Nurse Facilitated Discharge NFD General Medicine Instructions EXAMPLE

Nurse Facilitated Discharge (NFD) General Medicine Instructions EXAMPLE Doctor to Doctors 1 Document discharge criteria on Nurse Facilitated Discharge form (CR 4743). Note: A Registrar or Consultant must set the criteria for NFD / paste la bel Identify and Inform Patient if intended NFD 2 complete 3 Complete Electronic Discharge Summary (EDS) Write: “This discharge summary is subject to nurse facilitated discharge which may result in an updated discharge summary” in clinical management section of EDS (EDS does not need to be pre-printed). 4 X 10: 00 Sat 13/02/10 or Sun 14/02/10 11: 00 a. m. L)LL Pneumonia Sign prescription 5 Dr. X 12/2/2010 934199 Place NFD Form and prescription in clinical notes Afebrile 24 hours off IV antibiotics 6 Inform Charge Nurse or Coordinator of planned NFD O 2 sats > 90% off oxygen Mobilising independently Charge Nurse or Coordinator 8 Update CHIPS whiteboard: §Go to “pathway” column on CHIPS whiteboard §Click on pathway box for patient specified to be a NFD § Select date/time of intended NFD. Charge Nurse or CNA (after hours) 10 12 X X X GP 6 weeks (after CXR) or earlier if concerns (Flu CXR) Complete if Criteria Met X X X Review Patient indicated by “NFD” on CHIPS whiteboard column Criteria Met 11 a Note: if criteria not met on Saturday, please review on Sunday Criteria NOT Met §Complete NFD 11 b Consider contacting On-Call House Officer form review and /or set additional EDD §Print EDS – OR – §Discharge Complete “Reason for Failure” on NFD Form patient Place completed NFD Form in clinical notes CNA or Charge Nurse 13/02/2010 Example: X 11: 15 a. m. Complete if Criteria NOT Met Spiked temp > 38°C on IV Antibiotics