Podcast
Questions and Answers
What is a key consideration in hospital discharge?
What is a key consideration in hospital discharge?
- Educating patients on surgical procedures
- Providing prescriptions for new medications
- Ensuring adequate follow-up upon discharge (correct)
- Sending copies to different hospitals
Why is it important to provide clear communication in the discharge summary to the primary care provider?
Why is it important to provide clear communication in the discharge summary to the primary care provider?
- To ensure proper follow-up care (correct)
- To bill for hospital services
- To request additional tests
- To prescribe new medications
What should healthcare providers do to 'set the patient up for success' upon discharge?
What should healthcare providers do to 'set the patient up for success' upon discharge?
- Schedule appropriate follow-up appointments/services (correct)
- Ensure the patient understands all procedures clearly
- Avoid giving any medication instructions
- Keep the patient's condition a secret from the primary care provider
What should be documented regarding pending tests during hospital discharge?
What should be documented regarding pending tests during hospital discharge?
What is the importance of coordinating follow-up appointments prior to patient discharge?
What is the importance of coordinating follow-up appointments prior to patient discharge?
Why is it essential for patients to have pain controlled off of IV opioids before hospital discharge?
Why is it essential for patients to have pain controlled off of IV opioids before hospital discharge?
What is a key step in the discharge planning process?
What is a key step in the discharge planning process?
What does the Discharge Summary document primarily communicate?
What does the Discharge Summary document primarily communicate?
What is NOT a element that must be including in your Hospital discharge note?
What is NOT a element that must be including in your Hospital discharge note?
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Study Notes
Hospital Discharge Process
- Patient must meet certain goals before discharge, including eating and drinking on their own, being symptom-free, tolerating diet, having return of bowel function, having pain controlled, and being able to ambulate and complete activities of daily life.
Discharge Planning
- Develop an individual plan for discharge based on the services required by the patient
- Involve hospital case workers and start planning early in the admission process
- Discuss the plan in detail with the patient
Medication Reconciliation
- Review medication changes since hospital admission
- Provide patient education on new medications and updates
Discharge Summary Documentation
- Includes patient name, ID number, date of note, date of admission, and date of discharge
- Lists admitting and discharge diagnoses, attending or ward team, and surgical procedures/diagnostic tests performed
- Brief history and pertinent physical exam and laboratory data, including past medical history, surgical history, medications, allergies, and social and family history
- Hospital course, including daily progress notes, evaluation, labs, treatment, and outcome of treatment
- Discharge condition and disposition (where the patient is being discharged to)
Patient Education
- Provide patient education on new medications and updates
- Educate patient on diet, activity instructions, wound care, rehabilitation services, and follow-up appointments
- Educate patient on return precautions and when to call the doctor/PA
Communication
- Communicate with the patient and in the discharge summary
- Clear communication to primary care provider (typically via discharge summary)
- Ensure adequate/close follow-up upon hospital discharge is scheduled with appropriate providers/services
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