Table 29: Is my patient ready for discharge from hospital?
Symptoms and disease Stability Transition
Inter-current cardiac illness adequately diagnosed and treated Returned to “dry” weight and stable for > 24 hours Communication to primary care provider and/or specialist physician and/or multi-disciplinary disease management program
Presenting symptoms resolved Vital signs resolved and stable for > 24 hrs, especially blood pressure & heart rate Clear discharge plan for labs, follow-up and other testing
Chronic oral HF therapy initiated, titrated and optimized (or plan for same) Greater than 30% decrease in natriuretic peptide level from time of admission and relatively free from congestion Education initiated, understood by patient, continued education planned

HF, heart failure.