Here's a look at UNM Hospitals discharge checklist

Here's a look at UNM Hospitals discharge checklist

University of New Mexico Hospitals 4 West Discharge Checklist Pilot

Nurses, please review checklist at the bedside with patient or caregiver. Coordinate with other disciplines as needed.

___ Correct phone number on facesheet/Powerchart is _____________.

___ Has transportation to their destination.

___ Patient or caregiver is ready to assume responsibility for patient's care.

___ Durable equipment received prior to going home (home O2, VAC supplies).

___ Can describe major warning signs & symptoms and what to do if they occur.

___ Has a way to obtain and start taking home medications on time.

High Risk Medications (Coumadin, Digoxin, Aspirin & Plavix combo, Lovenox, Arixtra, Insulin)

___ Has high risk med handouts printed from Micromedex.

___ Watched teaching videos (Coumadin, Arixtra).

___ Return demo of injectable medications witnessed (Lovenox, Arixtra, Insulin).

___ Understands above meds are high risk and can name major problems and what to do.

___ Knows date and time of follow up appts and can locate on Discharge Summary.

___ Can locate medical team written at top of Discharge Summary and knows to contact the 4W Charge RN to contact their team.

___ Prescriptions given, or transfer orders and packet prepared for SNF/rehab.

___ Medication reconciliation is correct and signed by physician, RN and patient. Reviewed with patient. Retain signed copy for chart.

___ Belongings list signed by patient (copy to patient and to chart).

___ Discharge Summary complete, stamped by HUC, signed by charge RN, yellow copy to patient must be legible (otherwise provide photocopy).

I have received my prescriptions, discharge summary, medication list, and belonging list. A nurse has completed this checklist with me.

Patient: _________________ Nurse: __________________ Date/Time: ______________

Note: This one-page discharge checklist is reprinted with permission from Percy Pentecost, MD, Assistant Professor of Medicine, University of New Mexico Hospital in Albuquerque, NM.