Nursing Impact
Provider Challenges
Discharge Teaching
100

I'm in the lobby and have a direct bed. The CN doesn't answer their phone. What do I do?

Use the push to talk!

100

Decision making seems delayed with your provider. What should you do?

What is sit near them and discuss plan/nursing thoughts to encourage flow.

100

Your patient is green and ready for discharge, what do you do next?

What is review the instructions prior to printing to make sure education material is added in. (And assure assessment & VS are done)

200

I'm in the lobby and a patient escalates, what should I do?

Use the push to talk! (and call appropriate BST support)

200

Family is waiting for discharge and it's been a while. What should you do?

If you have already messaged the provider, find them for a face to face conversation. If you are too busy ask flow CN for help!

200

You print your discharge papers, what should you do before going in for discharge?

What is review the papers, highlight and underline the most pertinent information. Make sure to show families the callback nurse phone number.

300

My patient seems to be lingering in the ED and I can't figure out the plan. What should I do?

Call a huddle with your provider team and CN if needed.

300

A specialty service is going to consult, but it's taking a long time and the family hasn't been updated. What should you do?

What is huddle/group chat with providers to update the family.

300

What is the most frequent mistake made on discharge papers?

What is the pharmacy their prescription is sent to.

400
My patient has been waiting an hour for US. I know there are many in the department, what should I do?

What is call US to see where your pt is in line for US, communicate with the family, make your team and CN aware if there is a very lengthy delay. It is OK to write an e-feedback- that is how change and improved staffing/resources happen!

400

The patient has not been seen in a long time by a provider, what should you do?

What is face to face communication with provider and document conversation in Provider Notification.

400

You are helping out another nurse by discharging their patient. What should you do?

What is discharge them like they are your own- review all paperwork and answer all questions for families.