DISCHARGE PLANNING
It is day of discharge, pt's reserved SNF states they do not have a bed available. What is the very next step?
Contact second and third choice to see who has a bed available and then notify patient.
66 y.o male patient was admitted for PNA and PT last seen on 8/17 with an EDD of 8/19. PT notes patient is walking 3 feet. CM encounters the patient on 8/18 & pt refuses SNF.
What are the next steps if CM leadership did not acknowledge your message in the PT escalation chat after 30 minutes?
-1. Ask WHY the patient is refusing and document.
2. Escalate to MD, Nursing Leadership, and PT Leadership (Urma, Gretel, Megan)
3. Pick up the telephone & call CM leadership.
CM leadership would love to volunteer in our community and extend the invite to you all.
Please advise on the most effective way to engage the team to participate?
FREE ANSWER
B
What is the Pacific Ocean?
The world's largest ocean
Every patient that was admitted inpatient or observation, MUST have ______________ to maintain compliance?
Final Note
You are uploading an 1823, nursing documented "24-hr nursing".
What are the next steps?
Contact nursing to inquire why patient requires 24 hr nursing & then re-evaluate discharge plan.
According to the Centers for Medicare & Medicaid Services (CMS), a patient must receive a Medicare Outpatient Observation Notice (MOON) no later than ____ hours after outpatient observation services begin.
36 hours
Bananas are technically classified as
A. seed
B. Berry
C. Plant
B. Berry
A patient who needs IV antibiotics after discharge, has limited mobility, and no caregiver at home may require this post-acute level of care.
What is a Skilled Nursing Facility (SNF)?
Where do you find what DME is recommended in the PT note and how often should you review?
Beneath the disposition recommendation under PLAN.
Should review daily in addition to day of discharge.
AdventHealth is ranked # ______ in Greater Orlando for ________ years in a row.
# 1 in Greater Orlando
for 16 years in a row
Advent Health is accredited by _________ and our window is typically __________.
DNV- Det Norske Veritas
October through December
The shortest war in recorded history lasted approximately:
A. 1.4 Hour
B. 39 minutes
C. 2.3 days
B. 39 minutes
What triggers a level 2 PASRR?
Serious Mental Illness (SMI), & Intellectual Disability (ID)
or
a developmental condition before entering a SNF.
A patient is discharging home with HHC. Per the HMO Grid, MCT must submit for authorization. Upon returning to your seat, patient was discharged prior to you tasking MCT.
What are your next steps?
Email sent to CFD.Managed.Care.Authorizations.Team@AdventHealth.com.
AdventHealth is ranked # ______ in central Florida and # _________ in Florida.
# 1 in Central Florida
#2 in Florida
Our COO is _______________
Katrina Vargas Mesa
What country invented ice cream cones in 1904?
The United States
A 72 y.o patient is from Brookdale ALF and will be discharged tomorrow to Village on the green.
What are 4 steps that should ALWAYS be completed 24 hours prior to DC if time permits?
1. 3008 placed on chart & requested to complete if not already.
2. Complete PASRR & upload to Aidin.
2. Contact the ALF to make them aware, pt will not be returning at this time and will be discharged to Village on the Green.
3. Request narcotic scripts at MDRs.
4. Notify patient of possible discharge tomorrow and inquire if they would like NOK contacted.
As a RN driver, you have identified patient is a CORE-4 patient (CHF) and will likely be discharged today. You have ensured that HHC is secured/arranged, no SDOH, has a 7-day cardio appt & PCP appt, has transportation.
We should also ensure all _______ are WNL.
labs are within normal limits.
Escalate if labs are not within normal limits & document our efforts.
True or False:
All states do not partner with Acentra Health for Quality Improvement Organization (QIO) services.
True
Our CM Annual Review Skills Fair starts on __________ for CFD.
August 11th, 2026
Florida is the only place in the world where you can find both alligators and these animals living in the wild.
What are crocodiles?