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Patient Discharge Checklist

Patient Discharge Checklist

Patient Discharge Checklist

INTRODUCTION

"An evidence-based hospital discharge checklist that starts at admission might improve safe transition from hospital to home." [1]

The sample checklist below was created by a multidisciplinary consensus panel of experts (in acute, chronic, home, and long-term care and in rehabilitation medicine).[1] It may be adapted to each organization Policies and Procedures, and completed during a typical hospitalization in preparation for discharge. 

DISCHARGE CHECKLIST


Sample Facility Discharge Checklist [1]

1. Indication for hospitalization

2. Primary care

  • Identify/confirm primary care physician (PCP)
  • Contact/notify PCP of patient admission, diagnosis, predicted discharge date
  • Schedule PCP follow-up within 7-14 days of discharge

3. Medication safety

  • Reconcile home and admission medications
  • Teach proper use of discharge medications and their relation to prior home medications
  • Reconcile discharge, prior-home, and hospital medications

4. Identify and communicate wound care-related supplies and durable medical equipment (DME) to accepting organization

Ask nursing and physical therapy what they think the patient will need at the accepting organization

  • negative pressure wound therapy:
    • communicate brand that the patient has been using and if orders have been placed for specific equipment or therapy requirements after discharge and expected date of arrival of equipment
  • hospital bed with low air loss 
  • pressure redistribution devices
  • frequency of dressing change
  • type of dressing change
  • compression bandages
  • bariatric supplies (if applicable)
  • ostomy equipment including manufacturer name, product number and product number of ostomy supplies
  • offloading devices (e.g. cast shoes, crow boots)

5. Follow-up plans

  • Post-discharge follow-up phone call within 72 hours for high-risk patients (high LACE index score [Length of stay, Acuity on admission, Comorbidity, and Emergency department visits])
  • Arrange outpatient studies (e.g., lab, radiology) if needed
  • Arrange specialty clinic follow-up if needed (e.g. wound clinic and/or wound specialist)

6. Home-health referral

  • Home-health agency shares information about patient's preexisting community services
  • Engage home-health agencies
  • Schedule post-discharge home health (if needed)

7. Transition to post-acute care (e.g. skilled nursing facility)

  • Ensure care plan can be followed at the receiving facility
  • For patients with pressure ulcers/injuries, ensure adequate pressure redistribution surface and staff is available to implement bundled preventative care as soon as patient arrives 

8. Communication with outpatient providers:

  • Provide discharge summary, medication and durable medical equipment (DME) reconciliation information, and inpatient attending contact information to patient, PCP, community pharmacy, DME supplier, and caregiver
  • See tool "Provider Wound Communication"

9. Patient education


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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

REFERENCES

  1. Finn K and Dressler D. The Check-Out Checklist J Hosp Med. 2013;.
Topic 1773 Version 1.0

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