Discharge/Transfer

Question 1

When does discharge planning start

Answer 1

On admission

Question 2

Discharge planning includes (6)

Answer 2

Assess if client can return to previous residence
Determine if he has help
Asses residence to see if any special accommodations are needed
Make a referral to a social worker to arrange community services
Communicate health status to community service humans
Involve client as much as possible

Question 3

4 reasons why we transfer or discharges

Answer 3

Level of care has changed
another setting is required
Facility doesn’t offer type of care client now needs
no longer needs inpatient care

Question 4

What is included in discharge education (8)

Answer 4

Identifying safety concerns at home
reviewing potential complications and wen to contact emergency services
phone number of provider
name and numbers of community resources step-by-step instructions for performing needs
dietary restrictions and guidelines
amount and frequency of activities to preform at home
directions on how to take meds, interactions and importance

Question 5

What to bring in transfer

Answer 5

Personal belongings 
valuables 
medications 
assistive devices 
medical records and transfer form

Question 6

RN responsibilities when transferring or discharging a client (6)

Answer 6

Confirm with floor or facility 
call with arrival time 
complete all records 
give verbal transfer report 
bring valuables
have client dressed appropriately

Question 7

RN responsibilities when receiving a client (5)

Answer 7

Have a room and equipment ready 
meet with the client and family 
Assess how client tolerated transfer 
review documents
Implement plan

Question 8

Discharge documentation includes (8)

Answer 8

Discharge type 
date and time of discharge 
mode of transportation 
where client is going 
summary of condition 
unresolved difficulties 
follow up
Disposition of valuables medications and new prescriptions