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Get the free Discharge Planning - New York State Department of Health

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AddressographDischarge Planning Screening Tool Risk Colour: Green Yellow Red RN Completed by ___DC: ___ Date:___Living arrangements? (house , apartment , assisted living , supportive housing , PCH
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01
Gather patient information including medical history and current condition.
02
Identify the patient's needs post-discharge, such as medication, home care, or rehabilitation.
03
Collaborate with the healthcare team to create a discharge plan tailored to the patient’s requirements.
04
Educate the patient and their family about the discharge process and any necessary follow-up appointments.
05
Provide written instructions for medications and home care services.
06
Schedule a follow-up appointment with a primary care physician or specialist as needed.
07
Ensure all paperwork is completed and given to the patient, including prescriptions and referrals.

Who needs discharge planning - new?

01
Patients transitioning from hospital to home care.
02
Individuals recovering from surgery or medical treatment.
03
Patients with chronic illnesses requiring ongoing care.
04
Seniors needing assistance post-hospitalization.
05
Patients who require rehabilitation services after discharge.
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Discharge planning - new refers to the process of preparing for a patient's transition from a healthcare facility to their home or another care setting, ensuring that all necessary services and supports are in place for a smooth transition.
Healthcare providers, including hospitals and long-term care facilities, are required to file discharge planning documentation to ensure compliance with regulatory standards.
To fill out discharge planning - new, healthcare professionals must assess the patient’s needs, document the care plan, coordinate with necessary services, and ensure that all relevant information is shared with the patient and caregivers.
The purpose of discharge planning - new is to facilitate safe and effective transitions of care, reduce the risk of readmission, and ensure that patients receive appropriate follow-up services.
Information reported on discharge planning - new must include patient identification, a summary of the care provided, follow-up appointments, medications prescribed, and any required social services.
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