Basic discharge process-Your nurse will assist you in the discharge process which may take few hours to complete the process. Once your final bill is generated, you are expected to clear your dues by paying cash or by a credit/debit card. The nurse will hand over your discharge summary and belongings (like thermometer, urinal bedpan, etc. - used during the course of your stay). She will also explain the medications you need to continue after your discharge and any other follow-up instructions.
The discharge planning team is responsible for coordinating a patient’s transition out of the hospital and his or her post-hospitalization recovery. As a hospital stay—be it for a planned surgery or unexpected admission—draws to a close, there are typically
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The physician’s primary goal is the patient’s physical and mental wellbeing
The Discharge Planner: The discharge planner, usually a nurse coordinates a patient’s discharge from the hospital and post-hospitalization care strategy. The discharge planner wears several hats. He/She has to consider cost effectiveness for the hospital while also considering the family’s wishes and the wellbeing of the patient. To balance these priorities the discharge planner must maintain good relationships with post-hospitalization care providers such as rehabilitation hospitals, nursing facilities, hospices and home health companies.
The Nursing Team: Nurses who have taken care of the patient day in and day out are an extremely valuable resource during the discharge planning process. They are able to comment, for instance, on a patient’s mental status, stamina, ability and willingness to follow directions. They will also be able to provide valuable advice to the family based on their experience and their understanding of the patient’s time at the
Discharge planning and education has been one of the most important component of patients education provided y nurses and other health care providers. According to Bastable (2008) patient education is the process of assisting people to learn health related behavior that can be incorporated into everyday life with the goal of optimal health and independent in health care. She also mentioned that key to learning and changing is the individual cognition, perception, thoughts, memory, and ways of processing and structuring information. The purpose of this discussion is to provide a home discharge planning for Tina Jones on wound care, diabetes and asthma management (Bastable, Susan Bacorn, 2008).
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
... bedside, and reminders to take antibiotics. It is critical in plan of discharge that the patient finishes out the antibiotic regimen if prescribed, also encourage and explain the necessity of the antibiotics in treating the condition. Lastly the patient must avoid overexertion to prevent relapse or exacerbation of the infection.
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multi-lingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharged teaching is by providing direct checklist for patient and family to follow. One must understand that these approaches will enforce the staff nurses and other health care providers to develop the safe patient transition to home.
The team needed depends on the individual patient’s needs and their family’s needs. All members of the interdisciplinary team have a variety of functions, to include: assessment of the individual, assessment of the home conditions, provide education to patients and families as well as to develop a plan of promotion of health and prevention. The key to the success of the interdisciplinary team is collaboration and teamwork. It is also important to follow the models of responsibility, communication, authority and competent in clinical resource management. All these models are important for the welfare of the patients and their families. As a hospice certified nurse assistant I experience in a daily basis how the team that I belong to is a great example of a comprehensive interdisciplinary approach. However there are multiple barriers that we need to manage to be able to accomplish our daily coordination of
When a patient is unable to make care decisions for themselves, it is necessary to involve those closest to them, most often family members. Providing a supporting environment to family members is another way that the best interest of the patient can be maintained. Families and friends can make a huge difference in the life of the patient after discharge. Instructing families in a way that is easy to understand helps eliminate potential barriers to communication. Families should be aware of what things to look for, what would constitute an emergency, and how to safely handle
Discharge planning nurses achieve this move through the collection and organisation of patient data from various health professionals who treated the patient prior to and during the hospital stay. This data is used to establish the patient’s ‘baseline’ or personal average health level, and which services are needed after discharge to return the patient to this level (Holand, 2016). This could be a transition into a nursing home or rehabilitation facility, the establishment of home nursing or carer services or physiotherapy, social work, dietetics and occupational therapy professionals through
Morgan began to explain the roles and responsibilities of a Case Manager. There are three Case managers that work together on a unit to take care of things such as insurance issues as well as discharge planning. However, the main focus is discharge planning. Discharge planning is the action of figuring out what needs to happen for the patient to leave the hospital safely. This includes DME, or durable medical equipment, like walkers, bedside commodes, hospital beds, and suction equipment.
As a nurse, the author will ensure that as a leader, she delegates information by providing a holistic perspective of the patient’s needs and diagnoses. This will help the UAP to understand the importance and urgency of the tasks delegated. The nurse will also work to obtain a trusting, open, and honest relationship with the UAP. If the UAP believes the nurse has the UAP, the patient, and facilities best intentions at heart, the UAP will be more likely to carry out the delegated tasks without adjournment. The nurse will make sure to be mindful of why the UAP may have performed a task in an untimely, or incorrect fashion, and take responsibility for the mistake. The nurse will then consult with the UAP and adjust how communication takes place, to ensure that tasks get carried out correctly, in a way the nurse means for the UAP to carry them out. Overall, if the nurse and UAP can foster a trusting relationship that allows for open dialogue, and willingness to change the patient will receive the most optimal care, and in turn have the most positive
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
A transitional care nurse or nurse navigator could be utilized to assure a smooth transition from the hospital into the community. The nurse navigator bridges the gap between the hospital care and post-acute care, while working closely with hospital staff, primary care doctors, specialists and community resources (Lamb, 2014, p. 191). Following the client’s discharge, a home health nurse would assume care and begin coordinating services. This nurse would be responsible to assure that all the care services are in place and there is a smooth
Prioritizing care is one of the first things that nurses learn in their career. Prioritizing requires critical thinking whether it comes to discharging a patient, caring for a patient, or delegating a task to a LPN or CNA. As the charge nurse they must look at the whole picture and not just the tasks that need to be done. The charge nurse is the one makes the assignments for the individual nurses, so if there happens to be a float nurse from a different department they might give them the patients with the lowest acuity depending on the nurse’s experience. The charge nurse must know which patients could be discharged if there was an emergency to arise or not enough hospital beds for those patients who need to be admitted. For example, the nurse is not going to recommend someone who came in with a heart attack; they would most likely recommend someone who is two days post op and is being discharged to a rehab facility in a couple of days. It is the charge nurses duty to make that everyone providing great and safe care to the patient.
OUTCOME/GOAL STATEMENT: Short Term: Pt will verbalize feelings of concern regarding at home maintenance of self with SO prior to discharge. Long Term: (after discharge) Pt will work with home health care giver to relief frustration and avoid further depression.
Decision-making is the process requiring critical thinking and forecasting ability to assist a person in selecting a logical choice from the available number of options. (Tiffen, Corbridge & Slimmer, 2014). Studies show that nurses make a health care decision every 30 seconds so it becomes an involuntary process for nurses to make clinical decisions. From admission itself, the plan regarding the patient’s bed occupancy, care and treatment will be decided. In geriatric nursing along with many other clinical care decisions nurse need to make decisions on long term care plan like selection of end of life care (EOL) and discharge planning.
Timing is key; nurses and other members of the interdisciplinary team have to be aware of the best times to communicate with a patient (O’Hagan et. al., 2014). This is best complimented when nurses have established great rapport with the patients and their families. Patients are much more accepting of timing when they are interrupted and issues that arose when they trust the nurse (O’Hagan et .al., 2014). An example is if a patient just died and the family has to go through certain rituals, however, nursing care has to be completed as well. If the nurse has rapport with the family, they are more accepting of these hospital policies especially when they have been communicated at an appropriate