Notice
Road and parking lot construction in Madison, Wis. may result in travel delays and route changes to UW Health clinic and hospital locations. Please plan accordingly.Read more
Road and parking lot construction in Madison, Wis. may result in travel delays and route changes to UW Health clinic and hospital locations. Please plan accordingly.Read more
HF 7893
Assess history and physical exam
Complete other tests prescribed by the doctor
Review medical records and test results
Discuss treatment options
Share review of findings with referring doctor
Talk over case with cardiac surgeon
Assess history and physical exam
Review medical records, surgical history, medicine, and test results
Discuss timeline for surgery
Create timeline to stop medicines
Schedule other tests or exams needed
Share review of findings with the heart failure team
Talk over MCD evaluation consent
Review MCD system
Discuss plan for post-surgical education
Share a post-surgical recovery course
Talk over post discharge instruction
Learn of patient, community, doctor, and hospital planning
Stop drinking alcohol
Leave all jewelry, rings, large sums of money, and credit cards at home
Bring pajamas, robe, non-skid slippers, cell phone, and other personal items with you
Bring labeled inhalers or CPAP equipment, glasses, hearing aids, dentures, and prosthesis
Blood is drawn
Complete admission paperwork
Meet with a heart failure nurse practitioner
Update medical history and physical exam
Review medicines and discuss plan for taking medicines
Order required tests, such as an echocardiogram or right heart catheterization
Meet with a cardiac surgery nurse or physician’s assistant
Discuss post-surgical course
Complete surgical evaluation
Sign consent for surgery
Meet with a MCD Coordinator
Review MCD materials
Discuss post-surgical education plan
Complete quality of life survey and preparing the house checklist
Meet with an anesthesiologist
Discuss when you will go to the operating room for surgery
Meet with the surgeon before surgery for questions
Eat a light, low-fat meal.
Stop eating solid food at 7 PM.
Stop drinking milk and juice (with or without pulp) at 7 PM.
Stop drinking clear liquids at midnight.
No eating or drinking after midnight, unless discussed with a staff nurse.
Shower with an antimicrobial soap.
Scrub from the neck to the toes for 2 to 3 minutes.
Do not break the skin when scrubbing.
Do not apply lotions or powders to skin.
Remove all makeup and nail polish.
Brush teeth and rinse but do not swallow.
Shower with antimicrobial soap called Hibiclens®.
Follow instructions given the night before.
Take morning medicines as directed by the surgeon.
Two family members may escort you to the operating room.
Family will be guided to the family waiting area by operating room staff.
Family will need to give a phone number to the operating room staff.
Family will need to pick up a pager from the operating room staff.
Family will be updated on your condition throughout the surgery.
Family will be taken to the post-op unit after surgery.
Family will be updated by the surgeon after the surgery is done.
Family may visit after a recovery period (1-2 hours).
A breathing tube will be in place after surgery. You will not be able to talk. It is removed as soon as you are awake enough to breathe on your own. After the tube is removed, you may begin to talk.
Several tubes and lines will be placed during surgery. Please see the section in the binder called “Common Tubes and Lines” for details.
You and your family will hear several noises, such as the beep of the monitor and the bubbles from the chest tubes. The noises you hear are normal.
Wrist restraints may be in place after surgery. The restraints protect you from hurting yourself while waking up from anesthesia.
The nurse will start turning you the evening of surgery.
The Cardiac team visits daily to assess progress, called rounding. The time of day may vary. They first meet outside the room to discuss your progress. Then they go into the room to update you and your family and answer any questions.
See the section in the binder called “Your Health Care Team” for a list of health care workers involved in your care while in the hospital. Focused teams, not listed in this section of the binder may also visit you, based on your needs.
The MCD team will visit daily to assess your recovery progress.
Removal of tubes and lines is based on your progress. It is reviewed daily.
Diet begins at clear liquid (e.g., water and ice chips) and advances as tolerated.
Cough and deep breathe daily using an incentive spirometer (breathing device).
Physical therapy will help you sit, stand, and walk. The nurse can also help.
The goal is to get out of bed and sit in the chair at least 3 times a day.
The goal is to walk in the hallway 4 times a day.
Education about the MCD is given to you and your family.
The Cardiac team visits daily to assess progress, called rounding. The time of day may vary. They first meet outside the room to discuss your progress. Then they go into the room to update you and your family and answer any questions.
See the section in the binder called “Your Health Care Team” for a list of your health care workers. Focused teams, not listed in this section of the binder may also visit you, based on your needs.
All tubes and lines are assessed daily for removal.
Physical therapy will help you sit, stand, and walk. The nurse can also help.
The goal is to get out of bed and sit in the chair at least 3 times a day.
The goal is to walk in the hallway 4 times a day.
Cough and deep breathe daily using an incentive spirometer (breathing device).
Staff from Cardiac Rehab will meet with you on post-op day 4 or 5.
Education is provided to you and your family every day while in the hospital.
Discharge date will depend on your recovery. As well as your knowledge of the MCD, family’s ability to do dressing change, blood pressure control, and stable weight.
A member of the heart failure team talks about discharge with you. Please see the section in the binder called “Homeward Bound” for details.
A pharmacist reviews medicines with you and your family.
The nurse reviews discharge instruction with you and your family.
MCD planner reviews what is expected of you and your family post discharge. They answer any questions.
Other members of the health care team may meet with you and your family before leaving the hospital.
Pick up medicines at your local pharmacy of choice before arriving home or our hospital’s outpatient pharmacy.
Another follow-up care is arranged as needed.
Daily, you must review the MCD numbers and collect a weight. Bring those to clinic for evaluation by the provider.
Every patient is unique in how they recover and feel after MCD implant. There are some common feelings each patient has after surgery.
Please see the section in the binder called “Homeward Bound” for more details.
Blood will be drawn in the lab before your follow-up visit.
You will meet a MCD team member to discuss progress.
Future follow-up visits will be scheduled.
You will meet a MCD NP to discuss your progress.
Cardiac Rehab begins around this time.
Tests will be done before your visit as ordered by the surgeon.
You will meet with a MCD team member.
Surgeon will talk to you about driving.
Surgeon will discuss changing daily dressing to every three-day dressing change.
Surgeon will discuss changing the lifting limit.