardioversions, and PACU recovery of routine thoracic patients. The care team includes management, registered nurses, licensed practical nurses, cardiac technicians, EMT’s and administrative associates. These unit staff members work closely with cardiologists, cardiothoracic surgeons, cardiac anesthesiologists, and intensivists.
The CSICU (Cardiac Surgery Intensive Care Unit) is a 20-bed ICU that recovers and cares for the adult open heart surgery patient immediately after surgery. These surgeries include coronary artery revascularization, valve repair and/or replacement, thoracic aneurysm, heart transplant, implantation of ventricular assist devices or a variety of thoracic procedures. On average, patients spend about 24 hours in the CSICU and are transferred to the cardiac step-down floor for continued monitoring and interventions.
The CICU (Cardiac Intensive Care Unit) is an 8-bed unit that is designed, equipped, and staffed to provide interdisciplinary critical care to those patients with myocardial infarction, acute coronary syndrome, congestive heart failure, pre and post cardiac transplants, high-risk cardiac arrhythmias, cardiomyopathies and/or valvular dysfunction. Each room is equipped with state of the art equipment and hemodynamic monitoring systems, giving our specialized cardiac nurses the ability to monitor each patient from any patient room or our central monitoring station. Additionally, each patient can be continuously monitored via eICU and treated by intensivists, who are subspecialty-training ICU physicians. This team works online from a central remote location to provide expert care in collaboration with the CICU nurses when the primary or consultant physicians are not at the patient’s bedside.
The HICU (Heart Intermediate Care Unit) is a 12-bed unit for patients with severe congestive heart failure. The focus of this unit is to provide care for pre and post cardiac transplant patients and to maintain adequate cardiac stability and a healthy psychosocial environment for patients and their families awaiting cardiac transplantation. Staff is trained to manage severe heart failure, cardiac assist devices and other cardiac diseases.
The two cardiac step-down units consist of a total of 72 beds. The first unit, 5CU, primarily cares for cardiac intervention/medicine patients. Patients may include pre-open heart surgery, cardiac dysrhythmias, permanent pacer/ICD placement, congestive heart failure and myocardial infarction. The second unit, 4CU, focuses primarily on the pre and post open heart and thoracic patients. Managers, nurses, clinical coordinators and unit educators support the cardiac step-down units. Nursing care partners are used for activities of daily living, blood draws, EKG’s, blood glucose testing and transports.