Johns Hopkins Heart and Vascular Institute: The Patient Experience


[MUSIC] Hello, and
welcome to the Heart and Vascular Institute at
the Johns Hopkins Hospital. Today, we’re going to show you
and your family around, so you know where you’re going and
what to expect upon arrival when you come here for
a procedure or surgery. On the day of your procedure or
surgery, you will come here to
the Johns Hopkins Hospital. There’s plenty of parking in the
Orleans Street garage that is connected to this
building by a bridge, as well as valet parking
at our main entrance. Once you cross the bridge, you
will check in at the security desk and then look for
the green elevators. The Heart and Vascular Institute
is located on several floors of the Sheikh Zayed Tower. Registration is on the fifth
floor directly across from the elevators. You can speak with a patient
advocate and check in at one of the kiosks, where you’ll
provide some basic information. You may wait here in
the family lounge until you’re called to the registration area. You can register right
around the corner. This is an integrated
registration area for all cardiac and
vascular procedures. If you are having vascular or cardiac testing such as an Echo
which is a heart ultrasound or other imaging, after you have
checked in on the fifth floor, you and your family will go down
to the fourth floor lounge. Someone will come and
escort you back to the lab. Your family members can wait for
you, and also keep track of your progress
on the overhead monitors. Now, let’s go to
the echo-vascular lab.>>This is the echo-vascular
lab, you may come here for echocardiogram, a stress test,
or a transesophageal echo. The echo and vascular labs serves both
inpatients and outpatients. However, some patients are still
seen in the Johns Hopkins outpatient center.>>All of our sonographers
are either credentialed through the ARMDS, The Association of Radiologic Diagnostic Medical
Sonographers, or through the CCI, the Cardiovascular
Credentialing International.>>The echo and vascular
lab is accredited through the Intersocietal
Accreditation Commission. We also have nurses in the echo
lab, who have received specialized training for
echocardiography procedures.>>Here’s a vascular
imaging room. We have state of the art
equipment, not only for patients, but for
our sonographers. Patients may come to
the vascular lab for pre and post-op testing for arterial,
venous and corroded disease. We take great pride in the
coordination of care with our shared echo and
vascular patients.>>Now that we’ve seen the
vascular testing and procedural area, let’s go back to the fifth
floor, where the majority of cardiology and cardiac
surgery procedures take place [MUSIC] This is the family lounge
area on the fifth floor. If you’re having
a procedure done, you may use one of the lockers,
right here. You will have access to
a locker once you check in and a lock will be provided for you. Your family can wait for
you here and also, keep track of your
progress on the overhead boards. We also have two private
consultation rooms, so that your physicians
can update and consult with your
family members. Your family members do not
have to wait in this area the entire time. Conveniently located downstairs,
we have Balducci’s, where you can get a snack,
or a sandwich, or salad. And a coffee bar,
including bakery treats. Right across the way is
the pharmacy and the gift shop. The interfaith chapel is also
located on the main level, and is open 24 hours. The staff will contact
you on your cell phone, should you need to be reached. The fifth floor comprises
the procedural areas. Through this door,
you will go to the prep area, where you will have the
opportunity to meet your care team before your surgery or
procedure. And you’ll have a chance to
ask any remaining questions.>>This is the prep area,
where you will be prepped for your surgery. If you’re having a procedure
where you go home the same day, or if you are just
staying one night, you may return here to recover
in one of these transition beds. Up to two family members
may stay here with you, until you are ready for
your procedure or surgery. Once you’ve been prepped, you will be taken to a procedure
room or surgical operating room.>>This is our procedural area,
including procedure rooms and hybrid rooms that have
the ability to become suites for those more complex cases. All rooms are updated with
the latest technology including imaging capabilities. The design of this building and
our staff practices, help to make the environment
sterile and safe. The cardiac and vascular operating rooms
are just adjacent to the caf and electrophysiology labs and
our hybrid rooms. This close proximity allows for
multi-specialty consultation and collaboration. When you’re considering where to
have your procedure done, it’s really important to consider not
only the procedure that you need but also the availability of
the care beyond that procedure. At the Johns Hopkins Hospital, we take care of the full
spectrum of procedures, from routine to complex and
everywhere in between. This hospital was
specifically designed with the ability to escalate
your care, should you need it.>>Once your procedure
is complete, a representative from the care
team will notify your family, and you will be moved
to your recovery area.>>This is the cardiovascular
surgical intensive care unit or CVSICU. Depending on the procedure
you have, and it’s complexities you
may come to the ICU. Either this one or
one similar to it. All ICU rooms are private. Whichever intensive
care unit you are in, the focus is patient,
family, centered care. Your family will be encouraged
to be a part of daily rounds. This will help both you and your family understand
your course of care. There are sleep sofas
in each room, and there are open visitation hours. Of course, your loved
one is welcome to stay. But we do encourage family
members to consider going home, so that they are well rested,
so that they are better able to care for
you when you are discharged. The nursing ratio in
an intensive care unit is one nurse for
every one to two patients. Each morning a team of care
providers will meet with you and your family,
to discuss your progress and answer any questions.>>Once you are ready to leave
the ICU, you will go to another unit to continue your recovery
and prepare for discharge.>>This is the PCCU which is the
Progressive Cardiac Care Unit. All these rooms are private and have a bathroom with
an en suite shower. There’s also a place for family
members to spend the night. As with the ICU, there are also
a family respite areas, where family members
can go to relax and still be close to
their loved one. When you’re clinically
ready to be discharged and waiting to be picked up,
you may be transferred back to a transition bed until your
transportation arrives.>>When you are discharged,
you will be given additional information and instructions
about your care, and contact information should
you have any questions. We have post-op nurses
available 24/7, and you will have easy access to
your cardiac surgery care team. If you had cardiac surgery, your
post-op visit will be scheduled before you leave the hospital. The date of your post-op visit
depends on the type of surgery or procedure you had and whether you were discharged to
your home or another facility. When you come back for your post-op visit, you will
see someone on your care team. If you have
a cardiology procedure, you typically will go back to
you referring cardiologist or primary care physician. When you are ready for
discharge, your nurse will arrange
the discharge time, which will likely be
early in the day. A nurse or someone in your care
team will escort you to where you will be picked up. If you’re going home, you can
have a family member pull up to the front of the circle
to pick you up. We hope that this information
about the Johns Hopkins Heart and Vascular Institute
has been helpful to you. Our goal is to provide quality,
compassionate care for our patients and their families. If you’re interested in making
an appointment to see one of our Heart and Vascular physicians, please watch the video on
scheduling for more information. Thanks for watching. [MUSIC]

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