DISCHARGE PLANNING - PowerPoint PPT Presentation

Loading...

PPT – DISCHARGE PLANNING PowerPoint presentation | free to view - id: 122c8a-YmUzN



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

DISCHARGE PLANNING

Description:

Timeous accurate information on discharge. ... with MDT; Discharge needs identified; Refer to other agencies in timeous manner. ... – PowerPoint PPT presentation

Number of Views:3392
Avg rating:3.0/5.0
Slides: 21
Provided by: shonag
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: DISCHARGE PLANNING


1
DISCHARGE PLANNING
  • North Glasgow Hospitals
  • Nurse Induction Programme

2
Discharge Groups
1. Simple !
2. Supported
3. Complex
3
IDM Aims Objectives
  • Provide a whole systems approach to discharge
    management for all patient groups within NHS
    Greater Glasgow Hospitals. The integrated
    structure ensuring smooth and seamless patient
    journeys, minimising gaps and delays and
    providing clarity of roles within the single team
    framework.
  • Improving and monitoring performance across the
    raft of discharge activity.
  • Providing appropriate admission avoidance, early
    and supported discharge services, particularly to
    older people.

4
IDM Structure (North Glasgow)
5
NHS GG Discharge Planning Agreement
  • Effective discharge policy is vital to good
    patient care.
  • Gains made by admission may be lost if discharge
    process is ineffectual.
  • Needs of the individual are paramount and will
    respect individual choice.
  • Effective communication between health
    professionals, Primary Secondary care is
    central to good planning.

6
Business of Good Discharge Planning Getting It
Right for Older People
  • There are 787,000 gt65yrs living in Scotland.
    Expected to rise to 1,200,000 between 2000 and
    2031.
  • Acute admissions are rising in the oldest age
    groups.
  • gt65yr patients are more likely to suffer from
    cancer, stroke, coronary heart disease,
    depression and dementia.
  • Adding Life to Years
  • January 2004

7
Effective Discharge Planning
Key Principles
Documentation (e.g. Discharge Checklists EDD)
Communication
TEXT
8
WHY DO WE PLAN DISCHARGES?
  • Good practice i.e. S.I.G.N
  • - Provides guidelines based on evidence.
  • - Promotes good clinical practice.

The Immediate Discharge Document (65) Highlights
the importance of
  • - Timeous accurate information on discharge.
  • Aims to improve communication between Primary and
    Secondary and reduce clinical errors.
  • UCC National Targets

9
Risk Factors
  • Frail / Elderly
  • Cognitive Impairment
  • Poor Functional Ability
  • Sensory Impairment
  • Multiple Pathology
  • History of Falls
  • Prolonged Hospital Stay
  • Multiple Medications

10
When do we plan discharge?
  • On admission and in conjunction with the
    discharge checklist
  • Gather information from patient regarding
  • Home circumstances.
  • Existing services, day centres etc.
  • Layout of home.
  • Pre-admission functional problems.
  • Others involved in care.
  • Liaise with Family, Carers, Primary Care Team and
    Social Work Services.

11
How do we plan discharge
  • Communicate at ward level with MDT Discharge
    needs identified Refer to other agencies in
    timeous manner.
  • Consultant / Medical Staff
  • Dietician
  • Occupational Therapist
  • Pharmacist
  • Physiotherapist
  • S.L.T.
  • Social Work

12
Continued / …
  • The Named Nurse/associate nurse is responsible
    for coordinating discharge and documenting on
    discharge plan as well as providing discharge
    information to patient/carer.
  • MDT have duty to evaluate, document and
    communicate progress to the named/associate
    nurse.
  • Discharge date should be set as soon as possible
    in conjunction with Patient, Carers, Medical
    Staff, Named Nurse, MDT, Social Worker.
  • Referrals should be made to relevant people who
    may facilitate discharge.
  • e.g. IRIS (early/supported discharge), Specialist
    Services/Nurses, Care Home Liaison Practitioner,
    Homeless Liaison OPHAT.

13
Referrals to Social Work
1. Glasgow City
2. East Dunbartonshire
3. West Dunbartonshire
4. North Lanarkshire
14
District Nursing Services
  • 7 day supply of nursing equipment should be given
    on discharge e.g. dressings, catheter, equipment,
    continence aids.
  • District Nurse should be contacted by telephone
    48 hours prior to discharge.
  • Details of hospital stay and continuing care
    should be given.
  • Letter containing details should be sent or given
    to patient for District Nurse.
  • District Nurse should be contacted as early as
    possible where there is a need for nursing
    equipment e.g. commode, mattress.

15
Medication
1
2
3
Discharge prescription should be sent to Pharmacy
24hrs prior to discharge.
Patients own medication should be returned or
destroyed with their permission. (My medicines
roll out)
7 days supply of medication should be given.
N.B. If patient has dosette/requires dosette,
please discuss with pharmacy department to ensure
community pharmacy follow-up.
16
TRANSPORT
Patients must arrange own transport home, unless
otherwise indicated by medical staff.
  • If hospital transport required, order transport
    within 24 hours of discharge for patients living
    in Glasgow Area / 48 hours if outwith area.
  • Consider functional ability and type of
    accommodation.
  • One item of luggage and one piece of equipment
    only.
  • Ensure access to house. (? Keys ? Clothes)
  • Order transport for OutPatient appointments.

17
Discharge Checklist
18
Discharge Lounges
  • Located at
  • Western Infirmary Level 8 (TAS)
  • Gartnavel General 8th Floor
  • Glasgow Royal Infirmary Ground Floor, Centre
    Block
  • Stobhill Hospital Day Hospital
  • All discharges must transfer to discharge lounge.
  • However if in doubt, discuss with discharge
    lounge
  • staff.

19
Why do discharges fail?
Poor Communication
Poor Planning
1. Patient, Carer, GP, DN Questionnaires
2. Audit Documentation
3. Address re-admissions within 48hrs
4. Address multiple re-admissions
20
How to get advice
Discharge Planning Folders
Integrated Discharge Team
PATIENT CARERS
M.D.T.
Partnership Agencies
About PowerShow.com