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Discharge and Disposition Planning

Discharge Guidelines:

  • Discharge Time 11:00 am
    • Ambulance Transfers
      • Discharge summaries should be completed the night prior, printed and on the chart, as ambulances may come as early as 7 am.
    • Weekend discharges
      • Review safe weekend transfers every Friday
      • Discharge planners are not available on weekends, so please touch base with your charge nurse if you have any issues.
      • The Charge Nurse will meet with the on call residents at 10am on weekends to hear about new admissions and potential discharges.
    • For seniors: Any consult seen in ER who you believe may not benefit from inpatient admission should be reviewed with the staff on call. If the patient is not admitted, type your consult note and arrange/document any necessary follow-up.

Rehabilitation and CCAC Applications:

  • Through Soarian, click on link for LHIN forms
  • Must fill medical assessment piece and sign off
  • Communicate your completion to discharge planner or case manager

Discharge Pearls

  • Whenever possible, have summaries printed and in the chart for patients expected to leave the next day
  • Have summaries prepared for the resident on call over the weekend
  • Start summaries early – fill in the presentation, past medical history and home medications on the day of admission!
  • Update summaries frequently to ensure aspects of follow-up are not missed (i.e. date of appointments etc)
  • Add a prescription for Blister packing if appropriate
  • Fill out appropriate forms and notify CCAC >24 hours prior to discharge, even if it is just a reinstatement!
  • Notify Family MD of hospital admission and CALL prior to discharge to arrange any required appointments/ensure they can follow up on bloodwork etc.
  • We do not have social workers on 14CC, but if a patient has any social issues, please inform your discharge planners and case managers, who can direct you to further resources.