Device Management

Ambulatory Fetal Heart Rate Monitoring in Pregnancies at Risk for Fetal Arrhythmia

Using a hand-held Doppler monitor, pregnant subjects record 10-15 seconds of their baby’s heart beat and send an audio text of the heart beat to their physician.

SOP SCD Risk Stratification/ICD-Indications

This SOP provides a concise, guideline-based framework for sudden cardiac death risk stratification and ICD indications across multiple cardiomyopathies, including ischemic and non-ischemic dilated cardiomyopathy, ARVC, HOCM, myotonic dystrophy, and…

CPX-Guided Functional Follow-up After LBBAP

This protocol uses 3-month CPX as the individual baseline and mandates a two-step device optimization bundle (rate response + upper rate review) for Yellow results, with escalation and CPX-based reassessment…

A Systems-Based Quality Improvement Protocol: Preventing Lost-to-Follow-Up in Cardiac Device Patients

There is a need to establish a standardized process for identifying, contacting, and re-engaging cardiac device patients who have become inactive in remote monitoring or clinic follow-up, in order to…

Reducing Missed Remote Device Monitoring Alerts: A Quality Improvement Playbook

Missed remote monitoring alerts and unclear escalation pathways represent common, preventable system failures in cardiac device programs, particularly in community and hybrid care settings. These gaps can delay clinical response,…

Patient Handout: What to Expect During a Cardiac Device Interrogation

This patient-facing educational handout explains what a cardiac device interrogation involves in clear, nontechnical language. Patients frequently experience anxiety, confusion, or uncertainty when informed that their pacemaker or defibrillator will…

Pacemaker Surgery Instructions

These outpatient surgical instructions are intended for patients undergoing a pacemaker implant, pacemaker generator replacement, or pacemaker lead revision. The document provides guidance on how to prepare for the procedure,…

Policy for Identification and Management of CIED Patients Undergoing Radiation Therapy

This policy outlines the management of patients with cardiovascular implantable electronic devices (CIEDs) undergoing radiotherapy treatment. It includes risk stratification flowcharts and example forms for documenting provider correspondence and CIED…

A Day in the life of ADC

This presentation was developed for the cardiology nurses and medical assistants in our cardiology office to better understand how our deparment runs and the daily tasks of each role. Engagement…

Device Clinic Resource Page

This resource was developed to improve access to workflows and policies across all locations by providing the Device Clinic with a centralized, easy-to-navigate internal webpage.