This webpage contains a collection of bedside resources for the practitioner who is providing bedside care for adults with congenital heart disease (CHD). Care for these patients may be provided in either an adult or pediatric facility. The goal of these guidelines, developed for the nurse at the point of care, is to provide a quick, comprehensive overview of potential/actual problems, complications and interventions that may be encountered in adults who have grown up with CHD. Each topic in this outline may be opened, printed, and taken to the side of the patient for a quick reference or to serve as a guideline for further investigation on the care or problems that are encountered in the ACHD patient.  The original resources have been reviewed and revised by a group of advance practice nurses from around the country. The members of the original writing group members are included on the list of documents below.

The following links will provide additional electronic resources in the care of adults with congenital heart disease:

Editor, Revised Documents:

Mary Rummell, MN, RN, CPNP, CNS, FAHA

Adult Congenital Heart Disease (ACHD) Care Resources

Table of Contents

(click on topic to access documents)


A – Original Writing Group ACHD Documents – 2011, (pdf – 83.9 KiB)

Anticoagulation With Warfarin In ACHD – 2015, Loren Brown, Margaret Evans-Langhorst (pdf – 389.2 KiB)

Arrhythmias In Adult Congenital Heart Disease – 2015, Annette Haynes (pdf – 190.7 KiB)

Comfort Adult – 2015, Sandy Staveski, Mary Rummell (pdf – 373.1 KiB)

Discharge Of ACHD Patient – 2015, Margaret Schroeder (pdf – 140.6 KiB)

Eisenmenger Syndrome – 2015, Nancy Rudd, Lindsey Fox (pdf – 258.5 KiB)

Postoperative Glycemic Control – 2015, Mary Rummell (pdf – 309.6 KiB)

Pregnancy And Congenital Heart Disease – 2017, Annette Hayes, Patty Woods (pdf – 802.8 KiB)

Pulmonary Hypertension In Adults With CongenitalHeartDisease – 2015, Jo Ann Nieves, Annette Haynes (pdf – 326.7 KiB)

Pulmonic Ventricular Dysfunction – 2015, Louise Callow (pdf – 206.6 KiB)

Please let us know if these documents assist you in your care of the adult patient with congenital heart disease.  Email your comments / suggestions to