Transitional Care

RN CARDIAC (NON-CHF) CLINICAL PATHWAY - Visit 2

  • 1 Expected Outcomes
  • 2 Interventions
  • 3 Signature

Vital signs will be within patient’s normal limits

select "Yes" or "No"

Patient will demonstrate compliance with maintaining food and weight logs

select "Yes" or "No"

Patient will verbalize knowledge of therapeutic diet

select "Yes" or "No"

Patient will verbalize knowledge of ASA/anticoagulant therapy, beta blocker usage, cholesterol lowering diet

select "Yes" or "No"

Complete patient assessment

select "Yes" or "No"

Initiate/continue education on management of CAD/HTN

select "Yes" or "No"

Continue education on meds and S&S to report

select "Yes" or "No"

Assess coping mechanisms

select "Yes" or "No"

Review food log for diet compliance

select "Yes" or "No"

Provide education on desired behaviors: exercise, rest

select "Yes" or "No"

Coordinate with clinical team as needed

select "Yes" or "No"

Initiate discussion on Smoking Cessation, if applicable

select "Yes" or "No"

Assess need for SW

select "Yes" or "No"

If HHA in place, complete POC and orient aide to POC

select "Yes" or "No"

Finished

Please sign here! Go to Visit 2