Cardiac Failure

Availability

North South North West Statewide

Pre-referral work-up

History

Direct referral to:

  • Heart Failure Clinic for complex and advanced heart failure
  • Nurse Practitioner for established heart failure patients

All referrals should comply to the referral standards and also include:

  • Onset of condition
  • Past cardiac history
  • Co-morbidities especially COPD
  • Current and past medications
  • Trialled medications and results of trial
  • Effect on function especially ADLs and work

Tests

  • FBE & iron studies
  • U&Es, creatinine
  • TFTs
  • LFTs
  • CXR
  • ECG
  • Echocardiogram
  • Consider BNP if diagnostic dilemna

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

  • Diuretic therapy
  • Patient education on fluid and weight management and plan
  • Patients with suspected heart failure should be referred to the general Cardiology Clinic
  • Direct link to Health Pathways Heart Failure page

For more information please see the Tasmanian Health Pathways website.

Emergency

Acute cardiac failure/APO

Urgent / category 1

Severe chronic failure with recent exacerbation

Semi-urgent / category 2

Heart failure patients with fluctuation in symptoms and at risk of acute exacerbation if not reviewed by cardiologist

Routine / category 3

Established heart failure patients requiring review, ongoing management plans and education – these patients can  be referred directly to the Heart Failure Nurse Practitioner

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Heart Failure Nurse Practitioner contact details:
Sue Sanderson: Phone 6166 7398

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH
ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within one week, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within four weeks

Routine:

Next available appointment usually within eight weeks