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Discharge

• Discharge Planning: Discharge planning should begin based on the patient’s condition, initiated by the treating doctor at least 24 hours before the actual discharge.

• Assessment for Medical Stability: During the morning rounds, the specialist will assess the patient to determine if they are "medically stable" and fit for discharge.

• Multi-Disciplinary Process: Discharge planning is a collaborative, multi-disciplinary process involving the patient, their family, and the relevant healthcare team members during the course of the illness.

• Discharge Decision: The decision to discharge a patient rests with the treating doctor, who will make the decision during their rounds on the day before discharge. This decision will be communicated to the patient, their relatives, the concerned nursing staff, and the duty medical officer. However, the final discharge decision will depend on the patient's condition, as determined by the treating doctor.

• Initiating Discharge Process: Once the treating physician advises discharge, the concerned nursing officers will initiate the final discharge process.

• Discharge Summary: Two copies of the discharge summary will be prepared—one will be given to the patient, and the other will be included in the patient's case sheet.

• Contents of Discharge Summary: The discharge summary will include the following information:

  • Patient's name, UHID, and date of discharge
  • Department and unit
  • Clinical note (brief summary)
  • Diagnosis
  • Treatment advised
  • Progress notes
  • Post-discharge advice
  • Contact information for medical emergencies
  • Signature of the discharging doctor

• Time Frame for Discharge: The discharge process will be completed within 4 hours once the discharge order is given by the specialist.

• Patient Rights: Under patient rights, no patient can be kept in the hospital against their will.

• Complete Discharge Summary: A complete discharge summary will be provided to all patients upon discharge

Last updated / Reviewed : 2024-11-22