Anyone do Transitional Heart Failure??

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Specializes in Nephrology, Cardiology, ER, ICU.

Okay - so I accepted a new job at a large (900 bed+) hospital heart failure transitional care center. The goal is to keep these pts out of the hospital and decrease readmission rates.

Its a growing program.

We see pts in-pt and then see/follow them up as outpts, caring for them thru the first 30 days post-admission.

Anyone do anything like this??

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Specializes in CVICU, MICU, Burn ICU.

I have no personal experience with this sort of program, but just want to say Congratulations! It sounds like a VERY cool program. Dare I say.... it sounds dreamy, actually -- but I do like hearts and have a soft spot for those with HF. Please let us know how it goes.

And best wishes to you on this new endeavor.

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Specializes in ACNP-BC, Adult Critical Care, Cardiology.

How exciting, congratulations. I've heard of a similar job description for an NP when I worked in the Midwest. When I was a bedside nurse, I also know of a CNS that did that but she didn't prescribe or anything but did a lot of patient education, phone triage, symptom monitoring, and referrals to the appropriate medical services for the patients assigned to her service. Sounds like a great opportunity to make a difference in the lives of people with heart failure.

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Enjoy, I hope you like it! I work with lots of cardiac patients, so sometimes I moonlight in the HF clinic. That population needs lots of attention!

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Specializes in Assistant Professor, Nephrology, Internal Medicine.

That sounds amazing. I always loved treating heart failure- such a dynamic disease process. Good luck!

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Specializes in Nephrology, Cardiology, ER, ICU.

Thanks everyone - will be nice to have a hand in further developing this program. The hospital is looking to restart a heart transplant program too...

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Specializes in allergy and asthma, urgent care.

Congrats! It sounds like a great position. No more driving hundreds of miles a week!

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Specializes in CTICU.

Congrats - sounds great! I work on the other end with CTICU heart failure patients when they get LVADs etc. They certainly have a high burden of care in the community and so many meds to keep up on etc - sounds like an awesome program you will be starting.

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Hi there!

If you ever need any help or advice for TOC and HF please feel free to send me a message. My dissertation was on TOC and HF and the creation of a novel new model for HF TOC.

Good luck!!!

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Specializes in Nephrology, Cardiology, ER, ICU.

Thanks so much CardioDNP - appreciate the offer.

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