Hospital Discharge Care
A calm, organized transition from hospital to home, starting with a medication review, vital sign check, and clear answers on day one.
Learn moreRecovery & Condition Programs
Cardiac Care
Managing a heart condition at home is all about noticing small changes before they turn into an emergency. Our nurses visit you at home to check your heart and lungs, help organize your heart medications, and keep your cardiologist and primary doctor closely updated.
- Provided by
- Registered nurses and your Royal care team
- Ordered by
- Your physician or allowed practitioner
- Availability
- Mon to Fri, 9:00 AM to 5:30 PM, with a nurse on call after hours
- Where
- In your home, across 4 Southern California counties
Overview
About Cardiac Care
When you are living with heart failure (CHF), simple daily habits like checking your morning weight, watching for ankle swelling, and paying attention to your breathing can reveal fluid buildup days before it lands you back in the hospital. Our nurses help you set up an easy daily routine, review your readings, and reach out to your doctor right away when your numbers shift.
If you are coming home after bypass surgery, a valve repair, or a heart procedure, our nurses care for your chest or leg incisions, review your sternal and activity precautions, and help you build your stamina back safely.
What's included
- Careful heart rate, blood pressure, oxygen, and lung checks at every visit
- Daily weight and fluid-retention tracking for heart failure
- Organizing and explaining water pills (diuretics), blood thinners, and blood pressure medications
- Post-heart-surgery nursing, including chest and leg incision care
- Practical low-sodium meal and fluid tips aligned with your cardiologist's plan
- Pacing and energy-saving strategies for everyday activities
- Clear guidance on which symptoms need a call to the nurse and which need 911
- Direct communication with your cardiologist and primary care doctor
Who it helps
- People living with congestive heart failure (CHF)
- Patients returning home after a heart attack or stent procedure
- Individuals recovering from open-heart bypass or valve surgery
- Patients managing atrial fibrillation, arrhythmias, or hard-to-control blood pressure
What to expect
Your care, step by step.
Step 1: Referral & orders
Your doctor sends orders over, or you give us a call and we reach out to your doctor's office for you.
Step 2: Nurse assessment
One of our registered nurses visits you at home, listens to how you are doing, and goes over your medical needs.
Step 3: Your plan of care
We partner with your doctor to map out the right services, visit schedule, and recovery goals for you.
Step 4: Care & coordination
Your team visits on schedule, shows your family how to help, and keeps your doctor in the loop as you get stronger.
Staying safe
When to call us or your doctor
Our office is open Monday to Friday, 9:00 AM to 5:30 PM. A registered nurse is always on call by phone after office hours, on weekends, and on holidays.
Call us or your physician if you notice:
- A weight gain of 2 to 3 pounds in a single day or 5 pounds in a week, or whatever threshold your cardiologist set
- Tighter shoes or new swelling in your feet, ankles, calves, or abdomen
- Feeling more winded than usual, or needing extra pillows to breathe comfortably at night
- Lightheadedness, a racing or fluttering heartbeat, or a persistent new cough
For chest pain, trouble breathing, signs of stroke, severe bleeding or any emergency, call 911.
Why do I need to weigh myself every morning?
With heart failure, extra fluid shows up on the scale before you notice swelling or shortness of breath. Weighing yourself at the same time each morning gives you and your nurse an early heads-up so your doctor can adjust your medication at home.
Can you help me keep track of all my heart medications?
Yes. Heart patients often leave the hospital with several new prescriptions. We sit down with you, explain what each pill does, set up a clear daily organizer, and watch for side effects like dizziness.
Do you coordinate with my cardiologist?
Absolutely. We send clinical updates to both your cardiologist and your primary care physician so your entire medical team stays aligned.
Related services
Ask us about Cardiac Care.
Call us with questions, to make a referral, or to check whether you qualify. A real person answers during office hours, and a registered nurse is on call after hours.