Abstract
Aim: Early Nurse follow-up clinics 2- 3 weeks post hospital discharge have been instituted at ADHB since 2012. In the last 2 years these clinics have increased in attendance rates, patient complexity and now have medical supervision. Some patients will only have nurse follow-up post discharge. To assess rates of adherence and intervention in CR nurse clinics. Methods: The Cardiac Rehabilitation (CR) team at the Auckland District Health Board have prospectively recorded rates of adherence and interventions at Nurse Specialist clinics over a 6-month period. Results: 161 (89%) patients attended CR nurse clinics. Of these 45 (28%) patients required medication changes with 20 prescribed/up titration in ACE1/beta blocker, 2 antiplatelet agent, 11 statin and other 13 medication. A further 18 (12%) were referred for further investigation and, 15 (9%) to appropriate specialist clinics, for example diabetes/hyperventilation clinics. Conclusion: Nurse Specialist clinics with medical supervision that are scheduled early post discharge provide a safety net for patients who are discharged following short hospital stays. They also lead to increased prescription of secondary prevention medication and ensure patients have appropriate investigations and referrals
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