slide1 l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Hospital Discharge Critical Pathway PowerPoint Presentation
Download Presentation
Hospital Discharge Critical Pathway

Loading in 2 Seconds...

play fullscreen
1 / 2

Hospital Discharge Critical Pathway - PowerPoint PPT Presentation


  • 322 Views
  • Uploaded on

Hospital Discharge Critical Pathway. Can this patient go home? ASK: DISPO . 1. Needs daily MD evaluation 2. Hemodynamic unstable (prn’s P-BP-O 2 ) 3. Rising Cr, dropping Hb, Hb < 9mg/dl 4. Change in significant RX past 24 hrs 5. Can’t tolerate 12-24 lapse in meds

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

Hospital Discharge Critical Pathway


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
    Presentation Transcript
    1. Hospital Discharge Critical Pathway Can this patient go home? ASK: DISPO 1. Needs daily MD evaluation 2. Hemodynamic unstable (prn’s P-BP-O2) 3. Rising Cr, dropping Hb, Hb < 9mg/dl 4. Change in significant RX past 24 hrs 5. Can’t tolerate 12-24 lapse in meds 6. IV drips, telemetry, daily or stat labs. Yes No discharge, reevaluate 24 hrs. No Yes • Gets out of bed, uses toilet indepet. • Willing and able caregiver at home. • Can pay/has insurance for home rx. Home No • Medicare qualifying diagnosis? • --Decline in functional status • -->1 skilled nursing (RN) need • --Hospice appropriate, no CG • 2. Medicare qualifying stay? • --> 72 consecutive hrs in past 30 d Yes Nursing Home, Home Health, SNF or Rehab No FTT, unsafe, dementia, repeated falls Yes CGA for appropriate level of residential care No Home Rodin, 2005

    2. Physician’s Discharge Checklist • Notify PCP of discharge. • Assure that family knows date, time and dispo and has had opportunity to visit SNF prior to DC.. • Transfer sheet reviewed by senior team member for legibility: • Name and pager of hospital physician contact • Prioritized problem list, clearly indicating conditions that require early monitoring • Most current orders: pharmacy dose, route, frequency (once-a-day is best), stop date. Decimals and units clear. • Schedule analgesics, bowel and fluid regimens. Stop or reduce prn’s • Dictated discharge summary. If not available, copy the ENTIRE CHART. • Advance directives addressed. • Remove therapeutic debris: unused IVs, PICCs, central lines, telemetry tabs, expired topical meds, foley. (Verify voiding.) • Call DON before DC to assure availability of IV meds, CPAP, other DME, continuity issues. • Discharge as early in the day as possible Rodin, 2005