Transcatheter Aortic Valve Replacement Program Development: A Guide for the Heart Team / Edition 1

by Marian C Hawkey, Sandra Lauck PhD, Elizabeth M. Perpetua DNP, Amy Simone

Overview

Launch and cultivate a successful program for the innovative procedure poised to become the standard for patients with aortic stenosis (AS) with Transcatheter Aortic Valve Replacement (TAVR) Program Development: A Guide for the Heart Team .
Written by leaders in the field, this clinical instruction manual is the first to consolidate evidence, guidelines, and best practices for the TAVR care pathway from referral to follow-up. This is a must-have for clinicians—nurses, physicians, and allied health professionals—as well as administrative leadership and staff involved in TAVR programs.

The text offers a comprehensive view of the TAVR program organized to support staff and quality, and positioned to grow on pace with evolving indications, regulations, technology, and patient needs:


• Foundational Knowledge – AS clinical presentation, disease progression, historical perspective and current practice
• Multidisciplinary Care – Heart Team, Valve Program Clinician, procedural staff, valve clinic, hospital-based care, partnership with primary care and referring providers
• Patient Evaluation – symptoms, medical history, social determinants of health, diagnostic imaging, echocardiography and computerized tomography, risk stratification
• Heart Team Shared Decision Making – case selection, real-world patient scenarios for shared decision-making, risk-predictive tools, considerations for specific conditions – anatomical challenges, low-gradient AS, mitral valve disease, frailty, pulmonary disease, kidney disease, dementia
• Procedural Care and Clinical Pathways – specific, detailed examples of procedure plans, order sets, emergency planning, peri-procedural communication and handoffs, post-procedure care pathways, discharge planning
• Program Optimization and Evaluation – strategies and tactics for education and communication, staffing considerations, wait list management, scheduling challenges, measurement of clinical outcomes, patient experience, adherence to indications, regulatory compliance, quality registry reporting

About the Clinical Editors
Marian C. Hawkey, RN, is Director of TAVR Clinical Research at New York Presbyterian/Columbia University Medical Center in New York City.

Sandra Lauck, PhD, RN, is a scientist at the Centre for Heart Valve Innovation and Clinical Assistant Professor (St Paul’s Hospital and Heart & Stroke Foundation Professorship) in Cardiovascular Nursing at the University of British Columbia in Vancouver.

Elizabeth M. Perpetua, DNP, is Principal Consultant at EMPath Health Services – Perpetua Associates, in Seattle, Washington.

Product Details

ISBN-13:	9781975105228
Publisher:	LWW
Publication date:	03/15/2019
Edition description:	First
Pages:	280
Product dimensions:	8.90(w) x 5.90(h) x 0.50(d)

About the Author

Marian C. Hawkey, RN, is Director of TAVR Clinical Research at New York Presbyterian/Columbia University Medical Center in New York City.

Sandra Lauck, PhD, RN, is a scientist at the Centre for Heart Valve Innovation and Clinical Assistant Professor (St Paul's Hospital and Heart & Stroke Foundation Professorship) in Cardiovascular Nursing at the University of British Columbia in Vancouver.

Elizabeth M. Perpetua, DNP, is Principal Consultant at EMPath Health Services - Perpetua Associates, in Seattle, Washington.

Amy Simone, PA-C, is Clinical Director at the Marcus Heart Valve Center at the Piedmont Heart Institute in Atlanta, Georgia.

Table of Contents

Dedication v

Contributors vii

Preface ix

Acknowledgments xi

Introduction xii

1 Foundational Knowledge: Transcatheter Aortic Valve Replacement Marjo J.A.G. De Ronde-Tillmans, RN Martina Kelly Speight, MSN, FNP-BC 1

2 The Heart Team Approach Amy E. Simone, PA-C, AACC 17

3 The Valve Program Clinician Marian C. Hawkey, RN Bettina Hoejberg Kirk, RN, MSN 37

4 From Referral to Procedure: Clinic Evaluation Pathway Patricia A. Keegan, DNP, NP-C, AACC Leslie Achtem, RN, BSN 50

5 Understanding Transcatheter Aortic Valve Replacement Diagnostic Imaging Russell A. Brandwein, MS, PA-C 86

6 Frailty, Quality of Life, and Palliative Approach Sandra B. Lauck, PhD, RN Tone M. Norekvål, PhD, RN 116

7 Who Is the Right Patient for Transcatheter Aortic Valve Replacement: Complexities of Case Selection Kimberly A. Guibone, ACNP 133

8 Decision Support and Education: Strategies for Patient-Centered Care Roseanne Palmer, MSN, RN 156

9 The Right Care in the Right Place: A United States Perspective on Procedure Planning Janet Fredal Wyman, DNP, RN-CS, ACNS-BC 174

10 Success Is When the Patient Goes Home: Postprocedure Care Amanda Kirby, DNP, APNP, ACNP-BC 206

11 Program Development and Optimization of Health Services Elizabeth M. Perpetua, DNP, ACNP-BC, AACC 220

12 Measuring Success of Transcatheter Aortic Valve Replacement Programs Sandra B. Lauck, PhD, RN Jopie Polderman, BSN, RN Joan Michaels, MSN, CPHQ AACC 251

13 Transforming the Way We Care for Transcatheter Aortic Valve Replacement Patients Sandra B. Lauck, PhD, RN Patricia A. Keegan, DNP, NP-C, AACC 271

Index 289

Editorial Reviews

Reviewer: Gina Oliver, PhD, APRN, FNP-BC, CNE (University of Missouri)
Description: Transcatheter aortic valve replacement (TAVR) is a relatively new procedure in the history of cardiac interventions. This book provides a start-to-finish plan to develop a TAVR program through ensuring high quality outcomes in patients. The print book is accompanied by an enhanced ebook that may be downloaded on a computer, tablet, or smartphone.
Purpose: The purpose is to ensure that new and existing TAVR programs are meeting the accepted TAVR guidelines to ensure all personnel, policies, and procedures are working at their peak to maximize program outcomes. The book covers the basics of TAVR and the development of a TAVR program in depth. It would be an excellent resource for all healthcare providers who work with TAVR.
Audience: All healthcare providers who interact with TAVR programs and patients would benefit by having access to this book. Nursing providers, including staff nurses and advanced practice nurses; medical providers, including physicians and residents; and hospital leaders could profit from this book. It is full of rich information due to the authors' areas of expertise.
Features: This book provides clear explanations of all aspects of developing and maintaining a quality TAVR program from the inpatient to outpatient setting. The print book is well presented with eye-catching color and chapter design, on high quality paper that should withstand much use.
Assessment: This would be a wonderful resource for all providers developing or working in an existing TAVR program. The quality of the presentation and the content makes this a definite required resource.

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