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three on Tina and one of the nurses that serum see Im here to do your discharge we have been focusing on preventing readmissions and when we drill down to identify what is it it still balled down to education okay have a few things that I want to go over with you maybe the patients did not understand the discharge instructions if a patient is in pain theyre focused on that alcohol or maybe the primary caregiver was not there when the nurse provided the discharge instructions so the patient got home did not follow through on the treatment plan and then they got rid of it its very important when you give yourself injections that you clean the side the nurse maintains the same discharge process that they were doing but now the one addition is they take in an iPod Touch device and they tell the patient Im going to record my discharge teaching were gonna do is gonna record it so then when the patient gets home they can listen to the audio dr. Morris wants you to be on a consistent car