Page 9 - Heart Transplant Protocol

Heart Function Service: Heart Transplant Protocols

Pre-Transplant Pharmacy Assessment
 All patients will be evaluated by the transplant pharmacist, who will give family a brief
overview of immunosuppression and prophylactic antibiotics.

 They will introduce the family to the medication schedule they will be on post-
transplant.
 There will be documentation of their evaluation in EPIC.

Pre-Transplant Psychology Assessment
 Psychology’s standard psychosocial assessment includes identification of family
strengths and risk factors for poor post-transplant outcome including:
 Knowledge, understanding, and commitment to the heart transplant process.
 Patient and family adherence to treatment and barriers to adherence.
 Patient social, emotional, behavioral, and neurocognitive functioning.
 Patient and family coping abilities and strategies.
 Family functioning including familial mental health history.
 Social, personal, housing, vocational, financial, and environmental supports.

Pre-Transplant Palliative Care Assessment
 Introduction to palliative services including patient and family support, assistance as
needed with decision-making, and symptom management.
 Obtain family background and history, as well as their support systems
 Reiterate complexity of post OHT care
 Discuss families goals and options of care, as well as concerns

Pre-Transplant Child Life Assessment

 Evaluate the patient’s understanding of his/her medical condition and provide
developmentally appropriate education regarding hospitalization and need for
transplant.
 Assess patient’s coping behaviors, provide emotional support, and decrease stress
associated with hospitalization and medical procedures.

Pre-Transplant Pastoral Care Assessment
 Assess patient and families spiritual and emotional coping, religious or faith tradition,
spiritual beliefs
 Evaluate patient and families communities of emotional support

Updated November 9, 2017 9