Component Task: Discharge of a Psychiatric Patient from The Ward

This is when a patient no longer needs to receive in-patient care and can go home on medication under the authorization of the medical team.

Aims

·         Help the patient re-integrate well with the family and community

·         Continue treatment on out-patient basis

·         Reduce prolonged stay in the hospital

Types

·         Voluntary Discharge

·         Involuntary Discharge

Requirements

a.      Quiet environment

b.      Chairs

c.      Tables

d.      Pen and paper

·         Admission and Discharge documents

·         Admission and Discharge book

·         TPR and BP charts

·         Treatment sheets

·         Inventory/Property book

·         Ward state

·         Report book

·         File movement book

e.      Patient’s medication

Steps

1.        Check physician’s discharge orders

2.      Inform patient and relative(s) about discharge

3.      Allow patient and relative(s) to ask questions

4.      Check whether relative(s) has arranged for transport

5.      Offer assistance as patient dresses and pack all personal belongings

6.      Check inventory book for patient’s property and return if any

7.       Check patient’s room and property room again for any belongings

8.      Educate patient and relative(s) on take home medication(s), desired effects and adverse effects as well as medication(s) compliance

9.      Emphasize the need for follow up care and indicate the date, time and location of the next appointment with the doctor on OPD card

10.    Record the health status of patient on discharge

11.      Educate patient and relative(s) on condition and healthy lifestyle

12.    Ensure patient has settled all bill(s) before leaving the hospital

13.    Send patient to the Psychiatric Social Welfare Department/Community Psychiatric Unit with the relative(s) for continuity of care

14.    Express appreciation to patient and relative (s) and bid them goodbye

15.    Disinfect patient bedside locker, mattress, bed linen etc.

16.    Document patient’s discharge