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It outlines team coverage timing, core responsibilities for admissions and primary-team management, and structured admission note tips focused on cardiac history, imaging findings, cath data, CABG documentation, and EKG interpretation. It also gives guidance for delivering CCU presentations with a clear patient-admission template and problem/plan framing, followed by introductory educational sections such as coronary anatomy and key CCU clinical topics.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/cardiac-care-unit-survival-guide-ccu-resident-and-fellow-handbook/572910/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/cardiac-care-unit-survival-guide-ccu-resident-and-fellow-handbook/572910.png","ImageObject",442,249,{"name":88,"@type":89},"Angel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-16","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What are the CCU day and night team coverage hours and responsibilities?","Question",{"text":108,"@type":109},"The day team covers 7 am to 7 pm and includes an attending cardiologist, a cardiology fellow, one senior medicine resident, and one or two medicine interns. The night team covers 7 pm to 7 am with a senior resident and cardiology fellow, admitting new patients and serving as the primary team until transfer to medicine or discharge.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What should be included in CCU admission note documentation?",{"text":113,"@type":109},"Document cardiac history in chronological order and include echocardiographic details (TTE/TEE, EF, valves, wall motion and diastolic parameters). For catheterizations, include right heart cath values, coronary angiography anatomy, and any intervention complications, plus CABG anatomy-critical details and operative report or CABG angiogram when applicable.",{"name":115,"@type":106,"acceptedAnswer":116},"How should a CCU patient admission presentation be structured?",{"text":117,"@type":109},"Use an admission presentation format that starts with an identifying statement and cardiologist follow-up, then covers pertinent past medical history with emphasis on cardiac history, timeline of events, subjective/objective overnight events, and an assessment and plan. The plan should include a one-liner summary followed by problems in order of importance with rationale for differential diagnoses and the actions that need to be taken.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},572910,1792090920,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":25},687207412472,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","1  \nCARDIAC CARE UNIT SURVIVAL GUIDE  \nSUNY Upstate Medical University  \n2022  \nResident and Fellow Authors:  \nSanchari Banerjee Vishal Phogat Anderson Anuforo Andres Cordova Ashwini Ashwath  \nAtika Azhar Mohammad Raza Akhter Kenopama Gyawali  \nBhavya Poudyal Ravi Singh Bilal Talha Jenish Bhandari Sagun Sthapit Philip Chebaya Shweta Paulraj Jasmine Sandhu  \nFaculty Authors:  \nDana Aiello  \nDebanik Chaudhuri  \n2  \nTABLE OF CONTENTS  \n1. Introduction to the CCU ……………………………………………………………….….3  \n2. Delivering CCU presentations …………………………………………………………...4  \n3. Basics of Coronary Anatomy ………………………………………………………….....5  \n4. Chest pain …………………………………………………………………………….…....6  \n5. Acute Coronary Syndrome …………………………………………………………….....8  \n6. Complications of Acute Myocardial Infarction …………………………………….…..12  \n7. Post Cardiac Cath care ……………………………………………………………….…15  \n8. Congestive Heart Failure and Acutely Decompensated Heart Failure …………….16  \n9. Cardiogenic Shock ……………………………………………………………….……...19  \n10. Arrhythmias and resuscitations  \n1. Tachyarrhythmia ………………………………………………………………....20  \n2. Atrial Fibrillation…………………………………………………………………...24  \n3. Bradyarrhythmia ………………………………………………………………….26  \n4. Temporary Cardiac Pacing ……………………………………………………...29  \n11. Valvular Disease: Aortic Stenosis ……………………………………………………....30  \n12. Pericardial Diseases  \n1. Acute Pericarditis ………………………………………………………………....31  \n2. Cardiac Tamponade ……………………………………………………………...32  \n13. Tools in the CCU  \n1. Pulmonary Arterial Catheter and Hemodynamic monitoring …………………33  \n2. Intra-aortic Balloon Pump ………………………………………………………..34  \n3. Impella ……………………………………………………………………………..35  \n14. Procedures in Electrophysiology ………………………………………………………. 36  \n15. Quality Improvement Toolkit …………………………………………….