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Enhancing a patient’s discharge planning process
 

Enhancing a patient’s discharge planning process

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Discharge planning is one of a nurse’s main duties, where a plan of care is developed to better the continuity of care for the client. To improve discharge planning, nurses need to follow some basic guidelines, and read on to see some other useful ones to enhance the whole process.
 
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22 Nov 2016 - General
 
Marinelle Castro That is even a better practice to plan a week ahead of discharge date. As doctors, we have to be meticulous in ensuring that the patient will be able to comply with medications and instructions. It also ensures that other services have cleared the patient for discharge and gave their final instructions concerning follow-up. It is good to know that your institution has this great habit of conducti...
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I agree that its very important to have an organized discharge process. Since I always handle chronic patients with multiple referrals to different specialties, we usually start the discharge planning process as early as one week prior to the target discharged date. For patients who are being cared for by three or more specialists, a family meeting is usually coordinated to ensure that all instructions are communicated well to the patient's families and all aspects of home care are covered. ...
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Priscilla Mae Gobuyan I think it depends on the system and residents of course. I think that it depends if one is working under a government or private hospital. In our department, residents give out the home instructions, special recommendations, prescription, and follow-up schedule. All of us meticulously ask our patients if they have questions concerning their discharge instructions. Moreover, we inform allied...
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Madhubabu kaaja Thank you for sharing your input and observations. There are a lot of factors that lead to a delay with patient discharge. I can only comment from the doctor's standpoint. Doctors should prepare discharge summaries ahead of time. What I usually do is prepare the discharge summary the night or afternoon before the date of discharge with my signature affixed. This allows nurses to process the di...
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Priscilla Mae Gobuyan Very well said. The penmanships of doctors have taken a lot of hit lately and we are now legally answerable if we give illegible prescriptions. It is really important that the dosage and instructions of taking medications will be written clearly. This avoids confusion for both the patient and relative, especially if there is a need to finish a course of antibiotics or another medication. Spe...
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A good article about discharging process and steps about how an effective discharging could lead better for patient in future. Discharging of a patient should be communicated to other HCPs to aware about discharge and they to help patient and nurse for a quick proceedings. I have seen many issues during discharging where late discharging due to miscommunication. Make sure all bills cleared by patient referrals before discharging done. So there will be no late dischargings. An important aspect i...
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Caring for our patients does not only end upon discharging them but the quality of continuity of care also depends on how effective our discharge summary upon the discharge of the patient. It a attending physicians or residents responsibility to make the discharge instruction including the prescription of medications. Make sure to write it legibly as for others to avoid mistakes in the dosage and drug administration. For some, this is the cause of delay for some discharges because they tend to w...
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This is something we have discussed en passing a few months ago. Discharge planning is now in the limelight with this discussion. I will speak from a physiatric standpoint in terms of discharge planning. For those who are ready for discharge, we would plan for 3 days ahead of time because patients referred to our service needs to continue performing exercises at home to prevent deconditioning. This is called the home instructions/exercise program (HIP/HEP). HIP/HEP needs to be carried out by the...
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