Work with others on the health care team to facilitate the plan of care and various consultations Know and understand your patient, work as their advocate Be aware of their needs, their struggles, and how they work with others You’re … Continued

Make sure these rights are upheld across the board You may need to advocate for them to their loved ones, the physician, or other members of the health care team during different phases of their stay

Discuss treatment options with the health care team and make sure you understand them fully, then the physician (or support staff) will present to the patient The patient and their support system may have few questions when they hear the options initially, and many more later as they have had time to think about things. […]

Care plans / clinical pathways must be initiated upon admission and are complete at discharge Complete an initial evaluation to assess their current situation, read the notes from the health care team to understand what potential needs and realistic goals upon discharge will be, introduce self to patient and support system The clinical pathway evolves […]

The patient and their support system must have all information related to the discharge process as early on as possible Location, contact information (and contact info for after-hours situations), financial information, transportation, follow-up appointments, equipment (ensure understanding of proper use and care) Make sure the  patient has all contact information if they have questions or […]

Consider diagnosis, prescribed treatment recommendations, ability to remain compliant, patient’s understanding of situation, support system available, ability to utilize resources when questions or concerns arise, affordability, level of self care Patient situations differ widely and it is not a “one size fits all” approach

Consider cost when setting up care/resources Is this sustainable? How does their insurance coverage, Medicare, or Medicaid factor in? Do so in a non-judgemental way Speak with the patient and support system about finances, what they can realistically afford and commit to You may need to discuss different options with the rest of the health […]

What kind of equipment or materials will the patient need?  Oxygen, walker, shower chair, adaptive eating utensils Collaborate with other members of the health care team (physical therapy, occupational therapy, and so forth) to incorporate their recommendations The physician may … Continued

Become familiar with your community’s resources that can be helpful to patients attempting to maintain independence Nursing homes, respite care, SNF, home health agencies, Meals on Wheels Consider insurance coverage, Medicare, Medicaid, family support and availability to utilize resources

NCSBN Delegation | ANA: Developing Delegation Skills You will be responsible for delegating tasks to others; nursing assistants, other nurses, and so forth Not all tasks are appropriate to delegate You can only delegate tasks for which you are responsible for Even after you have delegated a task, you are still ultimately responsible for it. […]