Inpatient Pathway for the Evaluation/Treatment of Fetus or
Newborn with Single Ventricle
Fetus or Newborn with Single Ventricle
Evaluation for Entry
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Contact ISVMP
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ISVMP APN contacts family and introduces program
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Newborn Palliation
Operation including shunt or Hybrid Procedure
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NO
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YES
Enroll
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POD #2
Nutrition consult. Initiate nutrition pathway
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De-intensification Achieved within 4 days
NO
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NO
Detailed
Post-op Echo
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YES
OT/PT Consults
Discharge Planning
Feeding Advancement
Daily weights, weekly 4 extremity blood pressures
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Detailed Post-Op Echo within 7 days of Operation
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Discharge Readiness
Discharge checklist
ISVMP APN communicates with community provides and sends information/protocols and patient reports
Every two weeks
complete echo
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Prenatal /Presurgial
Surgical
Intensive Care
(CICU)
Step Down
(CCU)
Discharge Phase
Posted: July 2011
Revised: January 2013
Authors: Jonathan Rome, M.D.; Alyson Stagg, C.R.N.P.