Infant Single Ventricle Monitoring Program (ISVMP):
Outpatient Pathway: Stage I Discharge to Stage II Operation
Monitoring Components
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Parent Expectations
Visiting Home Nurse

Weekly:

ISVMP APN

Call Weekly:

Pediatrician†

Every Two Weeks:

† Alternating with Cardiologist

Cardiology†

Norwood Patients: every two weeks
Shunt Only Patients: monthly

† Alternating with Pediatrician

2-4 Months

Neuro Cardiac Care Program (NCCP) Visit

Stage II Planning
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First Cardiology Visit after 2 Months
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Preoperative Labs --
include BNP with standard pre-operative labs
PARENTAL CONCERNS
Medical Emergency
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YES
Call 911
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NO
Normal Business Hours: Mon-Fri. 8-5
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YES
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NO
ISVMP APN
215-435-6342
215-590-1000 ask for
cardiologist on call
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Red Flag or Other Significant Concern
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NO
YES
Reassurance and Follow-Up Plan
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Initiate outpatient follow up, admission or other as appropriate
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Communicate with cardiologist, PMD and ISVMP
Posted: July 2011
Revised: January 2013, May 2013
Authors: Jonathan Rome, M.D.; Alyson Stagg, C.R.N.P.