General Nursing (RGN)
Discharge of a Patient
The organized process of preparing and releasing a patient from hospital care after authorization for discharge, including education, documentation, return of belongings and arrangements for follow-up care.
Purpose
- Ensure safe and organized discharge.
- Provide continuity of care.
- Ensure required education and documentation are completed.
- Return patient belongings and valuables.
- Prepare the bed for the next patient.
Indications
- Patient with an authorized discharge order.
- Patient medically cleared for discharge.
- Patient who has completed the required inpatient treatment.
Equipment
- Patient's medical records/folder (Manual or electronic)
- Discharge summary/notes (Manual or electronic)
- Patient's medications (if any)
- Patient's personal belongings and valuables
- Wheelchair/stretcher (if needed)
Procedure steps
- Confirm discharge order from the medical team.
- Inform patient and relatives of the discharge.
- Ensure patient has settled bills/insurance claims according to institutional protocol.
- Retrieve patient's valuables and return to patient.
- Complete discharge summary/notes (manually or electronically).
- Educate patient on medication prior to discharge.
- Educate patient on condition and its management.
- Arrange for follow-up appointment/review date.
- Provide referral letter if applicable.
- Assist patient to dress in personal clothing.
- Assist patient to pack belongings.
- Assist patient onto wheelchair/stretcher if necessary.
- Escort/accompany patient to the exit or waiting transport.
- Bid patient and relatives farewell.
- Remove and decontaminate bed linen and accessories.
- Make up bed for next patient.
- Update ward state/discharge book (manually or electronically).
- Document discharge process and time of discharge.
Precautions
- Confirm the discharge order before releasing the patient.
- Ensure the correct patient receives medications, documents and valuables.
- Provide clear medication and follow-up instructions.
- Maintain confidentiality.
- Use appropriate patient-handling techniques.
- Complete discharge documentation accurately.
Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.
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