Discharge planning and prioritising

Question 1

Case prioritisation

Answer 1

• Based on D/C, risk of deterioration, treatment protocols
• Examples of Cat 1 may include resp. distress, D/C expected later in day, recommended day 1 visit post THR/TKR etc.
• Examples of lower Cat may include mobility check, D/C in upcoming days etc.

Question 2

D/C planning

Answer 2

• Aim to reduce LOS, prevent readmissions, improve service co-ord, contain costs
• D/C to enable hospital D/C or D/C from physio despite ongoing inpatient care
• D/C decisions involve: assessments, care plan development, implementation and follow up

Question 3

D/C principles

Answer 3

• Outcome measures?
• Establish baselines and goals required for D/C
• Social and physical factors
• Determine appropriate pathways e.g. home, home + support, transfer to other facility
• Prepare, educate and communicate the care plan
• Handover clinical information- ISBAR
• FOLLOW UP

Question 4

ISBAR

Answer 4

• I = identify- yourself, role, patient with 3 identifiers
• S = Situation- what’s going on with the patient
• B = Background- clinical background/context
• A = Assessment- what do I think is going on
• R =Recommendations- what do I think should be done