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Red oval: Nursing Blue rectangle: Medical Purple: All disciplines
Admi%ed to CMC Given discharge folder.
Prescrip8on Sleeve
Pa8ent DC Instruc8on sheet.
Discharge Planning Worksheet
Pa8ent Informa8on Folder
Pa8ents admiDed to CMC Given the pa8ent informa8on folder on admission
Why: Include pa8ent in DC process. S8mulate pa8ent to the think of ques8ons before day of discharge. Who: Nursing When: Given to pa8ent on admission.
Discharge Planning Worksheet
Conway Medical Center Conway, South Carolina
Discharge Planning Worksheet
While you are in the hospital talk with your doctor, nurses, case manager, social worker and staff to
plan for your needs when discharged.
Here is a list of questions and reminders to assist you in this process.
Where will you get care after discharge?
If you are looking at rehab or placement, are you working with a social worker or a case manager
here in the hospital? If not, please notify your doctor or nurse.
If you are going home or to stay with a caregiver, write down the name, address and phone number
of where you will be going:
________________________________________________________________________________
______________________________________________________________________
Will you need any assistance or help at home?
Assistance with bathing, dressing, climbing stairs, using the bathroom, cooking, cleaning, physical
therapy, getting your medicines or getting to doctor’s appointments?
Will you need any medical equipment?
Have you and your caregiver learned to change your dressings or handle any other special medical
care you will need once discharged?
Do you know what symptoms to watch out for and whom to call if you notice them?
Do you understand what medications you are taking? Do you have a way to obtain them at
discharge?
If you have questions about any of the above, please make sure you notify your nurse, social worker
or case manager prior to discharge home.
How are you and/or your family coping with this illness/ hospital stay?
Conway Medical Center has many professionals to help you and your family:
• nurses, case managers, doctors, social workers, physical therapists, speech & occupational
therapists, dieticians, and many others.
o they will help you and your family learn to cope with your illness by education on:
your disease process, resources and available support groups
Form #451
Why: Determine discharge needs throughout the hospital stay. Who: Nursing When: Every shiJ.
Discharge Planning
Assessment
Why: Enhance communica8on between disciplines Who: All disciplines When: Throughout hospital stay.
Purple Sheet Communica8on
Why: Standardize loca8on for prescrip8ons Who: Medical Staff When: Throughout hospital stay.
Why: Coordinate discharge efforts across disciplines Who: Medical staff When: Throughout hospital stay.
Progress Note An8cipated Date of Discharge
Why: Standardizes discharge process. Introduces quality measures. Who: Medical staff When: Day of Discharge
Discharge Order Set
Page 2
Page 3
Why: Appropriate, simple, organized DC instruc8ons Who: Nursing When: Day of Discharge
Pa>ent DC
Instruc>on Sh
eet
End of page one.
End of page two
Pa8ent Informa8on Folder
Why: Organized discharged instruc8ons. Who: All disciplines When: Throughout hospital stay.
Purple Sheet -‐ Communica8ons
Progress Notes – An8cipated date of discharge
Prescrip8on sleeve
Discharge Planning
Discharge Orders
Pa8ent DC informa8on
sheet
Pa8ent Informa8on
Folder
Worksheet
Assessment
DISCHARGE PROCESS
RED – Nursing BLUE – Medical
PURPLE – All Disciplines
Discharge Process Educa8on
• Methods – Storyboards – PowerPoint – Informa8on Packets – Huddles – Individual Discussions – During Rounds
Top Box Trends Inpatient Conway Medical Center
Displayed by Discharged Date
Section - CAHPS - Discharge Information
Conway Medical Center
Discharge Process Team Monitoring October and November 2012 Results: • 93% prescrip8on sleeve was on the chart • 26% an8cipated date of d/c is documented
• 80% discharge folder is in the room
• 89% physician discharge order is completed
