GENERAL INFORMATION

Patients are admitted to the Institute Dedinje within the cardiac surgery outpatient unit – Outpatient unit No. 1, on weekdays from 8 a.m. to 11 a.m. A patient who has been previously scheduled for admission should have properly prepared documentation in order to be admitted to the hospital in a fast and efficient manner. The doctor at the cardiac surgery outpatient unit performing admissions evaluates the patient’s medical condition, as well as previously requested analyses and examinations. If the required documentation is incomplete, or if there is a medical condition that may jeopardize the safety of the patient during cardiac surgery, admission may be postponed. For this reason, we kindly ask patients to provide proper and complete medical documentation upon admission, with the mandatory certified referral letter for hospital treatment at the Institute for Cardiovascular Diseases Dedinje. Possible postponement of admission due to medical reasons is in the best interest of the patient and his/her safety during the surgical intervention. Immediately after completing the documentation or remedying any health problems due to which admission was postponed, the patient’s surgery will be rescheduled and performed as soon as possible. After verifying the patient’s medical condition and reviewing required medical documentation, the patient’s case history is opened and he/she is sent to the Preoperative Patient Preparation Department within the Cardiac Surgery Outpatient Unit, which is located on the third floor of the Institute.

REQUIRED DOCUMENTATION

For admission to the Department of Preoperative Patient Preparation, the following documentation must be submitted:

• Referral letter for a specialist examination (for patients coming from other parts of the country the referral letter needs to be certified by the competent health insurance fund)
• Blood count (Hb, Hct, Er, Le and Tr) and erythrocyte sedimentation rate
• Biochemical blood tests (potassium, sodium, calcium, magnesium, bilirubin, urea, creatinine, glucose, ALT, AST, CK, total proteins, albumins), iron, UIBC and TIBC (Ferritin)
• Urine (native, with sediment)
• INR (if the patient is taking oral anticoagulant therapy, e.g. Syndrome, Farin,…)
• Bleeding and coagulation time, aPTT
• Bleeding and coagulation time
• Blood type and antibody screening test
• Throat and nose swab
• X-ray imaging of the heart and lungs
• CDS of the main arteries of the neck (mandatory – if there one or more of the following criteria is met: murmur above the carotid artery, previous surgical intervention on the carotid artery, neurological symptoms or age of the patient ≥ 65)
• Indication by the cardiac surgery medical advisory board of the ICVD Dedinje on the operative treatment
• If the patient is foreseen for heart valve surgery or congenital heart defects, it is required to submit a dentist’s certificate on the normal dental status.
• Five days before the admission to our institution, avoid taking Ticlodix, Plavix or Zylt (unless otherwise specified by the attending cardiologist)
• Values of results of the required analyses must be within the reference limits and must not be older than 15 days
• If the patient suffers from some concomitant diseases, it is necessary to provide relevant medical documentation (discharge note, results of relevant analyses, consent of the attending medical doctor to the scheduled heart surgery, etc.)
• If the patient is on a hemodialysis program, he/she is obliged to provide the opinion of a competent nephrologist regarding the nephrological status and foreseen heart surgery
• Findings and opinion of the medical doctor treating the underlying disease regarding the scheduled surgical procedure
• If invasive cardiac diagnostics was performed in another institution, the patient MUST provide a film (or CD) obtained after invasive diagnostic procedures
• If, upon admission, the patient does not have the required analyses within the reference physiological values or adequate referral letter for the heart surgery, his/her appointment shall be rescheduled and a new hospital admission date shall be determined.
• Regular follow-up examinations with a competent cardiologist are also recommended. In case of any deterioration of the patient’s underlying condition, the competent cardiologist can refer the patient to the Institute, with appropriate medical documentation, for the re-evaluation of the degree of urgency.
• The patient must bring medication that he/she uses as a part of everyday therapy

ADMISSION TIME

08:00-11:00

CONTACT DETAILS

011 3601 713