Hospital discharge follow-up

Template

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ReviewedChoose one

CourseChoose one

ExamChoose one

Medication reconciliationChoose one

Medication review add-onsChoose any

Pending resultsChoose one

Home careChoose any

AppointmentsChoose any

DispositionChoose one

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling paragraphChoose oneParagraph

CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Hospital discharge follow-up
• Hospital course, discharge summary, discharge diagnoses, and testing reviewed
• Improving as expected since discharge
• Well appearing, well hydrated, and breathing comfortably today
• Medication reconciliation completed against the discharge list; caregiver able to describe each medication
• Follow up as needed

Recovery at home continues over the next days to weeks, and energy and appetite usually return gradually. Recommended continuing the home care from discharge and keeping any scheduled follow-up appointments. Return precautions given including the symptoms that led to the hospital stay coming back, trouble breathing, poor feeding or drinking, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Pending results at discharge
Medication reconciliation
Home oxygen, feeding and weight, home nursing and equipment, wound care, school re-entry
Specialist appointments, referrals, labs from discharge
Follow-up and reasons
Counseling paragraph

Return precautions in the template

the symptoms that led to the hospital stay coming backtrouble breathingpoor feeding or drinkingfever

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.