Recommended for all HF patients |
Exacerbating factors addressed |
Near optimal volume status observed |
Transition from intravenous to oral diuretic successfully completed |
Patient and family education completed, including clear discharge instructions |
Left ventricular ejection fraction (LVEF) documented |
Smoking cessation counseling initiated |
Near optimal pharmacologic therapy achieved, including ACE inhibitor and beta blocker (for patients with reduced LVEF), or intolerance documented |
Follow-up clinic visit scheduled, usually for 7 to 10 days |
Should be considered for patients with advanced HF or recurrent admissions for HF |
Oral medication regimen stable for 24 hours |
No intravenous vasodilator or inotropic agent for 24 hours |
Ambulation before discharge to assess functional capacity after therapy |
Plans for postdischarge management (scale present in home, visiting nurse or telephone follow up generally no longer than three days after discharge) |
Referral for disease management, if available |
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