How to use the call light, intercom system, and emergency call light. This is a good time to inform the patient of the health-care provider’s orders regarding whether or not the patient is allowed to getout of bed.Location of the bathroomHow to use the telephoneHow to operate the bed. Safety: Explain that the bed should be kept in its lowest position.How to adjust the lightingHow to operate the television and radioLocation of personal care items; closet and drawer space for patient’s belongingsTimes meals are served and any dietary restrictions ordered by the health-care providerLocation of the cafeteria and snack machinesHours that you will be his or her nurse and how often your visits are to be expectedAny policies that apply to the patient or family, such as visitation times, cell phone usage, or tobacco use policyWhen the health-care provider normally makes visitsDischargeThe typical discharge processinvolves the following:Obtaining a physician’s orderNotifying the business office of impending dischargeReconciling the patient’s medications
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Providing discharge instructions, prescriptions, and appropriate patient teachingAssisting the patient to gather his or her personal belongings and valuablesDocumenting the patient’s condition, including vital signsAssisting the patient to the carDocumenting the time of discharge and method of transportationNotifying housekeeping so that the room can be cleanedDischarge PlanningDischarge planning should begin during or shortly after admission to the hospital and continue until the patient is discharged from the hospital. You and the patient work together and systematically plan how to best meet the patient’s needs after hospitalization. Discharge planning may involve the following:Teaching about the patient’s illness and how it may impact the patient’s lifeTeaching dietary alterations to meet the patient’s needsTeaching safe and effective use of medicationsTeaching how to perform treatments, such as the assessment of finger stick blood sugar levels, colostomy irrigation, or dressing changesTeaching methods of adaptation for daily livingRecommending various support groups, such as the Mastectomy Support Group or Alcoholics AnonymousProviding the patient with a list of available community resources, suchas Meals on Wheels or Women, Infants, and Children ServicesMaking referrals to appropriate agencies such as home health care or hospiceAssisting the family to find a long-term care or assisted living facility that will meet their needsWhen the physician feels the patient is well enough to be discharged, a discharge order is written. If a patient becomes unhappy with his or her care,decides against treatment, or for any other reason simply decides to leave the hospital before the physician authorizes a discharge, this is known as “leaving against medical advice” or leaving AMA.
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