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Discharge Checklist Date: / / Patient Name: Room #: Not part of the medical record: If found, return this form to D×C units Nurse Manager. Yes No NA Nursing: Comments *Normal Vitals (document abnormal)
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How to fill out inpatient discharge pathway checklist

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How to fill out inpatient discharge pathway checklist:

01
Begin by reviewing the checklist to familiarize yourself with the sections and items included.
02
Ensure that all necessary patient information is filled in accurately, including name, date of birth, and hospital ID number.
03
Document the date and time of admission to the inpatient unit.
04
Assess and document the patient's current medical condition, including any diagnoses, symptoms, or complications.
05
List all medications currently being taken by the patient, including the name, dosage, frequency, and route of administration.
06
Document any allergies or adverse reactions the patient may have to medications or other substances.
07
Evaluate the patient's vital signs and record them in the appropriate section of the checklist.
08
Assess the patient's functional status, mobility, and ability to perform activities of daily living.
09
Include any consultations or referrals made during the patient's stay, noting the specialty or department involved.
10
Take into account any advanced directives or patient preferences for discharge planning.
11
Collaborate with the healthcare team to develop a comprehensive discharge plan that addresses all relevant aspects of the patient's care, including follow-up appointments, medications, home care needs, and necessary equipment or supplies.
12
Discuss the discharge plan with the patient and/or their family, ensuring their understanding and addressing any questions or concerns they may have.
13
Obtain the necessary signatures from the patient or legally authorized representative to confirm their agreement with the discharge plan.
14
Review the completed checklist for accuracy and completeness, making any necessary revisions or additions.
15
Store the checklist in the patient's medical record for future reference and continuity of care.

Who needs inpatient discharge pathway checklist:

01
Healthcare professionals involved in the care of inpatients, including physicians, nurses, and allied health professionals.
02
Hospital administrators and quality improvement teams who monitor and assess the effectiveness of the discharge process.
03
Patients and their families, who benefit from having a structured and comprehensive plan for a safe and smooth transition from the hospital to home or another care setting.
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The inpatient discharge pathway checklist is a list of steps and tasks that need to be completed before a patient can be discharged from the hospital.
The healthcare provider or facility is required to file the inpatient discharge pathway checklist.
The inpatient discharge pathway checklist is filled out by healthcare professionals involved in the patient's care, ensuring all necessary steps are completed.
The purpose of the inpatient discharge pathway checklist is to ensure a safe and smooth transition for the patient from the hospital to their next destination.
The inpatient discharge pathway checklist must include the patient's medical information, discharge instructions, medication list, follow-up appointments, and any special instructions for care.
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