DISCHARGING THE PATIENT
is a preparation of a patient and discharge records to leave the hospital.
To ensure continuity of care to the patient after discharge
To assist the patient in discharge process
patient are discharged from the hospital in one of the following ways
to home. The discharge to home or another hospital or another unit within the
hospital is initiated by the doctor who advises the patient that he is well
enough to leave the hospital or requires treatment in another unit within the
hospital or in an another hospital
to another hospital or another unit within the hospital (referral). When a patient or family is not satisfied with the treatment or care given and
wants to leave the hospital against the medical advice, in such cases the
patient or the relative is asked to sign a statement that he is going or taking
the patient on his own will and responsibility.
against medical advice (AMA).
Patient leaves the hospital against the medical officer' s
advice. When a patient escapes from the hospital without the knowledge of the
hospital staff and without signing the said statement he is treated as
absconded in the records.
Inform the patient and the relatives a day or two before the
Get the discharge slip prepared after checking the vital
signs and examining the patient.
The nurses should see that the patients personnel hygiene is
maintained, he is dressed in home clothes and has taken meals.
Hand over the
patient' s belongings and any
valuables, which have been kept safely, to the patient or the relative under
Complete the unit admission and discharge registers, case
sheet and other records.
Hand over the case sheet and other records to medical record
department under proper receipt.
Inform the hospital authorities about the discharge if the
patient is medico-legal.
Hand over the discharge slip to the patient or relative and
the treatment and the diet to be taken at home
follow-up visits and inform to bring the discharge slip on
any special advices pertaining to condition
See that the patient receives all the medicines as per
Check the hospital things before the patient leaves the
Place the patient
in the wheel
chair or stretcher
according to the patient' s condition until he leaves the
Immediately after the patient leaves, reorganise the patient
Hospitals are institutions, which are designed to care the
sick, injured and the well.
The basic functions of a hospital are care of the sick and
injured, diagnosis, treatment and rehabilitative services.
Many hospitals undertake education of doctors, nurses and
technicians and also undertake research works.
There are various departments in a hospital like medical,
nursing, pharmacy and dietary department.
Every hospital has its own policies and rules, which govern
their various activities.
The main aim of a hospital is patient care and comfort.
Every nurse should know how to keep her ward clean.
Proper disinfection should be done for infected articles by
immersing in 1:20 carbolic lotion for 2 hours.
Stock taking should be done periodically of all kitchen
utensils, instruments, linen and drugs.
Economy of time, money and men power should be kept in mind
in ward management.
The entrance of a patient into a health care agency is
termed as admission.
patient who is admitted need good reception, orientation to place and people,
safeguarding his personal belongings, physical assessment, prompt personal
hygiene and observation to identify deviations from normal.
Recording of the observations is called charting.
The nurse provides a safe and comfortable environment to the
patient by using the mechanical devices.
Discharge is a preparation of a patient and discharge
records to leave the hospital.