Practice Resources

This page is designed to give health care professionals access to the most recent, reliable, evidence based heart failure practice guidelines and resources. These resources are one avenue to ensuring health care professionals have the resources and knowledge to care for heart failure population they are currently serving.

These resources are in development:

  • Beta Blocker Medication Titration Clinical Decision Support Tool (CDST)
  • ACE inhibitor Medication Titration Clinical Decision Support Tool (CDST)

 

Diuretic Medication Titration Clinical Decision Support Tool (CDST)

This CDST was established for Registered nurses  who practice in heart function clinic and should not be used in acute care or community settings. This nursing resource is intented to guide heart function clinic registered nurses (RN) practice in the initation and titration of diuretic medication.  The order set must be signed by the physician and/or nurse practitioner prior to the initiation of the diuretic and prior to titration of the diuretic.

The CDST development was guided by the College of Registered Nurses of British Columbia’s Scope of Practice standards, limits and conditions guidelines- Section 7.

Download RN Heart Function Clinic, Diuretic Titration Clinical Decision Support Tool

 Heart Failure Competency Assessment Planning

& Evaluation (HF-CAPE) Tool

HF CAPE tool will be used by heart function clinic registered nurses (RN) to:

  • Identify RN heart function clinic practice knowledge gaps and learning needs
  • Assists in creating a learning plan to fill in knowledge gaps
  • Develops continuing professional competency
Specifically, the HF-CAPE tool will help assess the nurse’s  level of competency regardless of where they are on the continuum of nursing practice in a heart function clinic and provide evidence to College of Registered Nurses of BC (CRNBC) that they have met their yearly regulatory requirements in order to practice as a RN in British Columbia
 
Other uses of the HF-CAPE tool:
  • Managers can use the content when developing new or revising current job descriptions
  • Managers can use the content to develop questions for interview tool
  • RNs can use to assess if they have the knowledge to apply for a position in a HFC
  • Can be used in orientation to guide a mentor

Introduction

Download HF-CAPE Tool Introduction

HF- CAPE tool: Standard #1

Download Standard # 1

HF-CAPE tool: Standard # 2 part 1

We are having issues uploading this standard please email bonnie.catlin@phsa if you would like it emailed to you

Standard #2 part 2

Download Standard # 2 part 2

Standard #3

Download Standard # 3

Standard # 4

Download Standard # 4

We are having issues with the PDF’s in the full version HF-CAPE tool, they will not open, we are hoping to fix the issue soon, sorry for any inconvience.

Download RN Heart Function Clinic HF-CAPE tool

 

 

Practice Resources

Creation Process

Download Creation Process

Overarching Philosophy for Patient Education Material

Overaching philosophy for patient educaiton material (20)

 

BC’s New heart failure medication process for prescribing sacubitril/valsartan (ENTRESTOTM)- Angiotensin Receptor – Neprilysin Inhibitor (ARNI)

Attn: physicians and nurse practitioners

Health Canada has recently approved a new medication for the treatment of heart failure (HF) with reduced ejection fraction (HFrEF). Approval was based on results from the PARADIGM-HF trial, which demonstrated that sacubitril/valsartan reduced the relative risk of cardiovascular death and hospitalization by 20% for patients with chronic HF (NYHA Class II-IV) and a left ventricular ejection fraction of <40%, despite optimally tolerated guideline-driven HF therapies.

There are very specific considerations for this medication that prescribers must be aware of, as well as significant drug interactions with current HF medications that could impact patient safety and health care utilization in BC.

 In attempts to ensure appropriate utilization of sacubitril/valsartan, and to assess its impact on health care utilization in BC outside of the clinical trial setting, Cardiac Services BC and BC’s Heart Failure Network experts have created processes for prescribers as outlined below (see the attached documents for full details):

 Assessing if your patient is eligible to be started on sacubitril/valsartan (ENTRESTOTM)

  1. Prior to initiation of sacubitril/valsartan, please complete the eligibility criteria form. Patients should meet all the major criteria before drug initiation. Also take into consideration the minor criteria when making your decision.
  2. Please complete all the elements in the data capture section of the form. This information will be used for quality assurance and improvement purposes, as well as to assess the drug’s impact on health care utilization in BC.
  3. Once a patient is assessed as eligible, please record the sacubitril/valsartan dose the patient was initiated on.
  4. Fax the completed form to Cardiac Services BC at 604-875-7364, attention: Bonnie Catlin.

 Initiation, titration & monitoring recommendations for sacubitril/valsartan (ENTRESTOTM ) usage in British Columbia

  1. To ensure patient safety and standardization of clinical practice for prescribers from across the Province, please use the attached algorithm when assessing, initiating, titrating and monitoring a patient who has been prescribed sacubitril/valsartan.

 Sacubitril/valsartan (ENTRESTO™) summary & practical tips

  1. This information sheet is an education resource for prescribers and/or their staff.

 Sacubitril/valsartan is currently undergoing the Fair PharmaCare review process in BC. The cost per day is $7.80 (approximately $240 per month).

 To assist us in capturing the data needed to assess the real life impact of sacubitril/valsartan on patient outcomes and health care utilization in BC, we are asking you to incorporate the new Provincial processes into your patient care and office workflows.

