Acute Myocardial Infarction

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