Like a proud parent, there comes a time when we must release our patients into the real world, one free from heparin shots, catheters, & miralax (maybe). When your adult patients are ready for discharge, refer to this #POPCoRNtweetorial for a few tips. #POPCoRNet #COVIDPOPCoRN 1/
et’s get them home. Does OT/PT/Speech need to see them? Does the pt have appropriate care at home per recs? Are they going home/assisted living facility, home with services (visiting nurse/OT/PT), SNF, Inpatient Rehab (IRF), LTACH, or another hospital? #POPCoRNtweetorial 2/
Considerations for meds:
Pt education on lovenox/insulin/nebs/inhlaers
Can they afford meds? Refills?
Confirm pharmacy & send 1mo supply (non-opiates)
Pill pack? Let the pharmacy know so they can prep
Going to SNF/IRF on Fri/wknd? Send 3 day supply of controlled substances 3/
Pt education on lovenox/insulin/nebs/inhlaers
Can they afford meds? Refills?
Confirm pharmacy & send 1mo supply (non-opiates)
Pill pack? Let the pharmacy know so they can prep
Going to SNF/IRF on Fri/wknd? Send 3 day supply of controlled substances 3/
Any special services? We are talking about all things home health: OP O2 , BiPAP/CPAP, IV antibiotics. Your case management point person (or social work) will be vital in this process. Lastly, be sure to notify PCP and list on discharge paperwork. #POPCoRNtweetorial 4/
Let’s not forget about last minute procedures. Do they need a foley/drain removed or exchanged? Trach change/supplies? Or PICC line for long term access? Thinking about this early can help prevent an extended hospital stay #POPCoRNtweetorial 5/
Proper follow-up is KEY
Appt w/ PCP (+subspecialists) in 1-2 wks
Telemedicine visits may require coordination
Incidental findings during their stay? Order follow-up scans per Rad recs (esp. if need in <2mo)
With whom should the pt f/up #POPCoRNtweetorial 6/
Appt w/ PCP (+subspecialists) in 1-2 wks
Telemedicine visits may require coordination
Incidental findings during their stay? Order follow-up scans per Rad recs (esp. if need in <2mo)
With whom should the pt f/up #POPCoRNtweetorial 6/
THE discharge:
Msg PCP on important findings (if not automatic thru EMR)
Med rec: remove hospital meds & start appropriate home meds
Take the time to education pt/family on which meds to START, STOP, & HOLD until PCP visit
Talk tailored return precautions #POPCoRNtweetorial 7/
Msg PCP on important findings (if not automatic thru EMR)
Med rec: remove hospital meds & start appropriate home meds
Take the time to education pt/family on which meds to START, STOP, & HOLD until PCP visit
Talk tailored return precautions #POPCoRNtweetorial 7/
That’s it! You successfully admitted, treated, & discharged your pt. Air high-five your neighbor (from 6ft away, obviously). Feel free to check out the Discharge one-pager (static1.squarespace.com/static/5e7e83b…). Find more amazing resources on popcornetwork.org #POPCoRNtweetorial 8/
A special thanks to @robertdaulton for his work on this #tweetorial and look out for a special chest pain in adults #tweetorial for tomorrow (and send us any special requests) 9/x
