Name of the Procedure:

Nursing Facility Discharge Day Management; 30 Minutes or Less

Summary

Nursing Facility Discharge Day Management is a healthcare service where a qualified healthcare professional spends 30 minutes or less coordinating and managing the discharge of a patient from a nursing facility. This ensures a smooth transition from the facility to the patient's next place of care, whether it's home or another healthcare setting.

Purpose

The purpose of this procedure is to:

• Ensure a safe and organized discharge process.
• Address the patient's medical and social needs.
• Provide necessary instructions and resources for continued care.

Indications

• Patients who have completed their stay in a nursing facility.
• Individuals requiring coordinated discharge to ensure continuity of care.
• Situations where clear post-discharge instructions and follow-up are crucial for patient well-being.

Preparation

• Review of patient's medical records.
• Communication with the patient and their family about discharge plans.
• Arrangements for post-discharge services (e.g., home healthcare, equipment).

Procedure Description

1. Review patient’s medical status and discharge plan.
2. Discuss the discharge plan with the patient and their family.
3. Coordinate with external providers for follow-up care.
4. Arrange transportation if needed.
5. Provide written and verbal instructions about medications, diet, activity, and follow-up appointments.
6. Ensure patient has necessary prescriptions and medical supplies.

Duration

The procedure typically takes 30 minutes or less.

Setting

This procedure is performed in a nursing facility.

Personnel

• Registered nurses (RNs)
• Case managers
• Social workers
• Physicians, if necessary

Risks and Complications

• Miscommunication leading to incomplete discharge instructions.
• Delay in services or follow-up care arrangements.
• Risk of patient readmission if discharge planning is not thorough.

Benefits

• Ensures continuity of care.
• Reduces risk of complications after discharge.
• Provides peace of mind for patients and their families.

Recovery

• Follow provided instructions for medications, activities, and diet.
• Attend all scheduled follow-up appointments.
• Perform any self-care activities as advised.

Alternatives

• Discharge without formal management may increase the risk of complications.
• Family members managing discharge, which might be less organized and more stressful.

Patient Experience

Patients may:

• Feel relieved having clear instructions and support for the transition.
• Experience less anxiety about post-discharge care.
• Have improved outcomes due to coordinated follow-up care. Pain management and comfort are typically addressed through clear instructions and planned follow-up.