Cardiac Discharge Contract

Sentara Health System, Sentara Norfolk General Hospital, and the Virginia Chapter of the American College of Cardiology
Norfolk, Virginia, USA
This hospital discharge form is designed to be used at discharge for acute myocardial infarction (AMI) patients to ensure that all appropriate medications are prescribed and that the patient understands and is engaged in developing a plan for post-discharge activity.
The form incorporates guidelines for post-AMI care, as well as indicators from guidelines for congestive heart failure (CHF) care. Use of the form ensures that all recommended guidelines for post-AMI care are addressed and documented. Because the overall discharge process is similar for CHF patients, and many specific care processes and medications for AMI and CHF overlap, the same form can also be used for patients with CHF. The form includes space for signatures of the physician, nurse and patient, elevating the importance of the discharge process for all three parties.

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