……………….41  \n3  \nIntroduction to the CCU  \nThe CCU day team consists of an attending cardiologist, a cardiology fellow, one senior medicine resident and one or two medicine interns from 7 am to 7 pm. The night team consists of a senior resident and cardiology fellow who covers from 7 pm to 7 am. Responsibilities include admitting new patients and serving as primary team until transfer to medicine or discharge.  \nAdmission Note Tips  \n- Provide cardiac history in chronological order  \n- Echo: TTE or TEE, EF, Valves, wall motion abnormalities, diastolic parameters  \n- Catheterizations: Right heart cath values ( pressures in RA, RV, PA or  \nPCWP/PCOP), coronary angiography (left main, LAD, Lcx, RCA), intervention and complications  \n- CABG: Anatomy is critical; if OSH surgery, obtain copy of operative report or CABGangiogram  \n- Document peripheral vascular exam (femoral, popliteal, DPs, PTs) -these are important references if there is a procedure complication or access on the other side is needed  \n- Document your own EKG interpretations  \nAdmissions from Cath or EP lab  \n- Always ask for the results of procedures and any complications  \n- Heparin restarted?  \n- What was the access? Where and what size? Does the arterial sheath need to be pulled? When? Duration of PTT  \n- Post Cath Check: Always check site of access (groin/radial or brachial) for distal pulses, hematoma, bruits. Follow CBC for decrease in hematocrit. If drops significantly post cath, consider retroperitoneal hematoma  \n- For access sheath removal, complications or questions contact fellow on call  \n4  \nDelivering CCU presentations  \nPresentations in the CCU can vary depending on your preference, the attending, and the reasons for CCU admission.  \nRemember it is not expected that you know all the laboratory values of your patient, we have computers to pull them out on! It is more important that you evaluate the patient and come up with a plan for the day.  \nFollowing is an example of a patient admission presentation:  \n1. Identifying statement for each patient  \n2. Does the patient follow with a cardiologist?  \n3. Pertinent PMH with special emphasis in cardiac history  \n4. Timeline of events  \n5. Subjective and objective overnight events  \n6. A","cbCailRq2eiYNYla","https://ap.wps.com/l/cbCailRq2eiYNYla","pdf",2896735,44,"English","# Table of Contents\n## Introduction to the CCU\n## Delivering CCU presentations\n## Basics of Coronary Anatomy\n## Chest pain\n## Acute Coronary Syndrome\n## Complications of Acute Myocardial Infarction\n## Post Cardiac Cath care\n## Congestive Heart Failure and Acutely Decompensated Heart Failure\n## Cardiogenic Shock\n## Arrhythmias and resuscitations\n## Valvular Disease: Aortic Stenosis\n## Pericardial Diseases\n## Tools in the CCU\n## Procedures in Electrophysiology\n## Quality Improvement Toolkit","[{\"question\":\"What are the CCU day and night team coverage hours and responsibilities?\",\"answer\":\"The day team covers 7 am to 7 pm and includes an attending cardiologist, a cardiology fellow, one senior medicine resident, and one or two medicine interns. The night team covers 7 pm to 7 am with a senior resident and cardiology fellow, admitting new patients and serving as the primary team until transfer to medicine or discharge.\"},{\"question\":\"What should be included in CCU admission note documentation?\",\"answer\":\"Document cardiac history in chronological order and include echocardiographic details (TTE/TEE, EF, valves, wall motion and diastolic parameters). For catheterizations, include right heart cath values, coronary angiography anatomy, and any intervention complications, plus CABG anatomy-critical details and operative report or CABG angiogram when applicable.\"},{\"question\":\"How should a CCU patient admission presentation be structured?\",\"answer\":\"Use an admission presentation format that starts with an identifying statement and cardiologist follow-up, then covers pertinent past medical history with emphasis on cardiac history, timeline of events, subjective/objective overnight events, and an assessment and plan. The plan should include a one-liner summary followed by problems in order of importance with rationale for differential diagnoses and the actions that need to be taken.\"}]","Cardiac Care Unit Survival Guide - CCU Resident and Fellow Handbook | PDF",1791930067]