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If you are an advanced practice nurse and providing care to a patient, authoring a discharge summary on your own is well within your scope of practice under your state nurse practice act and its rules.
A discharge summary plays a crucial role in keeping patients safe after leaving a hospital. As an Advances in Patient Safety report notes, Hospital discharge summaries serve as the primary documents communicating a patients care plan to the post-hospital care team.
A discharge summary will have been written by the doctor who was responsible for your care while you were in hospital. This is so your GP knows what tests and treatment youve had.
Before discharge, patients spend an average of 20 minutes speaking remotely with medical students, freeing up emergency medicine doctors and nurses to attend to other sick patients.
If you are an advanced practice nurse and providing care to a patient, authoring a discharge summary on your own is well within your scope of practice under your state nurse practice act and its rules.
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Typically, when youre discharged from the hospital, a discharge planner or team will meet with you to go over the information you need before you go home. Theyll provide a set of hospital discharge papers to you, which will list all the procedures and treatments that you received during your hospital stay.
It is their responsibility to ensure policies are implemented and the necessary systems and procedures are in place to allow for effective discharge planning. They must also ensure communication with the patient and their parent/carer regarding the process and estimated discharge date.
Regardless of the reason, when at all possible, the patient and caregiver must be given the reason and advanced notice of the discharge. It is the responsibility of the Nurse Care Coordinator or the RN managing the patients care to coordinate and document the discharge summary.