title: APN plan improves outcome for pregnant patient with congenital heart disease.
abstract: Advanced practice nurses work in many roles to support delivery of safe patient care. Eighty-five percent of children born with congenital heart disease (CHD) live to adulthood. The pregnant adult with CHD presents challenges for nursing across many care-delivery systems. Progression of care delivery across these systems requires innovative planning and organization. This article describes the plan developed by advanced practice nurses in a CHD clinic and in inpatient coronary care and obstetric units to support a pregnant patient with CHD. The plan focused on collaboration and communication among interdisciplinary teams. The goal was to address multidisciplinary communication, leadership, and staff education. The result was a successful high-risk delivery with organized education and patient care across systems.
authors.affiliation: Stanford Hospital and Clinics, CA 94305, USA. anhaynes@stanfordmed.org
authors.forename: Annette
authors.initials: A
authors.lastname: Haynes
authors.forename: Andrea
authors.initials: A
authors.lastname: Frederick
authors.forename: Andrea
authors.initials: A
authors.lastname: Chirkoff
mesh_terms: D000328:Adult; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D009722:Nurse Practitioners; D010347:Patient Care Planning; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*