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APPENDIX Referral and Discharge Protocol for Emergency Shelter Programs in Waterloo Region July 2015 March 2016DOCS #1396694 ContentsPurpose 3 Revisions and Review 3 Consent 3 Principles 4 Reaching
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How to fill out referral and discharge protocol

01
To fill out a referral and discharge protocol, follow these steps:
02
Gather all relevant information about the patient, including their personal details, medical history, current condition, and any previous treatments.
03
Start by documenting the reason for the referral or discharge. Clearly state the purpose and goals of the referral or discharge.
04
Fill out the necessary forms or documents provided by the healthcare facility or organization. Make sure to include all required information accurately and thoroughly.
05
Include a detailed summary of the patient's condition, outlining any symptoms, diagnoses, or ongoing treatments.
06
Clearly communicate the recommended next steps for the patient, whether it is a referral to a specialist, further diagnostic tests, or specific instructions for home care.
07
Review and double-check all the information provided in the referral or discharge protocol to ensure its accuracy and completeness.
08
Obtain necessary signatures or approvals from relevant healthcare professionals, patients, or their legal guardians.
09
Submit the completed referral or discharge protocol to the relevant department or healthcare provider.
10
Keep a copy of the referral or discharge protocol for your records.
11
Follow-up with the patient or their primary healthcare provider to ensure the referral or discharge process is proceeding as planned.

Who needs referral and discharge protocol?

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Referral and discharge protocols are essential for various healthcare scenarios, including:
02
- Patients who require specialized medical care that is beyond the scope of the referring healthcare provider.
03
- Individuals who need to transition from one healthcare facility or department to another.
04
- Patients who have completed their treatment or require ongoing care outside the hospital setting.
05
- Individuals who need additional diagnostic tests or consultations from other medical professionals.
06
- Patients with complex medical conditions that necessitate collaboration between multiple healthcare providers.
07
- Individuals who require transfer to a nursing home, rehabilitation center, or other healthcare institutions.
08
- Individuals with chronic illnesses who need coordination of care between different healthcare providers.
09
- Patients receiving palliative or hospice care.
10
- Individuals seeking a second opinion or alternative treatment options.
11
In summary, referral and discharge protocols benefit anyone who requires coordinated care, specialized treatments, or transfers to ensure continuity and quality of healthcare services.

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Referral and discharge protocol is a set of guidelines and procedures that outline the process for transferring a patient to another healthcare provider or facility.
Healthcare providers such as doctors, nurses, and hospitals are required to file referral and discharge protocols.
Referral and discharge protocols can be filled out by documenting the patient's medical history, current condition, treatment plan, and any other relevant information.
The purpose of referral and discharge protocol is to ensure a smooth and safe transfer of patient care between healthcare providers.
Information such as the patient's personal details, medical history, current medications, treatment plan, and any special instructions must be reported on referral and discharge protocol.
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