II. Precautions

  1. Discuss Discharge Instructions with every patient
    1. Patients often do not understand their Discharge Instructions
    2. Document that provider verbally reviewed Discharge Instructions
    3. Document that questions were answered and the patient understands the discharge plan
    4. Engel (2012) Acad Emerg Med 19(9): E1035-44 +PMID:22978730 [PubMed]
  2. Do not rely solely on generic or pre-printed Discharge Instructions (or on pharmacy pre-printed information)
    1. Pre-printed instructions may offer no benefit over written instructions
    2. Lawrence (2009) Pediatr Emerg Care 25(11):733-8 +PMID:19864969 [PubMed]
  3. Discharge Instructions should be specific
    1. Follow-up within what time frame and with which provider
    2. Return instructions for red flag symptoms, worsening or new, concerning symptoms
    3. Medication additions, discontinuations and precautions

III. References

  1. Delaney (2016) EM:Rap 16(10): 5-6

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