Attendance
Primary medicine team should notify patients and their families of discharge plan and place IDP order
Late call resident of each general medicine color team should attend 3:30 DC rounds on 10W
Report on discharge planning for the whole team (A/B) for patients on 10W, 10C, 9W
If you cannot make it to rounds (e.g. sick patient), please group text Debbie Kim | 917-796-2404, Victoria Emery | 646-965-3829, and Allison Falkenberg | 646-831-8259 to report that you will be absent. Send your updates or have your intern attend in your place.
If there are changes or updates from PM rounds, please notify the appropriate social worker as soon as possible (e.g. DC canceled, transportation needs to be delayed, etc.)
Resident Script
Introduce yourself and your team
Identify patients that are expected to leave in the next 24 hours by stating their name and unit location (e.g. John Smith on 9W)
Report what needs are pending for discharge (e.g. CT scan, INR, PT eval, etc.)
Report whether they can leave before 12pm the next day (DBN) or later in the day including the reason why not (note: goal to discharge all patients before noon if possible)
Report whether patient can leave on their own or if will need transport (e.g. ambulette, ambulance)
What SW Needs to Know (Details)
new BIPAP, CPAP, or O2 (with liters per min)
TPN/PPN (mildline/PICC needs to be placed prior to DC)
IV antibiotics (specify treatment course; mildline/PICC needs to be placed prior to DC)
new feeding tube or ostomy (needs RN teaching)
new lovenox (resident/intern must confirm with pharmacy/insurance, and patient needs RN teaching)
wound care (specific orders; note, VNS can only visit once daily)
PleurX catheters (patient needs teaching by CT surgery, and orders must be placed 24h prior to DC)
wound vac (forms need to be completed 2 days prior to DC)
undomiciled patient (need shelter forms 24h prior to DC)
CVS meds to beds (e-prescribe to 5772 at least 2 hours prior to DC or day before for DBN)
undocumented/uninsured patient (for SW to get meds must e-prescribe to Icahn Pharmacy at least 2 hours prior to DC)
needs dialysis on day of DC (call renal to schedule 1st shift for day of DC)
home care services (DC summary must be shared by 2pm day prior to DC)