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Admission Discharge

Discharge planning begins at admission to ensure the best outcomes for patients. It involves a multidisciplinary team to plan for a patient's care after leaving the hospital. Good discharge planning reduces readmissions and length of stay, improving health while cutting costs. Key components of discharge planning include reviewing a patient's medications, home environment, ongoing treatments, health education needs, follow-up referrals, diet, and spiritual support.

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373 views30 pages

Admission Discharge

Discharge planning begins at admission to ensure the best outcomes for patients. It involves a multidisciplinary team to plan for a patient's care after leaving the hospital. Good discharge planning reduces readmissions and length of stay, improving health while cutting costs. Key components of discharge planning include reviewing a patient's medications, home environment, ongoing treatments, health education needs, follow-up referrals, diet, and spiritual support.

Uploaded by

digracia manatiga
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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DISCHARGE PLANNING

Topics included:
Definition
When does discharge planning starts?
Why discharge planning is so important?
Components of discharge planning
Discharge Planning
termination of care from a health care
agency.

It is described as "the critical link between


treatment received in hospital by the patient,
and post-discharge care provided in the
community.“
ADMISSION
entering a health care agency for nursing care and
medical/surgical treatment.
INVOLVES:
a. authorization from a physician
b. collection of billing info from the admitting department
c. completion of the admission
process by nurses
d. documenting pt’s initial
management provided &
diagnostic exams
e. initial med orders for treatment
NURSING RESPONSIBILITES
prepare room/bed

identify self

orient patient

gather info
IDENTIFY SELF
makes pt feel secure

makes pt feel welcome

alleviates anxiety/fear
ORIENT PATIENT
location of nurse’s station safety measures such as
bedrails
clothes storage
visiting hours
call light
what tests are scheduled
bed controls
diet
light switches
room boundaries
telephone policy
scheduled surgery time
tv controls
times for physicians visits
mealtimes
GATHER INFORMATION
The nurse will gather info about:
medical orders
treatments
Laboratory tests
diet
activity
physical assessment within 24hrs.
TYPES OF ADMISSION

INPATIENT

OUTPATIENT
INPATIENT STAY
LONGER THAN 24HRS
Planned:
no immediate treatment
planned/scheduled elective surgery tests results are
prepared
Emergency:
unplanned
stabilize in emergency room
Direct admission:
unplanned
can bypass emergency service or department
OUTPATIENT STAY
LESS THAN 24 HRS

Observational:
 head injury
 premature labor
 unstable vital signs
PATIENT COMFORT
provide privacy(shut door & pull curtain)
assist if needed to remove clothing and put gown on
provide extra blankets if requested.
collect info for database.
perform initial admission assessment if appropriate
obtain physician orders for tx’s, labs, tests, meds, activity,
etc. within 24hrs.
When does discharge planning starts?

At pre admission/admission we must be


thinking about and working on discharge
processes to ensure the best possible
outcomes and discharge process for our
patient.
DISCHARGE
HAMA (against medical
advice)
Pt leaves prior to obtaining a
written order. Nurse requests
pt to sign form. If refuses,
nurse must let pt leave and note
refusal to sign HAMA in chart.
HAMA Form
“I am leaving the hospital/ward against medical advice. Doctors
explained to me about my disease condition and ill effects of
discharge against medical advice. Doctors, hospital, and staffs will
not be responsible for any ill effects happening after my departure.
name of patient/relative:
relation:
signature:
date:
time:
witness:
DISCHARGE
Planned- patient completes the initial &
actual management in the hospital and
now, he/she not to be under the direct
supervision of a medical institution.
NURSES RESPONSIBILITY FOR DISCHARGING A PATIENT

Gather/check belongings
Arrange transportation
Inform pt of checkout time to avoid being billed for an
extra day
Escort/wheel pt. safely inside vehicle
Write discharge summary
Cleaning the room(bed stripping and applying
disinfectant)
Bedside cabinet restocked and cleaned
Group Activity:
Why is discharge planning so
important?

What are the benefits of good discharge


planning?
Why is discharge planning so important?
Risk screening should be performed early in an admission
Establish if the patient has simple (80% of patients) or
complex planning needs.
A multidisciplinary approach is essential to effective
discharge planning
Discharge date needs to be estimated early
There needs to be discussion with patient carer /family
Benefits of Good Discharge Planning
Improved patient health outcomes
Reduction in readmission to hospitals
Reduces length of stay which is -Cost effective
Reduces error and unnecessary delays along patient
pathway
Reduces pressure on beds therefore increasing patient
throughput.
WHO ARE INVOLVED IN A PLANNED DISCHARGE?

physician’s order unit secretary


copies chart/orders, discharge summary

care provider Nurse, midwife, nursing attendant,


institutional worker

safekeeping extended care facility (janitorial service)

patient nurse-explains discharge instructions to


family/care giver
COMPONENTS OF
DISCHARGE PLANNING

METHODS(ACRONYM)

M-MEDICATION
E-ENVIRONMENT
T-TREATMENT
H-HEALTH TEACHING
O-OUTPATIENT REFERRAL
D-DIET
S-SPIRITUAL
Medication
Environment
Treatment
Health Teaching
Out Patient Referral
Drug
Spiritual
THANK YOU!

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