Based on Nursing/Provider feedback as well as erecord Rounder observation, the following tips were created. 1. Depart -When a patient is ready to be discharged Nursing must first open Depart and click on the Sign/Close button. This will o Add discharging nurses name to the instructions o Save the Patient Summary and the Clinical Summary to the database which allows for it to appear in the Clin Notes section of PowerChart. They will appear in the Housewide Discharge folder, Figure 2. Figure 1: Depart Sign and Close Depart Tips for Nursing Figure 2: Clin Notes Housewide Di h Page 1 of 6
It is then necessary to then open Depart again to Print the instructions. 2. Orders for Next Facility- If the patient is going to be discharged to another facility, it is necessary to fill-in the Orders for Next Facility page in the Discharge Details section of Depart. This section is located in the Provider Only area. If the Provider has started this section, and nursing needs to add additional details, nursing can access/modify the details by clicking on the Discharge Details action item, Figure 3. Figure 3: Discharge Details The Hospital Wide Depart Discharge Form will open. The Orders For Next Facility section of the form can be accessed in two ways o Locate and select the Orders For Next Facility section of the form, Figure 4. Figure 4: Hospital Wide Depart Discharge Form Orders For Next Facility section o Locate the Disposition section of the form. Right-Click on the icon to the right and select GoTo Orders For Next Facility, Figure 5. Page 2 of 6
Figure 5: Hospital Wide Depart Discharge Form Disposition section Once selected, make the appropriate selections/additions and sign the form with the green check-mark, Figure 6. Figure 6: Orders For Next Facility section Note: If you click on a Disposition radio button that has already been completed, you will receive a warning Depart Disposition alert, Figure 7. Selecting Yes will remove previous selection. You must select No and open the Orders for Next Facility using one of the steps outlined above. Page 3 of 6
Figure 7: Depart Disposition alert 3. Sending patients home with instructions on Sliding Scale Insulin-When the patient is going home or to an outside facility on SSI, it is necessary for either the Provider or Nurse to add Patient Instructions via Depart. Click on the Discharge Instructions/Education action item, Figure 8. Figure 8: Discharge Instructions/Education Type Insulin in the Search field. Double-click on the desired Insulin Sliding Scale, Figure 9. Figure 9: Search for desired Insulin Sliding Scale To indicate the Insulin Type and the Coverage schedule in the Home Reference Guide section you must place an x in front of desired selection. Click the Sign/Close button (not shown), Figure 10. Page 4 of 6
Figure 10: Home Reference Guide Note: These instructions will only pull to the Patient Summary. If the patient is going to another facility, it is necessary to print out independently as they do not attach to the clinical summary. 4. Document Medication by Hx- It is imperative that the home medication list is accurate. Nursing must review all medications with the patient and update the list with dose, route, frequency and compliance. There are two types of medications on the list o Documented Medications by Hx- the dose, route, frequency and compliance of these medications can be modified by right-clicking and selecting Modify (not shown). o Prescription- only the Compliance can be modified on these medications. If you need to make corrections to the dose route or frequency you must select right-click and select Complete and then enter the medication using the add button, Figure 11. Figure 11: Document Medications by Hx Prescription Page 5 of 6
If unable to complete the documentation of the home medication list in its entirety, you must select the Leave Med History Incomplete-Finish Later button on the bottom right of the Document Medications by Hx window before clicking the Document History button, Figure 12. Figure 12: Document Medication by Hx Leave Med History Incomplete-Finish Later Page 6 of 6