AMI Checklist
INPATIENT
- ASA within first 24 hours (PO or Rectal: NPO is not a valid reason for holding)
- Care Plan - General - Acute Coronary Syndrome
- Care Plan - Specific - Coronary Angiogram with Stents Care After (if applicable)
- ACS Education - Document EVERY shift (ACS education is automatically added when you add the ACS Care Plan)
- Cardiac Rehab Phase 1 or 2 Referral - Request referral from primary provider or cardiologist for appropriate patients
- If uncertain, provider may place referral for Cardiac Rehab RN to evaluate
DISCHARGE MEDICATIONS
- If any of the following are not ordered, inform the provider unless provider has documented contraindication
- Aspirin
- Beta blocker
- ACE/ARB/ARNI for EF < 40%
- High intensity statin
- P2Y12 inhibitor (Clopidogrel, Ticagrelor)
DISCHARGE ORDERS
- If any of the following are not ordered, inform the provider unless provider has documented contraindication
- Cardiac Rehab Phase II
DISCHARGE AVS
- Acute Coronary Syndrome: Bold the risk factors pertinent to the patient
- May also use Heart Attack
- Diet: Heart Healthy Diet or other as specific to the patient
- ASA and Your Heart: Include if patient is on aspirin (ASA)
- Smoking Cessation: Include if the patient has smoked within the past 12 months
- Cardiac Related/New Medications: Include if the patient is discharged on any new medications or cardiac medications, such as: ASA, statin, beta blocker, ACEI/ARB/ARNI if EF < 40%, Plavix, Brilinta, Coumadin or another anticoagulant, Aldactone, Nitroglycerin, etc
- Cardiac Surgery: Include if applicable to the patient
- Scheduled Appointment: Provide date for follow-up with Cardiology OR order for ambulatory referral to Cardiology and instructions for the patient regarding appointment
- Cardiac Rehab Phase II: Include if the patient is a candidate
Algorithms, Flowmaps, and Decision Trees for Emergency AND Inpatient Nursing Responsibilities and Expectations for Chest Pain/STEMI Patients
Questions?
Contact Krissy Feinauer, RN, BSNChest Pain/AMI Program Coordinator
ASCOM: (817) 702-9397
OFFICE: (817) 702-9214