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Discharge Coordinator

Real-Life Activities

Real-Life Communication

You are the discharge coordinator in the surgery unit of a large hospital. As a nurse, you have been taught that discharge planning begins on the day the patient is admitted. It does not begin on the day that the patient is due to be discharged.

This is so you can have time to locate home medical equipment, sort out insurance issues and set up after-care appointments for the patient in their home community.

However, sometimes things do not work out so smoothly.

You visit a patient who is being discharged from the hospital today. You note that her physician has added a new note to her chart. The doctor wants the patient to go home with certain home medical equipment that is very difficult to locate. It usually takes you several days to round up this type of equipment, but you have only a few hours.

You feel very frustrated. You know that finding the equipment is impossible. You will have to locate the doctor and let her know that you cannot meet this need without a few days notice.

What do you say to the physician?

  • This is ridiculous. Do you think that I have a box full of these gadgets hidden in my office? It'll take me several days to locate one. Next time, give me some warning.
  • Dr. Smith, I note that you have left instructions on Miss Brown's chart that she is to go home with this particular item of home medical equipment. It is impossible for me to locate these items without a few days of notice because they are in short supply. I will not be able to find one today. How would you suggest we handle this situation?
  • Dr. Smith, I am very sorry, but I don't think I will be able to find this piece of home medical equipment that you wanted to send home with Miss Brown. I will do my best and I will look all over the place, but I can't promise. I hope it will work out OK.

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