Practical Guide for Nursing : Discharge the Patient

DISCHARE Guidelines

The patient are discharged from the hospital in one of the following ways

Discharge to home. The discharge to home, to another hospital or to another unit within the hospital is initiated by the doctor who advices 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.

Discharge 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 case 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.

Discharge  against  medical advice  (AMA).

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.

Nurses Responsibility

      Inform the patient and the relatives a day or two before the discharge

      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 proper receipt.

      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.

      Informing the hospital authorities about the discharge if the patient is medicolegal.

      Hand over the discharge slip to the patient or relative and

explain about

      The treatment and the diet to be taken at home

      Follow-up visits and inform to bring the discharge slip on every visits

      Any special advice pertaining to condition

      See that the patient receives all the medicines as per discharge slip.

      Check the hospital things before the patient leaves the ward.

      Place the patient in the wheel chair or stretcher according to the patient' s condition until he leaves the hospital.

Immediately after the patient leaves, reorganise the unit.