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The Miriam Hospital
Centers and Services
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Patient Care Areas: Cardiology Services
The Center For Cardiac Fitness offers cardiac rehabilitation, maintenance and prevention programs. The programs offered provide medically supervised risk factor reduction for adult cardiovascular disease patients and for patients at risk for developing cardiovascular disease. The program provides telemetry-monitored exercise, behavior modification and nutrition education to reduce risk factors associated with heart disease. The cardiac rehabilitation classes are held between the hours of 8:00 AM and 5:00 PM, three days a week (Monday, Wednesday and Fridays). Classes are approximately 1 3/4 hours long and include exercise, stretching, relaxation and an educational component.
Services are provided by registered nurses, bachelors and masters prepared cardiac physiologists, clinical psychologists, registered dieticians and a cardiologist. The cardiac maintenance program meets the needs of patients who have completed the formal cardiac rehabilitation program and wish to continue both their physical training and risk factor modification in a controlled and supervised setting. This component of the program is also offered as a primary prevention program for individuals who have never had a cardiac event but who are at risk for heart disease. The program offers individually prescribed exercise programs and interventions designed to modify coronary risk factors. Maintenance classes are offered through out the day, five days a week. Class sizes provide a ratio of 12 patients for each staff member. The rehabilitation personnel provide staffing for this portion of the program.
Cardiac Catheterization Lab
The Cardiac Catheterization Lab provides diagnostic and emergent cardiac catheterization services 24 hours per day 7 days per week. It serves adult patients with coronary artery disease, acute MI' s, unstable angina, cardiogenic shock, mitral regurgitation, aortic insufficiency, patent foramun ovale and atrial septal defects. Temporary pacemakers and Intra-aortic balloon pump placements are performed in the lab. All patients are assessed prior, intra, and post procedure by highly trained Registered Nurses. Full time NP's and PA's are available to patients and staff for consult and education. Elective outpatients are seen in a pre-admission testing area by a nurse practitioner.
1A Prep and Holding
Patient Prep & Holding is open Monday through Friday from 6:00 AM to 7:30 PM. There are nineteen beds for patients. Pre and Post procedural care is provided to Radiology, Cardiac Cath, Endoscopy and TEE patients. Approximately 80-100 patients are processed daily. Staff includes RN, CNA and Secretary.
The Stress Testing Department provides exercise testing, Dobutamine stress Echocardiography, regular stress echocardiography, and transesophageal Echocardiography to both inpatients and outpatients. In addition, outpatients may be scheduled for Holter monitors and Ambulatory blood measurements. This department is staffed by a Lead Cardiac testing Nurse and three cardiac testing nurses that work part time. Nursing hours are provided to the Nuclear Cardiology department to meet the cardiac nuclear stress-testing schedule. The department's hours are 7:30 a.m. - 4 p.m. and staff is on call from 9 a.m. - 1 p.m. on weekends for regular stress testing.
Woman's Cardiac Center
The Women's Cardiac Center is located in the Norman and Rosalie Fain Building. The Center staff consists of a full-time cardiologist, full-time nurse practitioner, part-time nurse practitioner and two full time secretaries. Patients may self refer or be referred from other services. Patients receive comprehensive clinical cardiology services, including primary and secondary disease prevention.