Promoting the Development and Understanding of Management Issues for Pre-Registration Nurses
One of the less rewarding aspects of nursing is having to inform a patient who has just been told by their consultant that they can go home, that the TTOs are still in pharmacy, that their door key has not been brought in by their neighbour, or Meals on Wheels will not be able to visit until next Monday and that the discharge will therefore be delayed.
The Department of Health (2004) believes that up to 80% of discharges are simple and should be carried out by nurses, but ensuring patients get home safely is not always as simple as it appears.
As the Government continues to drive healthcare in the UK towards shorter hospital stay and increased patient choice, the emphasis on discharge planning is increasing. Nurses have to improve and develop their discharge planning skills in order to meet the accelerating demands of simple and complex discharge issues. In order to do this nurses need to understand that discharge planning begins at admission. Nurses also need to have the skills and confidence to anticipate length of stay and predict discharge dates so that requirements can be addressed in a timely manner. Nurses should also be exploring ways of discharging patients at weekends, bank holidays etc, and should recognise the importance of liasing effectively with the MDT and families/carers.
The Management Workbook Discharge Planning Section is also available for download as an Adobe PDF
- Download Management Workbook Discharge Planning Section - Adobe PDF 26kb - Opens in a new window
- To enable you to view the Adobe Acrobat PDF you will require Adobe Acrobat Reader available for free here
Policies and Procedures
- Discharge Planning Folder
- Trust Policy on Leaving Hospital
- Domain: Care Management: Outcome:
- 3.2, 3.4 (3.2.1, 3.2.2, 3.2.3)
- Domain: Care Delivery: Outcome:
- 2.1, 2.3 (2.2.3, 2.3.3, 2.5.1, 2.7.1)
NB - outcomes in brackets refer to new curriculum (2005) Diploma / BSc outcomes
- Department of Health (2004) ‘Achieving a Timely, Simple Discharge from Hospital-a toolkit.’ DoH : London