Hospitalization,Checking,Out,T health Hospitalization - Checking Out

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The day of discharge is usually decided 24 hours before, and thedecision is made by the physician in charge of your case. He or she isthe only person authorized to discharge you. All your questions shouldhave been answered, and you should be fully aware of the outcome ofyour hospital stay and the type and degree of activity in which you caninvolve yourself.Some hospitals have printed sheets of instructions for patientsconvalescing from common disorders or operations. The physician usuallydiscusses all of these subjects with you the day before you aredischarged from the hospital. After this discussion, the physician hasto go to the nursing station to review your hospital record. Thephysician does this every day in order to see any new test results orto read the nursing reports or medicine orders.On the day before discharge, there are additional items thatrequire his or her attention. The order for discharge and the date ofdischarge have to be written on the record. The physician will have tocheck that a careful record has been made of the medication which thepatient needs to continue taking at home and that a prescription forthese drugs has been written. The physician must also add a finaldiagnosis or diagnoses on the face sheet of the record, and dictate asummary of all that has happened during the hospital stay. This latterpiece of information may be compiled by the resident physician and maybe done a few days after you have left the hospital. It is an importantpart of the procedure, particularly if another physician is taking overyour care during convalescence at home.The summary reviews your complete case, records the results ofall the tests, describes any surgical or diagnostic procedures, stateswhat medication you were given or may still be taking, and whattreatment you were given while in the hospital. If any tissues havebeen removed from the body, they are sent for microscopic examinationby a pathologist, and the summary includes the pathologist's report. IFyou received a blood transfusion during your stay, this is alsorecorded on the summary, a copy of which is sent to your familyphysician to become part of your personal medical record.Until the discharge order is written and signed, no patient canlegally leave the hospital or be released by another member of thestaff. Once it is signed, other people on the unit continue thedischarge procedure.The ward clerk will notify the cashier's office, and in manyhospitals the information is passed through a computer so that allareas of the hospital know which patients are being discharged. Thisincludes the information desk, finance department, and the medicalrecords department.On the day of discharge all of the materials involved in yourmedical care are assembled by a nurse who checks that the records arecomplete before sending them down to the medical records departmentafter your release.The ward clerk usually asks you what time you will be leavingand also informs you of the hospital policy for the time of departure.On the morning of discharge, pulse, respiration, and temperatureare recorded as usual, as an additional safeguard. If a patient haseven a slight temperature, he or she may not be discharged. Thisprecaution is necessary to prevent complications after the patient hasgone home.A member of the nursing staff makes sure you have a prescriptionfor medication, which you can collect from the hospital's pharmacy.Once at home, you should make use of a local pharmacy for refills. Thenurse will check that the prescription is correctly dated and signed.The physician may have left instructions for the administration ofmedication before you leave the hospital. Any drugs left on themedicine cart in your name are returned to the pharmacy.A nurse on the unit will help you to dress if you cannot manageon your own. You will then be asked to wait in your room until someonecomes to help you down to the hospital entrance. Even if you arefeeling healthy and fit, you will be asked to sit in a wheelchair forthe journey. Many hospitals have a risk management expert who isemployed full-time to transport patients. This is a wise precaution formany reasons. Even if your hospital stay was short and the condition oroperation minor, you will certainly have spent more time in bed thanusual. Because of this, your muscles will be temporarily weaker. Youmay find that after a walk to the elevator and a standing wait, youfeel weak and dizzy. You may even faint.You are taken in the wheelchair to the main lobby where you cancollect your valuables from the cashier's office and sort out detailsof payment. For weak patients, a member of the security department willdeliver valuables to the room.Discharge Against Medical Advice. Occasionally, a patientdischarges himself or herself against the advice of the physicians. Insuch an event, the patient must sign a form confirming that the actionbeing taken is against medical advice (known as A.M.A.) and that thehospital and medical staff concerned cannot, therefore, be responsiblefor anything that happens afterwards. A.M.A. is obviously a dangerouspractice. The reason is often dissatisfaction about the care you arereceiving. If this is the case, it is safer to ask for anotherphysician to take over your case than to leave the hospital againstadvice. Article Tags: Hospital Stay