The Role of the Cardiovascular Nurse Alison de Vries

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Transcript The Role of the Cardiovascular Nurse Alison de Vries

The Role of the
Cardiovascular Nurse
Alison de Vries
Background
• Established 2004 funded from the Big
Lottery
• Pilot project for 3 years
• Open access 24hr ABPM service
• Nurse led hypertension clinic
• Based at Ward 6, A.R.I
Aims of the clinic
• One stop comprehensive cardiovascular risk
assessment
• Collaboration with primary care to reduce
cardiovascular risk
• Short waiting times
• Prompt access for ABPM service
• To collate data on patient outcomes
Types of referrals
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Direct referrals for 24hr ABPM service
To establish diagnosis of hypertension
Drug intolerance
Resistant hypertension
Young patients
To exclude secondary causes
How is the clinic run?
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1 nurse supported by 3 consultant physicians
Full cardiovascular assessment
Investigations arranged
Management plan – initiation/change of drug
therapy, lifestyle advice, follow-up
arrangements
• Written communication with GP
• Patient database
Educational role
• Teaching sessions for practice
nurses
• GP fellowship training
• Advice/support for primary care
staff
Research and audit
• Improving diagnosis of
hypertension (pulse wave analysis)
• Satisfaction surveys
• Patient outcome data
Questions?