/clinical/,/clinical/nursing-hub/,/clinical/nursing-hub/mechanical-circulatory-device-vad/,

/clinical/nursing-hub/mechanical-circulatory-device-vad/

201508225

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UWHC,

Nursing,Patient Care,

https://uconnect.wisc.edu/media/u-connect/clinical-hub/mechanical-circulatory-device-vad/heartmateII.jpg
Clinical Hub,Nursing Hub

Mechanical Circulatory Device (VAD)

Mechanical Circulatory Device (VAD) - Clinical Hub, Nursing Hub

Focus

Mission, Goals and Performance Measures
Mission  As part of the Advanced Heart Disease Program at University of Wisconsin Hospital and Clinics, the vision of the VAD program is to be a national leader in the care of patients with advanced heart disease requiring mechanical circulatory support.  
Goals 

Deliver Comprehensive and innovative array of clinical options with optimal outcomes

Advance the treatment of heart failure through clinical and translational research 

Performance Measures

Gastrointestinal Bleeds

Measure: Percent of patients documented GI bleed (decrease H&H requiring transfusions, documented on colonoscopy or EGD, melena) during a quarter

Blood Product

Measure: Percent of patients receiving more than 5 u PRBC in any time frame from implant to device removal, transplant or death during a quarter

Hemolysis

Number of patients with 2 consecutive LDH 3x> normal LDH highest lab value, plasma hemoglobin >40/number of patients in the given time frame. 

Pump Related Infections

Number of new pump related infections (localized driveline, tunneled driveline infection, pump pocket) based on the number of VAD days during the quarter

Resources

Performance Measure Cumulative Data

Retired Performance Measures

Length of Stay (LOS)

Infection

Indirect Cost

Policy and Guideline

Ventricular Assist Devices (VAD): Inpatient and Outpatient Policy

Mechanical Circulatory Device (MCD) - Adult - Inpatient/Ambulatory - Clinical Practice Guideline

Guidelines for Mechanical Circulatory Support (National Guideline)

Tools

Device Comparison and Troubleshooting (General)

Websites

Abiomed Impella

Cardiac Assist Tandem Heart

HeartWare Clinican’s Resource Center

My LVAD

Syncardia

Thoratec

Thoratec University