Pre-admission planning

For patients that are admitted via the surgical department from an elective list specifically and then experience challenges for discharge, could we better prepare patients preoperatively.  CHIP nurse perhaps in the preop space to plan discharge needs, identify patients assets (i.e social supports, discharge support required, potential equipment).  All of which can be planned whilst on a waiting list.  Interventions in preop space can also include HLO support.

Why the contribution is important

Working in a surgical ward, patients have been on lists for up to 12 months and do not seem prepared for the months after surgery.  Whilst we do traditionally complete preoperative screening - in my experience this information is rarely used to make part of our discharge planning prior to admission.

by Shelley on May 23, 2019 at 11:28AM

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Comments

  • Posted by VelliG May 28, 2019 at 12:17

    For older patients, part of pre-admission could include ACAT assessment and getting the patient pre-approved for a very low-level home care-package from their regions service providers....... On discharge, the patient would just need to be temporarily upgraded to a higher package-level from their regional provider, but could that be pre-arranged by the service provider in response to medical advice from the patients doctor?
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