Transitioning the Adult Congenital Heart Disease Patient from the Cardiovascular Intensive Care Unit to the Ward
Ensuring a successful transition from the cardiovascular intensive care unit (CVICU) to the ward for the adult congenital heart disease (ACHD) patient is a vital step in the critical care admission and can have a significant impact on outcomes. The transition process may require unique protocols given the various hospital settings and models of care for ACHD patients. Successful transition involves proper assessment for readiness to transfer, formalized provider handoff procedures, and proactive preparation for hospital discharge. Although various roles within the health-care team will be involved in care transition, the physician, advanced practice provider, and nursing roles have the most direct participation in the transition process. Defining the unique focus of these providers in handoffs and discharge planning will improve the formalized processes for inpatient transitions for ACHD patients. A multidisciplinary and comprehensive approach to transition of the ACHD patient from the CVICU to the ward may decrease critical care morbidity and mortality while promoting patient safety and satisfaction.
KeywordsTransition Transfer Adult congenital heart disease Care models Readiness for transition Physician handoff Nursing handoff Discharge planning Critical care Ward
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