Discharge planning

[Narasimha Rao]

May I ask if our lovely community could shared what practices they follow to ensure discharge planning is thorough, please? It could be checklists or any other processes that’s used for a complex neonatal discharge on your unit.

 

 

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[bimalc]

We have staff dedicated to reviewing charts, running a checklist for every patient as they approach discharge and rounding with the medical team to call attention to items on the discharge checklist that need attention and to give the medical team an opportunity to highlight 'unusual' discharge needs.

For emerging follow-up indications which our institution has not formally added to the discharge planner's checklist (for example, currently we do not have formal guidelines for follow-up in nephrology clinic as we just recently hired our first neonatal nephrologist, but we try to flag babies that have significant AKI so that even if they never get a formal inpatient nephrology consult, we can see if the baby needs outpatient nephrology follow-up), I and most of my partners have a checklist in our progress note template that we try to update as we go.