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Describes the equipment, staffing, and operating policies of 96 Coronary Care Units (CCUs) in California that participated in a study for the California Committee on Regional Medical Programs (CCRMP) on the effect of CCUs on the treatment of patients with acute myocardial infarction. Elaborate equipment for patient monitoring and resuscitation accounts in part for the fact that the average daily charge for care in a CCU is over twice the average daily charge for care in a semiprivate room. In 64 percent of the hospitals in the study, there is always a physician on call, but in only 8 percent is there always a physician in the CCU. The nursing staff consists predominantly of RNs, with LVNs and Nurses' Aides on duty in some CCUs. Much responsibility for administering drugs and performing emergency procedures has been delegated to the nursing staff in most CCUs, although the physician retains primary responsibility for patient care.
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