Here's a look at UNM Hospitals discharge checklist
Here's a look at UNM Hospitals discharge checklist
University of New Mexico Hospitals 4 West Discharge Checklist Pilot
Nurses, please review checklist at the bedside with patient or caregiver. Coordinate with other disciplines as needed.
___ Correct phone number on facesheet/Powerchart is _____________.
___ Has transportation to their destination.
___ Patient or caregiver is ready to assume responsibility for patient's care.
___ Durable equipment received prior to going home (home O2, VAC supplies).
___ Can describe major warning signs & symptoms and what to do if they occur.
___ Has a way to obtain and start taking home medications on time.
High Risk Medications (Coumadin, Digoxin, Aspirin & Plavix combo, Lovenox, Arixtra, Insulin)
___ Has high risk med handouts printed from Micromedex.
___ Watched teaching videos (Coumadin, Arixtra).
___ Return demo of injectable medications witnessed (Lovenox, Arixtra, Insulin).
___ Understands above meds are high risk and can name major problems and what to do.
___ Knows date and time of follow up appts and can locate on Discharge Summary.
___ Can locate medical team written at top of Discharge Summary and knows to contact the 4W Charge RN to contact their team.
___ Prescriptions given, or transfer orders and packet prepared for SNF/rehab.
___ Medication reconciliation is correct and signed by physician, RN and patient. Reviewed with patient. Retain signed copy for chart.
___ Belongings list signed by patient (copy to patient and to chart).
___ Discharge Summary complete, stamped by HUC, signed by charge RN, yellow copy to patient must be legible (otherwise provide photocopy).
I have received my prescriptions, discharge summary, medication list, and belonging list. A nurse has completed this checklist with me.
Patient: _________________ Nurse: __________________ Date/Time: ______________
Note: This one-page discharge checklist is reprinted with permission from Percy Pentecost, MD, Assistant Professor of Medicine, University of New Mexico Hospital in Albuquerque, NM.
Nurses, please review checklist at the bedside with patient or caregiver. Coordinate with other disciplines as needed.Subscribe Now for Access
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