Outpatient Specialty Care and Primary Care Clinical Pathway
for Infant Single Ventricle Monitoring Program (ISVMP)

Monitoring Components
Parent Participation
Visiting Home Nurse
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
  • 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

† 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
 
PARENTAL CONCERNS
Medical Emergency
YES
Call 911
NO
Normal Business Hours: Mon-Fri. 8-5
YES
NO
ISVMP APN
215-435-6342
215-590-1000 ask for
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
Revised: January 2013, May 2013, December 2015, January 2018, April 2020 (Reviewed)
Authors: T. Giglia, MD; A. Stagg, CRNP