Launching a New Strategy for Multidisciplinary Management of Single-Ventricle Heart Defects

Author:

Davis Jo Ann M.1,Miller-Tate Holly2,Texter Karen M.3

Affiliation:

1. Jo Ann M. Davis is the single ventricle advanced practice nurse at Nationwide Children’s Hospital in Columbus, Ohio.

2. Holly Miller-Tate is a nurse clinician at Nationwide Children’s Hospital and plays a key role on the single-ventricle team.

3. Karen M. Texter is the director of fetal echocardiography and the single-ventricle team at Nationwide Children’s Hospital.

Abstract

Children born with single-ventricle heart defects, particularly hypoplastic left heart syndrome, have a lifetime high risk of mortality and comorbidities. They have complex medical challenges in addition to their cardiac needs, including growth and feeding complications and neurodevelopmental issues. These concerns require a coordinated effort among specialties to help patients maximize their potential. Additionally, because many complex heart defects are diagnosed prenatally, coordination of care between the pre- and postnatal care teams is imperative. Nursing leadership improves program coordination and efficiency. The purpose of this article is to describe the development and implementation of our hospital’s synchronized, multidisciplinary team to support children with single-ventricle heart defects and their families. (Critical Care Nurse. 2018;38[1]:60–71)

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

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