Discharge summary - Revision history

Aidan at 16:17, 2 February 2022

2022-02-02T16:17:27Z

← Older revision		Revision as of 16:17, 2 February 2022
Line 6:		Line 6:
	# '''Post-Admit Comorbidities'''		# '''Post-Admit Comorbidities'''
	# '''Secondary Diagnoses'''		# '''Secondary Diagnoses'''
			# '''Course In Hospital,''' or Principle Procedure, when applicable
	# '''Principle Procedure''', when applicable, or course in hospital
	# '''~~Other~~ Procedures and Treatments'''		# '''Procedures and Treatments''', if applicable
	# '''Discharge Medications''', including doses		# '''Discharge Medications''', including doses
	## Clearly state dose changes from admission meds and new meds		## Clearly state dose changes from admission meds and new meds

Aidan at 16:10, 2 February 2022

2022-02-02T16:10:33Z

@@ Line 1: / Line 1: @@
-'''1. Date of Admission and Date of Discharge'''
+# '''Date of Admission'''
-'''2. Copies to all relevant Health Care Professional, Institutions'''
+# '''Copies to all relevant Health Care Professional, Institutions''': includes GPs and MDs who have consulted and will follow up
-'''4. Discharge Diagnosis'''
+# '''Discharge Medications''', including doses

Aidan at 20:58, 14 May 2021

2021-05-14T20:58:46Z

← Older revision		Revision as of 20:58, 14 May 2021
Line 3:		Line 3:
	'''2. Copies to all relevant Health Care Professional, Institutions'''		'''2. Copies to all relevant Health Care Professional, Institutions'''

	* GP's		*GP's
	* MD's who have consulted and will follow up		*MD's who have consulted and will follow up

	'''3. Admission Diagnosis'''		'''3. Admission Diagnosis'''
Line 14:		Line 14:
	'''6. Discharge Meds & Doses (clearly state dose changes from admission meds and new meds)'''		'''6. Discharge Meds & Doses (clearly state dose changes from admission meds and new meds)'''

	* Also include medications discontinued, with the reason		*Also include medications discontinued, with the reason

	'''7. Course in Hospital'''		'''7. Course in Hospital'''

	* History (clearly state reason for admission		*History (clearly state reason for admission
	* Investigations / Procedures		*Investigations / Procedures
	* Treatment / Surgery		*Treatment / Surgery
	* Consultants		*Consultants
	* Areas of care (e.g. ICU, CCU)		*Areas of care (e.g. ICU, CCU)

	'''8. Relevant Investigation / Procedures'''		'''8. Relevant Investigation / Procedures'''

	* Echocardiogram		*Echocardiogram
	* Angiogram		*Angiogram
	* Pulmonary Function Tests		*Pulmonary Function Tests
	* Imaging		*Imaging
	* Relevant Blood Tests (e.g. HbA1c if Diabetes)		*Relevant Blood Tests (e.g. HbA1c if Diabetes)

	'''9. ~~Issues~~ ~~& Follow-up Instructions~~'''		'''9. Discharge Plan'''

	* Outline follow up plans clearly including all appointments, investigations arranged, and to be arranged and no-medical follow up (CCA, physiotherapy, social work, etc.)		*Outline follow up plans clearly including all appointments, investigations arranged, and to be arranged and no-medical follow up (CCA, physiotherapy, social work, etc.)
	* Clear instruction on things to follow up after discharge and by who		*Clear instruction on things to follow up after discharge and by who
	* Clear plan for the family physician on all active issues		*Clear plan for the family physician on all active issues

Aidan: Created page with "'''1. Date of Admission and Date of Discharge''' '''2. Copies to all relevant Health Care Professional, Institutions''' * GP's * MD's who have consulted and will follow up..."

2021-02-24T21:02:41Z

Created page with "'''1. Date of Admission and Date of Discharge''' '''2. Copies to all relevant Health Care Professional, Institutions''' * GP's * MD's who have consulted and will follow up..."

New page

'''1. Date of Admission and Date of Discharge'''

'''2. Copies to all relevant Health Care Professional, Institutions'''

* GP's
* MD's who have consulted and will follow up

'''3. Admission Diagnosis'''

'''4. Discharge Diagnosis'''

'''5. Relevant Past Medial History & Past Surgical History'''

'''6. Discharge Meds & Doses (clearly state dose changes from admission meds and new meds)'''

* Also include medications discontinued, with the reason

'''7. Course in Hospital'''

* History (clearly state reason for admission
* Investigations / Procedures
* Treatment / Surgery
* Consultants
* Areas of care (e.g. ICU, CCU)

'''8. Relevant Investigation / Procedures'''

* Echocardiogram
* Angiogram
* Pulmonary Function Tests
* Imaging
* Relevant Blood Tests (e.g. HbA1c if Diabetes)

'''9. Issues & Follow-up Instructions'''

* Outline follow up plans clearly including all appointments, investigations arranged, and to be arranged and no-medical follow up (CCA, physiotherapy, social work, etc.)
* Clear instruction on things to follow up after discharge and by who
* Clear plan for the family physician on all active issues