Discharge Checklist

Confirm the follow up MD
- Usually the first attending who saw the patient
- Ask if patient was seen by Dr. CM
- Ask if you are unsure
Place Continuing Care VGH order (preferred over Referral order)
- Location = VGH Stroke Prevention
- Requested Provider = Follow up MD
- Post Discharge = Yes
Reorder tests for outpatient (all pending inpatient tests will be cancelled)
- Supervisor/Ordering MD = Follow up MD
- If unable to set Ordering MD, add Follow up MD to CC list
- Future visit = Yes
- Outpatient (if this can be set)
Tidy the diagnosis list
- Campground rules: leave it better than you found it
- Write so any doctor can understand without guesswork (full spellings, ordinary terms)
- Set important diagnoses to ‘Chronic’ so they will appear on the past medical history (e.g. ischemic strokes, intracerebral hemorrhage, atrial fibrillation, etc.)
- Update Display As to be as informative as possible
- Start with the main diagnosis name, then use commas to add details
  - Ischemic stroke, right MCA, secondary to atrial fibrillation, S/P TPA is better than R MCA occlusion
  - Intracerebral hemorrhage, right lentiform, secondary to hypertension is better than BG HTN ICH
Write the discharge summary*
- Write a good title e.g. Stroke Discharge – Ischemic stroke, new atrial fibrillation
- Distribute to Follow Up MD (they won’t get a copy otherwise)

Operations