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1 Cards in this Set
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Hospital Patients Discharged Home
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Admitting RN/Hospice Case Manager will:
• Confirm & notify Attending Physician. • Obtain any needed orders & Hospice Kit(s) as appropriate. • Obtain scripts for CII narcotics. • Complete Modified Orders &/or Orders Update form as applicable. • Order any related medications/ equipment from Pharmacy, DME & Infusion Team as needed. • Complete Medication/Treatment List (paper and EMR) & place copy in resource manual or give copy to pt/family. • Complete Transfer Plan of Care (paper)/print Progress Report from past 15 days (EMR). • Fax/send transfer forms to receiving team and HH24. • If involved, SSS and chaplain give patient report to IDG. • Update plan of care to reflect hospital discharge, level of care & evaluate Expected Outcomes (EOs)/PIOs. Receiving IDG will: • Update Solutions level of care & location upon patient arrival. • Update Plan of Care. • Reconcile medications & complete Current Medications/Treatments & Reconciliation form (CMTR). • Complete Modified Orders form for any additional needed orders. |
