Admission and Discharge SWRHA

Items Patient should bring with them upon admission:

Obstetrics Department

A "small" bag with the following contents:

Cotton night dresses (open down the front)
Slippers
Panties Cotton (Supportive)
Maternity Pads (3packs)
1 small bottle of Savlon or Dettol
Toiletries (comb, brush, toothpaste, soap, toilet paper)
Wash cloths
One (1) Fleet Enema
Towels (bath size)

For the Baby - A “small” bag with the following only PASTEL SHADES (clothing).

Adult Admission to Hospital

Toiletries (comb, brush, toothpaste, soap, toilet paper)
Washcloths
Pajamas / Nightgowns (open down the front)
Slippers (non- skid)
Towels
Underwear
One (1) set of utensils (cup, spoon, plate)
Drinking water
All medication that you are presently taking
All investigative reports
All clinic appointment cards

Medicare says discharge planning is "A process used to decide what a patient needs for a smooth move from one level of care to another." Only a doctor can authorize a patient's release from the hospital, but the actual process of discharge planning is completed by a nurse. Ideally, and especially for the most complicated medical conditions, discharge planning is done with a multi-disciplinary team approach.

In general, the basics of a discharge plan are:

Evaluation of the patient by qualified personnel
Discussion with the patient or his representative
Planning for homecoming or transfer to another care facility
Determining if caregiver training or other support is needed
Referrals to appropriate support organizations in the community
Arranging for follow-up appointments or tests

Why is good discharge planning so important?

Effective discharge planning can decrease the chances that your relative is readmitted to the hospital, help in recovery, ensure medications are prescribed and given correctly, and adequately prepare you to take over your loved one's care.

Listed below are common care responsibilities you may be handling for your family member after he or she returns home:

Personal care: bathing, eating, dressing, toileting
Household care: cooking, cleaning, laundry, shopping
Healthcare: medication management, physician's appointments
Emotional care: companionship, meaningful activities, conversation

A Guide for Families and Caregivers

As your hospital discharge date approaches, we want you to feel prepared and empowered with the information and resources you need to ensure a smooth continuation of your care and recovery. Your health care team will work closely with you to make this possible. We will start planning for your discharge at admission.

There can be many details to remember when you are preparing for discharge. While your health care team will take time to carefully review your treatment plan, medications and supplies, it is helpful to have a checklist of reminders as you anticipate your discharge and what it involves. You may find it helpful to have your support person(s) print this checklist out for you and bring it to you while you‘re in the hospital.

Discharge Planning Checklist

If you answer NO to any of the following questions, please ask your nurse or another member of your health care team for information. Remember, they want you to feel comfortable and prepared for your transition home.

Do you know the date and time you’re going home?
Do you know who will pick you up from the hospital?
- Please discuss with your nurse the time that your support person(s) should arrive at the hospital to participate in your discharge review.
Do you have clothing with you or being brought to you that is appropriate to wear when you’re discharged?
Does your support person(s) know where the discharge area is located?
Do you have your discharge prescriptions or take home medication?
- We have an Outpatient Pharmacy that can fill your prescriptions. Your relative can fill your prescription before discharge. NB. They must have your clinic card with a registration number.
Have you identified support person(s) to assist you at home?
Has your health care team talked to you about your diet, medications and activity?
Have you made your follow-up appointment with your physician?
Do you have the ward/hospital number that you can call if you have questions?

Helpful Reminders for a Smooth Discharge

On the day of your discharge your nurse will make arrangements for a wheelchair to transport you to the Patient Discharge Lounge. Your support person(s) will pick you up at the discharge area. Whether you are going home, to a rehabilitation facility or an extended care facility - we strive to ensure a smooth transition of care between the hospital and your destination.

Fill out the following list with all the prescription drugs, over the counter drugs, supplements and herbal supplements you take. Review this list with the staff.

Medication	What it does	How to take it	When to take it	Notes

Adopted from: Department for Health and Human Services, Strong Memorial Hospital https://www.urmc.rochester.edu