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Clinical checklist for safe discharge |
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Clinical checklist for safe discharge
Clinical
- Has the aetiology of the admission and reversible factors/underlying causes been addressed and managed?
- Stable on oral diuretics for at least 24 hours (unless on IV diuretics)?
- Are haemodynamic parameters, clinical and volume status satisfactory to enable discharge?
- Have all pre-discharge tests been checked and within acceptable levels?
- Consider advanced heart failure therapies and cardiac rehabilitation
- Where relevant, consider advance care planning
- Optimise comorbidities where possible and complete clinical frailty scale - especially if not for admission
- Is the patient suitable for telehealth?
Pre-discharge therapies
- Does the patient have/need a titration plan for optimising prognostic HF medication?
- Does the patient require out-patient IV diuretics/iron?
Patient-centred
- Does the patient have written information on heart failure and been counselled on? - Click here for more information
- Does the patient have a patient personalised clinical management plan shared with people currently involved in care e.g. DN, GP, ambulance service if palliative care, and if possible, it is visible to the health care system 24/7, the system knows it exists and uses it? - Click here for more information
- Does the patient understand the criteria for seeking medical attention post-discharge?
- Provide advice & guidance for problems that occur out of hours
- Does the patient have contact details of HF CNS/Community HFSN/AHP?
- Does the patient have a follow up appointment? - Click here for more information
- Is the patient under a HF at home/HF virtual ward?
Contents:
- Detection
- Diagnosis
- Acute Heart Failure: Diagnosis and management
- Chronic heart failure: Management and treatment
- Discharge and follow-up
- Palliative and psychological care
- Digital support
In this section
- Discharge - Home
- Clinical checklist for safe discharge
- Standardised discharge documentation
- Patient personalised clinical management plan
- Structured follow up post-admission
- Discharge from heart failure clinic
- Patient initiated follow up
- Resources for discharge
About this pathway
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(c) British Society for Heart Failure, 2022-
