Chapter 30: Discharge planning and transfer for children and young people
1. What are the fundamental principles of discharge?
- Assessment, communication, knowledge sharing
- Assess, plan, implement and evaluate
- Situation, background, assessment, recommendation
- Communication, knowledge sharing, planning
2. What is closed loop communication?
- Message interpreted – received by sender – evaluated
- Ensure that discharge cycle is not broken
- All members of MDT are informed of discharge
- Sender transmits message – receiver acknowledges message – sender verifies message
2. What is a simple discharge?
- Child discharged home the same day as admitted to hospital
- A child is discharged home with simple care needs
- No professionals need to be involved in discharge
- A child is discharged home with a chronic illness or exceptional needs
4. What is a complex discharge?
- A child is discharged home with simple health needs
- A Large MDT meeting must take place before discharge takes place
- A child is discharged home with a chronic illness or has exceptional needs with parents providing 24 hour care
- Parents not happy to be discharged home from hospital
5. Why is there an increase in inter-hospital transfers?
- Because of the needs to provide tertiary services regionally
- Because more children are becoming unwell
- Lack of beds
- Lack of staff to look after patients