The St. Vincent Chest Pain Center at Saint John s Health System

1. The St. Vincent Chest Pain Centerat Saint John’s Health System Extraordinary Care ~ Extraordinarily Close to Home

2. The Chest Pain Center is committed to excellence, incorporating nationally acknowledged best practices and evidence based protocols in the care of our patients. The Chest Pain Center Unit is a monitored unit located on 4 south in the cardiology department, providing care for patients 24 hours a day, 7 days a week. About the Chest Pain Center at Saint John’s

3. The staff of the Chest Pain Center at Saint John’s consists of a team of physicians, cardiologists, and registered nurses who are specially trained in the care of the cardiac patient. Leading the team is Dr. Chris Hollon, Cardiologist champion for the Chest Pain Center, Dr. Jim Beeson, Emergency Room physician champion, and Katy Barrott, RN, Manager of Cardiovascular Services & Chest Pain Center Coordinator. The Staff of Saint John’s Chest Pain Center

4. All laboratory testing for risk factors of coronary artery disease (CAD), and in the diagnosis of cardiac specific disease processes, including heart attack and congestive heart failure Electrocardiogram (EKG) Stress testing (exercise or chemical, with or without nuclear imaging) Echocardiogram Left and Right Heart Catheterization Services provided at the Chest Pain Center at Saint John’s

5. From the Emergency Department: Patients exhibiting signs and symptoms of heart disease who need specialized testing to determine if what they are experiencing is heart related. These signs and symptoms may include: chest pain, chest pressure or discomfort, a squeezing sensation that spreads to the neck, shoulder, or jaw, pain in the upper abdominal area and/or mid back, neck, jaw, or arms, shortness of breath, dizziness, sweating, nausea, fatigue and may or may not be accompanied by abnormal lab values or EKG changes. Admission to the Chest Pain Center

6. For patient’s who experience acute signs and symptoms of heart disease and who are already in the hospital, Saint John’s Rapid Response Team is activated. The Rapid Response Team is a specialized group of health professionals who are available to evaluate and intervene if a patient has sudden changes in his or her condition. This team can be activated by staff, but because you know yourself and your loved ones best and may recognize changes in condition earlier, the Rapid Response Team may also be activated by patients and/or their loved ones. Hospitalized Patients

7. You should request the Rapid Response Team if you notice any of the following: change in heart rate, chest pain, drop in blood pressure, difficulty breathing, confusion or change in awareness, rapid decline in general health or stability. How to access the Rapid Response Team: notify your nurse and ask for the Rapid Response Team or dial the operator and request the Rapid Response Team, and provide the patient’s room number. Saint John’s Rapid Response Team

8. Whether seen in the Emergency Department or in response to a Rapid Response Team call, one type of heart attack requires rapid, systematic assessment and intervention. This is known as a ST Elevated Myocardial Infarction, or STEMI. If there are ST changes in a patients EKG, an overhead announcement will be heard with the location of the patient, for example, STEMI-ER, or STEMI-4 SOUTH. STEMI ALERT

9. When a STEMI alert is announced, an emergency room physician and nurse, a pharmacist, personnel from the laboratory and from radiology all come to the patient’s bedside to provide immediate care based on best practice recommendations by the ACC/AHA. Other responders may include the PHI/DOVE FLIGHT crew and the Emergency Department coordinator. What happens when a STEMI alert is announced?

10. Saint John’s physicians and associates provide care at many locations outside of the main hospital. These locations include the Medical Arts building, the Ambulatory Services Center, the Roby building, Surgery Center, CIO, and the Anderson Center. Physicians offices, laboratory and radiology services are located throughout Madison county. In these locations, 911 should be called for patients, visitors, or staff experiencing the acute signs and symptoms of heart disease. What if I am not in the main building at Saint John’s?

11. If you or someone you are with experiences these Signs and Symptoms of Heart Disease: chest pain, chest pressure or discomfort, a squeezing sensation that spreads to the neck, shoulder, or jaw, pain in the upper abdominal area and/or mid back, pain in the neck, jaw, or arms, shortness of breath, dizziness, sweating, nausea, fatigue OR Change in condition: change in heart rate, drop in blood pressure, difficulty breathing, confusion or change in awareness, rapid decline in general health or stability. Call 911 Outside of the hospital,

12. If a patient experiences any of these Signs or Symptoms: chest pain, chest pressure or discomfort, a squeezing sensation that spreads to the neck, shoulder, or jaw, pain in the upper abdominal area and/or mid back, pain in the neck, jaw, or arms, shortness of breath, dizziness, sweating, nausea, fatigue OR Change in condition: change in heart rate, drop in blood pressure, difficulty breathing, confusion or change in awareness, rapid decline in general health or stability. Activate the Rapid Response Team In the hospital

13. Providing Extraordinary Care Extraordinarily Close to Home The Chest Pain Center at Saint John’s Health System