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Open Journal of Nursing, 2012, 2, 277287 DOI:10.4236/ojn.2012.23042 Published Online September 2012 (http://www.SciRP.org/journal/ojn/)Content of nursing discharge notes: Associations with patient
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First, start by gathering all the necessary patient information such as their medical history, current condition, and any special considerations.
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Next, carefully review the nursing discharge form to understand the specific sections and information that need to be filled out.
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Provide a detailed summary of the patient's stay at the healthcare facility, including the admission date, discharge date, and reason for discharge.
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Document the patient's vital signs, such as blood pressure, heart rate, temperature, and any relevant lab test results.
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List all medications prescribed to the patient, including dosage instructions and any specific post-discharge instructions.
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Include any special instructions for wound care, physical therapy, or other ongoing treatments the patient may need.
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Outline any dietary restrictions or modifications that should be followed after discharge.
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Document any follow-up appointments or referrals that have been scheduled for the patient post-discharge.
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Finally, proofread the nursing discharge form to ensure accuracy and completeness before submitting it for final review and inclusion in the patient's medical records.

Who needs content of nursing discharge?

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The content of nursing discharge is needed by healthcare professionals involved in the patient's care, including nurses, physicians, and other medical staff.
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Patients and their families also benefit from having access to the content of nursing discharge as it provides important information about their condition, medications, and post-discharge care instructions.
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Insurance companies may also require the content of nursing discharge for reimbursement purposes and to assess the appropriateness of the provided medical services.
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The content of nursing discharge includes the patient's health status, medications administered, care plan, recommendations for continued care, and any special instructions.
The nursing staff responsible for the patient's care is required to file the content of nursing discharge.
The content of nursing discharge should be filled out accurately and completely by documenting all necessary information regarding the patient's care.
The purpose of content of nursing discharge is to ensure continuity of care for the patient, provide important information for future care providers, and document the care provided.
Information such as the patient's health status, medications administered, care plan, recommendations for continued care, and any special instructions must be reported on the content of nursing discharge.
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