 If you have any questions, please contact Bonnie Catlin, provincial heart failure clinical nurse specialist, at bonnie.catlin@phsa.ca or Dr. Sean Virani, heart failure physician lead, at Sean.Virani@phsa.ca

Covering letter for prescribers
Download Covering Letter For Prescribers
Eligibility Criteria for starting a patient on sacubitril/valsartan (ENTRESTOTM )
Download Eligibility Criteria
ARNI Summary Resource
Download ARNI summary resource
ARNI Treatment Algorithm
Download ARNI Treatment Algorithm
Preprinted perscription for initiation sacubitril/valsartan
Download Preprinted perscription for inititation of sacubitril/valsartan
Preprinted perscription for titrating or maintaining sacubiril/valsartan
Download Preprinted perscription for maintenance/titrating
Communication letter to the MRP
Download Communication letter to the MRP
ARNI patient education resource
Download Patient education self management resource

 

 

Heart Failure Pre Printer Order Set, with Transition tool

Download HF order set

Provincial Heart Function Clinic Patient Assessment Form

This form is to be used by all health care professionals who are practicing in a heart function clinic  and performing an assessment on a heart function clinic patient. The intent of this form is to ensure there is standardized heart failure information collected and standardized assessments being performed on each heart function clinic patient. This ensures quality care and quality outcomes for the patient. Patient Assessment Form

Provincial Heart Function Clinic Visit Snap Shot Form

This form  is to be used by all health care professionals who feel the patient needs a written reminder of what changes have been made to their care plan (eg. medication, diet) and what new diagnostic tests and/or appointments have been booked. Provincial Heart Function Clinic Visit Snap Shot Form

Heart Failure Zones

This form  is to be used by all health care professionals who are educating their patients on how to co-manage their heart failure care. Each zone instructs the patient to assess aspects of their condition and implement the appropriate supports and/or intervention to co-manage their care. As well, each health care professional should instruct their patients on how to use the form and when and how to access the most appropriate support within their specific health care setting.

Heart Zones

Translated into Traditional Chinese

http://www.heartandstroke.com/atf/cf/%7B99452d8b-e7f1-4bd6-a57d-b136ce6c95bf%7D/HEARTFAILUREZONES-TRAD-CHIN-FINAL.PDF

 

Sodium Restriction

This form is to be used by all health care professionals who are educating their patients on the key elements regarding sodium restriction. The intent is to ensure the patients acquire the basic knowledge to co-manage their heart failure condition and understand why it is important to restrict sodium in their diet.

Sodium Restriction

Fluid Restriction

This form is to be used by all health care professionals who are educating their patients on the key elements regarding fluid restriction. The intent is to ensure the patients acquire the basic knowledge to understand why it is important to restrict their fluid and what is the recommended fluid restriction to prevent their heart failure from getting worse.

Fluid Restriction Form

Activity

This form is to be used by all health care professionals who are educating their patients on the importance of continuing with daily activity and how it can make their heart stronger and make them feel better. The intent is to ensure the patients acquire the basic knowledge to co-manage their heart failure condition and understand why it is important to continue with activity. It is important for the patient to have the resources to co-manage thier heart failure care.

Activity Form

Exercise

Exercise

Daily Weights

This form is to be used by all health care professionals who are educating their patients on the why, when and how of monitoring their weight every day. The intent is to ensure the patients acquire the basic knowledge to co-manage their heart failure condition and understand why it is important to weigh themselves daily and who to contact if they have concerns.

Daily Weights Form

Heart Failure 101

Heart Failure 101 Form

Translated into Traditional Chinese

http://www.heartandstroke.com/atf/cf/%7B99452d8b-e7f1-4bd6-a57d-b136ce6c95bf%7D/UNDERSTAND-HF-TRAD-CHIN-FINAL.PDF

3 Resources on how to Cope Living with Heart Failure  

Learning to live with Heart Failure

Download Learning to live with Heart Failure

Tips for traveling when you have Heart Failure

Download Traveling when you have Heart Failure

Helpful hints for the care giver of a Heart Failure patient

Download Helpful hints for the care giver of a heart failure patient

Managing Stress

Download Managing Stress When You Have Heart Failure

Depression and Heart Failure

Download Depression and Heart Failure

Extra information reguarding Depression and Heart Failure

Download Extra information regarding Depression and Heart Failure

 

Anxiety in Heart failure

Download Anxiety

What is an ICD

coming soon

What is CRT

coming soon

Clinical practice tips when caring for Heart Failure patients from the following populations: 

First Nations

Download First Nations

Older Adult

Download Older Adult

Asian

Download Asian

South Asian

Download South Asian

Patient Medication Resources

ACE Inhibitor

ACE Inhibitor

 ARB

ARB

 Beta Blocker

Beta Blocker

Diuretic

Download Diuretic

Mineralocorticoid Receptor Antagonist (MRA)

Download Aldosterone Blocker

Potassium in food patient education resource

Download Potassium in Food

 Warfarin

Warfarin

Digoxin

Download Digoxin

Herbal Medication

Download Herbal Medication Supplements

Nitrate and Hydralazine

Nitrate and Hydralazine

 Angiotensin Receptor Neprilysin Inhibitor(ARNI)

sacubitril/valsartan (EntrestoTM)

Heart Failure Patient Education Resource Full Package

Heart Failure Patient Education Resource Full Package

 

Other Heart Failure Resource Websites