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Standardised discharge documentation |
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Standardised discharge documentation
As a minimum please include in your discharge summary:
- Aetiology of heart failure (eg ischaemic, valvular, cardiomyopathy etc);
- Investigations and results (e.g. NT-proBNP, echo, bloods FBC, Albuminuria, renal function, iron etc);
- Diuretic requirements (IV diuretic requirements, PO dose);
- Dry weight;
- Standard medications listed (ACE/ARB/ARNI, BB, MRA, SGLTi; and reasons not started if applicable) – intolerances noted;
- Any prognostic medication withheld/dose reduction and reasons why;
- Advanced heart failure management if appropriate (devices - including deactivation of ICD, mechanical circulatory support, transplant and ceilings of treatment, advanced care planning information etc);
- Referrals made – e.g. cardiac rehabilitation, palliative care;
- Comorbidities; and
- Clinical frailty score (essential), comprehensive geriatric assessment (if appropriate).
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-
