Angelite Nurses: Discharge Care Plan

Discharge Care Plan

Date &
Sign.

Plan and Outcome
[Check those that apply]

Target
Date:

Nursing Interventions
[Check those that apply]

Date
Achieved:

(_) The patient/family's discharge planning will begin on day of admission including preparation for education and/or equipment.

(_) On the day of discharge, patient/family will receive verbal and written instructions concerning:

(_) Other:

(_) Assess needs of patient/family beginning on the day of admission and continue assessment during hospitalization.

(_) Anticipated needs/services:

(_) Involve the patient/family in the discharge process.

(_)Discuss with physician the discharge plan and obtain orders if needed.

(_) Contact appropraite personnel with orders.

(_)Provide written and verbal instructions at the patient/family's level of understanding.

(_) Verbally explain instructions to patient/family prior to discharge and provide patient/family with a written copy.

(_) Ascertain that patient has follow-up care arranged at discharge.

(_) Provide verbal and written information on what signs and symptoms to observe and when to contact the physician.

(_) Assess if any community resources should be utilized (i.e.: Home Health Nurse), and contact appropriate personnel.

(_) Document all discharge teaching on Discharge Instruction Sheet and Nursing notes.

(_) Other:________________
________________________
________________________
________________________

__________________________
Patient/Significant other signature

__________________________
RN signature

Angelite Nurses