ALC Designation
Abbreviations
Roles & Responsibilities
Structured Rounds
Discharge Preparation
100

100

I am 70-year-old male who lives alone, medically stable, but significantly below my mobility baseline. I have been making gains and participating in physio butam not ready to go home yet. What could be my discharge destination be? What is my ALC?Designation?

Convalescent Care/Path

ALC-CV

100

100

My abbreviation is PNA. What do I stand for?

Pneumonia

100

1OO

Who evaluates a patients’ physical status, functional abilities and needs?

Physiotherapist

100

100

Name one thing you can do to prepare for structured rounds?

Read Dr progress notes

Consult notes, PT/OT notes, Pending test or procedures and their results

Patient concerns

e-Kardex

100

100

On day of discharge, your patient is flagged for discharge by the CMC. What is your next step?

Discharge Order

200

200

I am a 75-year-old widowed female with no dependents. Medically stable but unable to return to my house due to rat infestation

What is my ALC designation?

ALC-FS

200

200

My abbreviation is SOB. What do I stand for?

Shortness of Breath

200

200

Who identifies concerns, provides information and acts as an advocate for patient and caregivers during discharge planning process?

Social Worker

200

200

What resources can I bring to support me in structured rounds?

E kardex

MAR

Nurses Notes

200

200

If you know your patient is going home with a foley catheter, how can you prepare your patient or family prior to discharge?

Check insertion date

change if required

provide education

insure HH follows up in the community

300

300

I am a 90-yr old female med stable,severe cognitive impairment. I am home alone during the day and need assistance with personal care and med management. What designation am I?

ALC-HH

300

300

My abbreviation is DM2. What do I stand for?

Diabetes Mellitus Type 2

300

300

Who provides counselling and education to patient’s and families related to medication questions and prescriptions?

Pharmacist

300

300

What is one question that might be asked during structured rounds?


Medical update

Patient's current and baseline functional status

Plan or Goal

EDD

300

300

What is the last thing you would do before your patient leaves the unit?


Remove armband 

Ensure IV access is removed

all discharge paperwork has been provided

400

400

Recent CA diagnosis. Prognosis less than 3 months. Family unable to take me home and palliative has been consulted, and I have been waitlisted to hospice. 

What ALC designation am I?

ALC-HS

400

400

My abbreviation is FTT. What do I stand for?

Failure to Thrive

400

400

Patient is going home with a new COPD diagnosis and will need home oxygen set up. Who do you refer to prior to discharge home?


Respiratory Therapist

400

400

Who provides the medical update during structured rounds?

Nursing and PCC

400

400

I am a new diabetic and will now be on insulin injections. What should you start to prepare this patient for discharge.

Initiate Insulin Pathway Teaching Checklist


500

500

I am waiting to be assessed by HH for a RAI for my new disposition.

What ALC designation am I?

EAR-LTC

500

500

My abbreviation is PTA. What do I stand for?

Prior to Admission

500

500

Who facilitates complex discharge planning and coordinates with the interdisciplinary team and families?

Care Management Coordinator

500

500

PCC and CMC have gone home for the day and family is inquiring about the EDD. Where can you find the most up to date EDD?


Doctor's progress notes, PCC/CMC handover notes,

500

500

It is Saturday and your patient is going home on IV abx. What is your role and responsibility regarding this discharge?

Home IV patients do not go home on weekends, unless it has been arranged by ID on Friday.

Home IV order present on chart, patient has follow up at Jim Pattison to receive their IV medication.

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