Winter 01/02

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Where the Heart is

The Riley Heart Center offers a comprehensive range of services and the latest technology.But it's more than a place - it's a new concept in the delivery of care to young patients.

A rainbow of overhead light suffuses the hallway of the new fourth-floor home of the Riley Heart Center. The tranquil atmosphere created by the subtle light and other homelike amenities belies the high-tech environment within these walls that house critically ill children.

Although Riley Hospital for Children of Clarian Health has long been known for its progressive cardiac care, the new Riley Heart Center has elevated the program's standing to an unrivaled level.

"This center enhances a comprehensive team approach that includes experienced and expertly trained nurses, neonatology services, anesthesia services and all other health care delivery people and the ongoing programs of cardiology," said Timothy M. Cordes, MD, clinical associate professor of pediatrics and medical director of the center.
"Because of the patient volume, we have a team of nurses who specialize exclusively in cardiac care; it is a luxury to be able to extend your care to that level."

During any given year, as many as 650 pediatric cardiac surgeries take place at Riley Hospital. Those numbers make it feasible to dedicate specially trained staff who monitor and provide care to patients at the Riley Heart Center. Specialists also will be on duty around the clock in the neonatal intensive care unit and pediatric intensive care unit where premature and newborn cardiac patients are taken after surgery.

"The Riley Heart Center isn't just a specific space, it is a concept of care," said Dr. Cordes. "That excellence in care, provided by highly trained individuals, will prevail in the fourth-floor unit, PICU, NICU, the operating and recovery rooms and the Riley Outpatient Center. The team concept extends past the cardiologists and cardiovascular surgeons to all other health care delivery people."

The newly opened cardiac recovery area includes four private rooms for post-catheterization recovery and pre-cardiac surgery patients. Additionally, ten private "step-down" beds for post-operative and non-post-operative cardiac patients line the hall opposite the nurses stations. Each of these rooms is capable of intensive care monitoring.

Around the corner are four private and three semi-private beds for less acute cardiovascular patients. This area is for cardiac patients who require less intensive monitoring and nursing care.

Family friendly is the best way to describe the new center. The unit features an inpatient lounge with a fireplace, a kitchenette and a private breastfeeding area. Adding to the homelike atmosphere is the décor of patient rooms: hardwood floors, subtle wall coverings, mission-style accents, wooden cabinetry, lounge chairs and other comfortable furniture.

Patient-focused amenities extend beyond the homey atmosphere to a resource center where family members can use computers to research conditions, medications and other needs specific to their child's health.

Each room also is quieter than the traditional hospital room because the noisy monitoring equipment is located outside the sleeping area.

Augmenting the visual monitoring at satellite nurses stations outside the rooms is a central telemetry room staffed by highly trained people whose job is to respond to beeps and bells emitted from the lifelines of each patient. Technological advances provide each child with wireless telemetry equipment, allowing them more mobility.

State-of-the-art telemetry is one thing that makes the unit so unique. The technology offers physicians an opportunity to review a patient's trends for long periods. The sophisticated technology stores cardiac rhythm data for twenty-four hours so it can be analyzed minute-to-minute or hour-to-hour to determine the best route of care for each patient.

Everything in the Riley Heart Center says "patient first." To ease the stress for little patients and their parents, the room design and furnishings allow parents to sleep in the hospital room instead of in a lounge down the hall. A centrally located activity area helps keep children occupied, and remote telemetry makes it possible for them to participate in activities organized by Riley Hospital's Child Lifestaff.

"The Riley Heart Center is unique to Indiana," said Dr. Cordes. "Our expertise and patient volume have allowed us to offer the most progressive care in the best possible setting. I am very excited about how this helps us achieve our ongoing goal of enhancing the care of our pediatric cardiac patients."