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4Check it Out!
o My Diagnosis, Treatment And It’s Risks Were Clearly Explained To Me Before Discharge. This includes tests, procedures, surgery and care plan in and after the hospital.
o My Questions Were Answered So That I Understood Them. I should not leave the hospital until I understand all aspects of my care including tests and medications.
o After My Questions Were Answered, The Sta Asked Me To Explain My Diagnosis And Plan Of Treatment In My Own Words. I can show that
I understand all aspects of my treatment and care.
o I Received A Written Discharge Summary. This includes the reason for hospitalization, treatment, procedures, medications and prescriptions. This should be clear and easily understood.
o My Pharmacy Has My New Prescriptions before I leave the hospital, and I know how and when to take my new medications.
o I’ve Made a List Of My Medications. This includes any new medications my doctor has prescribed, how and when to take them and if they are safe to take with any other medications. I will tell my doctor about any vitamin supplements or over-the-counter medications I am currently taking. (Use our handy Medicine Minder on pg. 10)
o I’ve Written Down Follow Up Appointments with my doctor or tests I may need after discharge and I know how I am getting to these appointments. (Use our handy NOTES on pg. 11)
o I’ve Asked Questions About My Follow-Up Care such as special restrictions on physical activities, diet or medical supplies that I may need.
o I Know Who To Call and What To Do in case I have questions after I leave.
o I Know What Warning Signs to look for or problems that might slow my recovery.
o I Know If I Have After- Hospital Services Needs for personal care such as help eating, dressing, going to the bathroom, cooking, shopping or doing laundry.
o I’ve Asked My Discharge Planner to nd local support groups or after-care services.
o I Know If I Need Help with Home Healthcare such as keeping up with or getting to doctor appointments, medication reminders, physical therapy, wound care, injections or medical equipment.
o I’ve Asked
If I Will Need
Medical Supplies
Or Equipment. This
includes wheelchairs, hospital bed, oxygen or a walker. I know my approved local Medicare suppliers by visiting: Medicare. gov or calling 1-800 MEDICARE.
o I Know I Can Visit HospitalName.com and log into the Patient Portal to conveniently and securely view test results, request an appointment, view health records, pay my hospital bill and more. Enroll today by visiting HospitalName.com or call 123-456-7899.
Don’t be afraid to ask the sta
or discharge planner to repeat themselves if you don’t understand your discharge instructions!
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CHECK IT OUT! DISCHARGE CHECKLIST