Outpatient Specialty Care and Primary Care Clinical Pathway
for Infant Single Ventricle Monitoring Program (ISVMP)
Related Pathway
Inpatient Newborn with
Single Ventricle Pathway
Inpatient Newborn with
Single Ventricle Pathway
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Monitoring Components
Parent Participation
- Daily weight
- Daily oxygen saturation
- Feeding log
- Red Flag Checklist
- Parental concerns
Visiting Home Nurse
Frequency determined
by need
Frequency determined
by need
- Weight
- Oxygen Saturation
- Mode of Feeding
- Formula type, amount
- RN Assessment
- Other concerns
- Red Flag Checklist
ISVMP APN
1+ phone conversations per week
1+ phone conversations per week
- Weight
- Oxygen Saturation
- Mode of Feeding
- Formula type, amount
- Other concerns
- Red Flag Checklist
Pediatrician†
Every Two Weeks:
- Weight
- Vital signs including heart rate, respiratory rate, oxygen saturation
- Other concerns
- Red Flag Checklist
† Alternating with Cardiologist
Cardiology†
Norwood Patients: every two weeks
Shunt Only Patients: monthly
- Vital signs including heart rate, respiratory rate, oxygen saturation, and 4 extremity BP (for patients with arch reconstruction)
- Screening Echo Protocol
- Other concerns
- Red Flag Checklist
- Feeding Advancement Protocol
† Alternating with Pediatrician
2-4 Months
Cardiac Kids Developmental Follow-up Program Visit
SECOND OPERATION PLANNING
Stage II
Biventricular Repair
Submit surgical request for Stage II by 2 months of age
Timing, Pre-Op Studies
- Determined by Primary Cardiologist
Preoperative Labs --
include BNP with standard pre-operative labs
include BNP with standard pre-operative labs
PARENTAL CONCERNS
Medical Emergency
YES
Call 911
NO
Normal Business Hours: Mon-Fri. 8-5
YES
NO
ISVMP APN
215-435-6342
215-435-6342
215-590-1000 ask for
cardiologist on call
cardiologist on call
Red Flag or Other Significant Concern
NO
YES
Advice/Reassurance and Follow-Up Plan
Initiate outpatient follow up, admission or other as appropriate
Person taking call will document in EPIC and communicate with Primary Cardiologist, CHOP Cardiologist, Pediatrician and ISVMP
Posted: July 2011
Reviewed: April 2020
Authors: T. Giglia, MD; A. Stagg, CRNP
Reviewed: April 2020
Authors: T. Giglia, MD; A. Stagg, CRNP