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University of Miami Hospital

Critical Care

Cardiovascular Intensive Care Unit (CVICU)

The CVICU is a 16-bed unit comprised primarily of patients requiring coronary bypass surgery and valvular replacements or repairs. Following open heart surgery, patients are taken directly to CVICU from the operating room. The patients are recovered, stabilized and weaned off their ventilators in the hours following surgery. Patients undergoing interventional cardiac procedures such as angioplasty or arrhythmia ablation are also cared for in this unit. CVICU is a highly technical and specialized Critical Care unit. Patients are closely monitored with sophisticated equipment by a specially trained team of caregivers and registered nurses.

Medical Intensive Care Unit (MICU)

The MICU is a 10-bed unit which provides intensive care for liver failure patients awaiting transplantation, patients requiring mechanical ventilation, patients undergoing pacemaker revision due to infection, and patients who require hemodynamic monitoring and treatment of shock. Additionally, patients with chronic medical problems like pneumonia, chronic obstructive pulmonary disease (COPD), renal failure, sepsis and complications from hypertension and diabetes are routinely cared for by RN’s especially trained in this field.

Neurosurgical Intensive Care Unit (NICU)

The NICU is an 8-bed unit. The patient population of the NICU consists of adult patients with neurological or neurosurgical conditions such as stroke, a transient ischemic attack (TIA), uncontrolled seizures and status epilepticus and postoperative care for surgeries such as craniotomy for tumor removal or treatment of hemorrhage and laminectomy. The NICU is also a highly specialized and technical unit that utilizes complex and sophisticated monitoring.

Surgical Intensive Care Unit (SICU)

The SICU is a 12-bed unit mainly comprised of surgical patients with life threatening conditions that require Critical Care monitoring and interventions. Patients who have had complex vascular, colorectal and ENT surgical procedures are admitted to the SICU post-operatively for close monitoring and rapid treatment of any potential complications.

Progressive Care Unit (PCU / Penthouse North)

The PCU, located on the Penthouse North level, is a combined Long-Term Ventilator Unit and Critical Care Step-Down Unit. It serves patients who require a higher level of care than provided on the Med/Surg or Telemetry floors but no longer require the interventions of a Critical Care Unit. PCU cares for patients with chronic or congestive heart failure, chronic obstructive pulmonary disease (COPD), cardiac dysrhythmias, complex post op care with multiple drains and respiratory failure. The PCU can accommodate 30 patients in their monitored rooms.

24/7 Intensivist Coverage

Intensivists are board-certified physicians who are additionally certified in the subspecialty of Critical Care Medicine. Conventional wisdom and industry standard concensus recommends that Critical Care Units be managed or co-managed by Intensivists in order to improve patient safety and quality of care. Multiple studies have shown decreased hospital and critical care mortality rates and reduced hospital and critical care length of stay by 30 – 40% when Intensivists manage patients in Critical Care. Additionally, Intensivist-managed Critical Care Units have lower incidences of complications such as ventilator acquired pneumonia and blood stream infections. University of Miami Hospital is able to provide the highest level of safety and quality to its patients in Critical Care with Intensivist coverage 24 hours a day, 7 days a week.

Rapid Response Team

The Rapid Response Team (RRT) is a team of clinicians who bring critical care expertise directly to the patient’s bedside. Multiple studies have shown that the majority of patients who experience a Code Blue Event (cardiac or respitory arrest) show signs of being unstable in the 6 – 8 hours preceding the code. The Rapid Response Team is designed to provide early intervention for patients in this critical period in an effort to reduce morbidity and mortality. Formation of a Rapid Response Team is one of the six interventions recommended by the Institute for Healthcare Improvement as part of the 100,000 Lives Campaign. University of Miami Hospital launched its Rapid Response Team in May of 2006 and the results have been amazing. We have seen a 37% decrease in the number of Code Blue Events in the hospital as well as a 9.1% decrease in the mortality rate of patients who actually have a Code Blue Event. This is the result of the treatment initiated by the RRT that prevent the Code Blue Event.

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