Southern Cross Surgical discharge process (Nurses are required to…
Southern Cross Surgical discharge process
Nurses are required to initiate discharge planning soon after a patient is admitted into the hospital for surgery. A client-centered approach is necessary with a student nurse and patient working in partnership to achieve optimal outcomes while working alongside the patient's family and members of the multidisciplinary team (Discharge planning, 2019). Within southern cross the surgeon and anesthetist will determine the length of stay and when to begin the discharge process.
Does the patient require continual care as an outpatient from community services? Are there any potential supports that the patient will require when back home? This could range from district nurse support for management of wounds and drains or if the patient identifies as Maori referrals to Maori support service providers such as Tui Ora. Take into consideration how the patient and supportive family are feeling about being discharged from the hospital. the nurse needs to consider the patient as a whole not just from a physiological point of view, look at the patient's situation from a social, financial, emotional and spiritual point of view and consider the patient's abilities once discharged back home and into the community.
Ensure that all the patients referrals have been completed.
Notify the patient that health providers will make contact with them, or notify them of any appoiments that have been made.
Question the patient to query if they have any problems or concerns about being discharged
Review the patients discharge summary/paperwork. Discuss the outcome of their surgery, and the corrosponding follow up care
Discuss any signs or symptoms that they may experience post-operatively e.g post-op bleeding. In the first instance inform the patient to contact their surgeon, if unable to contact their GP, if after hours go to an after-hours clinic. In the event of an emergency inform the patient to call an ambulance and go to their nearest emergency department.
Inform the patient of follow up appointment's with their surgeon is necessary.
Does the patient have dischage medication perscription to take home ?
Review the script with the patient, educate the patient around medication when appropriate. Make sure that the patient is notified on any adverse reactions or effecs that can potientially occur. Ensure to provide education around the key aspects of the medication use, dosages, when to take it ect, and if it needs to be tak en with food. Patients should aslo be made aware of any medications and herbal remidies that counteract with their medications. Also to avoid the use of heavy machinery.
Make sure that all IV canulas, indwelling catheters, and sutures are removed. If a patient is requiring a PICC line ensure that the necessary referral to outpatients and district nurses have been mafe
Ensure that the patient has transportation home, if nothing avaliable make the necessary arrangements with ACC to conact patient transportation services such as Driving with Daisy.
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Make sure that the patient is feeling reasured and ready for discharge. Enquire as to if they have any further queries and provide education as needed
: educate the patient around activity, diet and wound care post op. E.g inform the patient that they cannot commence physical activity till three weeks after their surgery, to avoid red coloured food, and to avoid beding forward over 90 degrees as this can cause nasal bleeding (Tonsillectomy patients).
Ensure that the patient has seen their anaethetist and surgeon on the day of discharge
The surgeon will discuss the outcome of the surgery with the patient, make sure that there is a nurse present when this occurs.