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for todays diem and Fabrice charge instructions and this is such an important part of the ER visit it gets closer it gives the patient a plan for when they go home and its also just good patient safety as were sending them back out of our care so why do we need to get better at discharge instructions about 75% of people interviewed so that they dont understand a key component of their discharge instructions and of those many didnt even realize that they had a poor understanding they thought that they had the right direction and thats even more dangerous so there are five parts to the discharge instructions that I want you to remember every time you discharge a patient the diagnosis visit summary home care plan follow-up and return so first off lets talk about diagnosis so this is pretty easy but one thing to remember is that you need to be specific only if you know for sure what the diagnosis is so its not just your best guess for example dont put down viral gastroenteritis if