INSTRUCTIONS: • Use this checklist early and often during your stay • Talk to your doctor and the staff (like a discharge planner, social worker, or nurse) about the items on this checklist. Nursing Home Discharge Planning Checklist MDS 3.0 Section Q Disclaimer: Our facility is completing this information in accordance with MDS 3.0 Section Q regarding transition back into the community. This You and your caregiver can use this checklist to prepare for discharge. You and your caregiver can use this checklist to prepare for discharge. • Address concerns with patient and families soon. Some studies demonstrate the value of discharge checklists to document required components for a safe discharge. “The admission history taken by the bedside nurse that begins the discharge planning process, includes determining if patients have a safe place to go once they’re discharged,” said Marisa Streelman, MSN, RN, CMSRN, unit director, 9 South Atrium, at Rush University Medical Center in … daily. The discharge planning worksheet offers hospitals a guide to complying with the revised discharge planning standards that went into effect July 19, 2013, Dill Calloway says. “The worksheet is the gold standard of discharge planning. We understand that the resident has a right to receive the needed long term care services in the least restrictive and most integrated setting. 16,17 One study found that 1 in 10 discharges include errors in discharge instructions, incorrect discharge medications, or a good catch and approximately a third of patients may need additional education prior to discharge. Discharge Nurse Educator – Uses checklist – Assesses patient understanding of discharge plan (Teach back process used) Care Team – Discusses discharge plan . Nurses can work with interdisciplinary team members to use a system of discharge planning that reviews needs and includes the patient in the planning process. Patient – Receives written discharge plan (An AHCP is personalized for every patient leaving the hospital) RED Implementation – Strategies Prior to discharge From the 1,064 discharge checklists initiated, 147 patients, or 14% of patients, were identified as having safety concerns before discharge. IDEAL Discharge Planning, promoted by the Agency for Health Research and Quality (AHRQ), is an evidence-based intervention that helps hospital nurses use a guide tool for engaging patients, as well as family, in educational efforts combined with discharge planning, to improve quality of care, patient Checklist: For patients and their caregivers preparing to leave a hospital, nursing home, or other care setting … IDEAL Discharge Planning Overview, Process, and Checklist. be helping you) are important members of the planning team. In this article, we provide evidence-based recommendations to facilitate caregiver discharge teaching, with the goal of reducing the risk of harm to elders and the amount of stress experienced by their caregivers. Nurses have an important opportunity to reduce drug-related problems and readmission through discharge planning and teaching. • Talk to your doctor and the staff (like a discharge planner, social worker, or nurse) about the items on this checklist. Instructions: • Use this checklist early and often during your stay. Planning. at team huddle . She suggests that hospitals use the worksheet as a self-assessment tool. Policy 9.1.14 Patient Discharge Planning 11/01/92 -Originated 06/10/05 -Reviewed w/ changes 04/11/03 -Reviewed w/o changes Nursing Service -Author Page 1 of 6 Patient Discharge Planning Audience The information in this document is intended for all healthcare workers involved in discharge planning for patients and their families. • Good discharge planning begins with decision to admit to hospital. be helping you) are important members of the planning team. During this period, no checklists were completed for 61 patients for various reasons; for instance, because the patient had died or chose to leave the hospital against medical advice. • Make connections and familiarize patient/family with services in community that are goal focused, etc. Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Research shows that three-quarters of these could have been… Discharge. 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