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CHAIN Discharge BMC/ young infants CRF V2.1CHAIN Number [1][0] [0][0][2] [][ ][ ]Discharge Details Date discharged by medical team:__ __ / __ __ / __ __ __ __ D/M/ Y Y Y Discharged against medical
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How to fill out discharge against medical advice

01
Discuss your decision with your healthcare provider and understand the risks involved in leaving against medical advice.
02
Review and sign a discharge form, which states that you are aware of the risks and choosing to leave the hospital against medical advice.
03
Arrange for transportation home or to another healthcare facility if necessary.
04
Collect your belongings and any necessary medications before leaving the hospital.
05
Follow up with your healthcare provider as recommended to ensure continuity of care.

Who needs discharge against medical advice?

01
Patients who are mentally competent and able to make informed decisions about their own healthcare.
02
Patients who have been fully informed of the risks of leaving the hospital against medical advice.
03
Patients who have a strong desire to leave the hospital and are willing to accept the consequences of their decision.
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It is when a patient leaves the hospital before the treating physician recommends discharge.
The healthcare provider is responsible for documenting the patient's decision to leave against medical advice.
The healthcare provider needs to document the patient's decision, provide education on the risks, and obtain the patient's signature.
The purpose is to inform the patient about the risks of leaving against medical advice and to have documentation of the patient's decision.
The reason for leaving, risks of leaving, understanding of risks, and the patient's signature.
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