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Creating a guidebook for establishing a successful left ventricular assist device ( LVAD) program
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James, Dreamy. Creating a guidebook for establishing a successful left ventricular assist device ( LVAD) program. Retrieved from https://doi.org/doi:10.7282/t3-wecf-nf51

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TitleCreating a guidebook for establishing a successful left ventricular assist device ( LVAD) program
NameJames, Dreamy (author); Holmes, Aline (chair); Almendral, Jesus (member); Rutgers University; RBHS School of Nursing
Date Created2021
Other Date2021-08 (degree)
SubjectNursing, Advanced heart failure, CMS LVAD guidelines, Guidebook, Left ventricular assist device (LVAD), Program development, Ventricular assist device ( VAD)
Extent1 online resource (51 pages)
DescriptionBackground: Over 6.2 million Americans have heart failure (HF) and approximately 5-10% will progress to an advanced stage with symptoms refractory to conventional therapies. For these patients, heart transplantation is the best treatment but the number of donors is not enough to meet the need. To address this limitation, left ventricular assist devices (LVADs) were introduced as an alternative. Over the past 20 years, three generations of LVADs were developed with each generation better than the one before it. As a result, device implants have increased over the past several years. However, LVAD programs are limited to urban academic centers requiring patients to travel long distances to access care. This may account for the observed disparities in care of less implants in women and African-Americans. Having LVAD programs in community hospitals may alleviate these disparities. Purpose: The purpose of this DNP project is to review the data supporting the use of LVADs in advanced heart failure patients and to create a comprehensive guidebook to aid community hospitals in establishing an LVAD program. Methodology: The guidebook was created based on a retrospective analysis of my experience in establishing a Centers for Medicare & Medicaid Services (CMS) certified LVAD program at my institution. This guidebook includes information derived from expert consensus and medical society guidelines, device manuals and CMS regulatory policies. Results: I created a guidebook that outlines the process of developing clinical practice guidelines, policies, and pathways essential for a successful LVAD program. It describes the requirements for CMS certification and provides sample LVAD forms, order sets and clinical protocols. A clinical expert reviewed the guidebook and found it to be comprehensive and cohesive. A VAD coordinator used the guidebook to establish a VAD program at their institution and found it to be a great tool to navigate the process. Implications: This guidebook will be a useful resource for any medical professional interested in establishing an LVAD program in their community. Having more programs locally will improve access to care and addresses some of the observed racial and gender disparities in the treatment of advanced heart failure. It would serve as a template for any novice APN or RN for program building.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-wecf-nf51
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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