Newly Admitted Observation /Inpatient Worksheets - PRINT and COMPLETE one of each for all HF Patients:
Heart Failure Stage and NYHA Class - Download Form
HF Patient ACD Data Worksheet - Download Form
Heart Failure Patient Discharge Checklist (Complete online & print, then forward to HF Coordinator)
Provider / Case Management PATIENT EDUCATION CHECKLIST - (VIEW or DOWNLOAD)
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DOWNLOAD BHSR HF Patient Information & Resources - Transitions of Care Plan
Download HF Patient Daily Self-Management Checklist
OPTIONAL MATERIALS:
Strategies to Improve Daily Weigh-ins and Med Compliance
Download Daily Weight - Blood Pressure - Blood Sugar Log (12 Months)
Download HF Information Booklet - ACC Cardiosmart
Prep For Discharge - REDUCED EF Heart Failure Patients - DOWNLOAD AND COMPLETE
NURSING TOOLS:
Download Cerner Screenshots - Nursing Documentation - Patient Education - Functional Assessment
Download Heart Failure Consult Dictation Template
Download Heart Failure Patient Discharge Checklist & Instruction Sheet
Download Transitions of Care Form
DOWNLOAD Follow-Up Phone Call Checklist - HF Patients
Download Protocol for Evaluation and Management of HF Patient in Post-Hospitalization Setting