Cardiac pre-admission teaching program. 1993

E LeNoble

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.

UI MeSH Term Description Entries
D010343 Patient Admission The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution. Voluntary Admission,Admission, Patient,Admission, Voluntary,Admissions, Patient,Admissions, Voluntary,Patient Admissions,Voluntary Admissions
D010347 Patient Care Planning Usually a written medical and nursing care program designed for a particular patient. Nursing Care Plans,Goals of Care,Plans, Nursing Care,Care Goal,Care Goals,Care Plan, Nursing,Care Planning, Patient,Care Plans, Nursing,Nursing Care Plan,Plan, Nursing Care,Planning, Patient Care
D010353 Patient Education as Topic The teaching or training of patients concerning their own health needs. Education of Patients,Education, Patient,Patient Education
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D006331 Heart Diseases Pathological conditions involving the HEART including its structural and functional abnormalities. Cardiac Disorders,Heart Disorders,Cardiac Diseases,Cardiac Disease,Cardiac Disorder,Heart Disease,Heart Disorder
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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