Download Across care settings

Based on the best available evidence, apply knowledge and an appropriate repertoire of skills
indicative of safe and effective nursing practice: Skill AB82 Planning discharge for an individual patient
or (in community) assessing patients referred to the community nursing team
Skill:
Area of Practice
Module and status
Level:
Skill contributes to NMC Skills
Clusters:
Author:
AB82 Planning discharge for an individual patient or (in
community) assessing patients referred to the community
nursing team
Across care settings
Pre-registration nursing – year 3
6
1 viii ; 7 vii; 9 xvi; 2ix; 2xi; 2xii; 3x; 9xxi; 14x
Kate Devis 2001 (Updated by Louise Goodall, Gill Morrison,
Maureen Walker and Theresa Corkill 2011)
Knowledge required related to skill (should
know):
 Familiarity with the Trust’s discharge policy
and procedures
 Familiarity with current legislation relevant to
discharge of patients from hospital i.e.
Continuing health Care Assessment,
reimbursements, Single Patient Assessment,
Delayed Transfer of Care.
 An understanding of assessment processes
 Policy/ availability of hospital transport
 How and when to organise medication, TTO
drugs, dressings and equipment
Practice descriptor, i.e. can demonstrate skill
used, stating knowledge base and act
appropriately at this level:
 Using discharge planner to commence
discharge planning on admission
 Uses appropriate skills and tools to assess
patients needs in relation to self care
 Discusses plans and engages patients and
carers in discharge planning and care planning
 Uses clinical reasoning in decisions to refer to
multidisciplinary team
 Provides clear relevant written information
when referring to other health and social caring
services
 Recognises patients with potentially complex
discharge needs and refers to the discharge
co-ordinator appropriately
Formal preparatory session:
Where the skill was learnt (e,g, Skills
lab/Clinical setting)
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How and when to refer to members of the
multidisciplinary team including occupational
therapist, physiotherapist, social worker, district
nurse, and community psychiatric nurse
Awareness of the role of outside agencies that
provide services to aid smooth patient discharge
from acute care /continuing care at home e.g.
Help the Aged and ‘Sit & Settle’
Role of the discharge co-ordinator and prevention
of delayed transfer of care
1 viii Demonstrates clinical confidence through
sound knowledge, skills and understanding
relevant to Field.
Checks patients transport arrangements and
books hospital transport if appropriate
Ensures that medications, and any other supplies
needed (e.g. dressings, nutritional supplements)
are available prior to discharge
Ensure patient is provided with information about
their treatment and future plans
Ensures outpatient appointments are booked, the
patient is notified and this is documented in the
patients’ notes
Documents own actions accurately
Ensures all paperwork is completed to NMC
standard
By whom was it was taught
AB82 Planning discharge or assessing patients referred to the community nursing team
Trimester One
N.B. Only one attempt at each skill permitted per Trimester
Skill Assessed and ability to perform the skill at the appropriate level demonstrated
Yes/ No
Skill Assessed and relevant knowledge and understanding of the relevance to practice was Yes/ No
demonstrated
Skill Assessed and the appropriate attitude demonstrated
Yes/ No
Full name of assessor:
Signature of assessor:
Date:
Assessor’s comment*
Trimester Two
N.B. Only one attempt at each skill permitted per Trimester
Skill Assessed and ability to perform the skill at the appropriate level demonstrated
Yes/ No
Skill Assessed and relevant knowledge and understanding of the relevance to practice was Yes/ No
demonstrated
Skill Assessed and the appropriate attitude demonstrated
Yes/ No
Full name of assessor:
Signature of assessor:
Date:
Assessor’s comment*
Trimester Three
N.B. Only one attempt at each skill permitted per Trimester
Skill Assessed and ability to perform the skill at the appropriate level demonstrated
Yes/ No
Skill Assessed and relevant knowledge and understanding of the relevance to practice was Yes/ No
demonstrated
Skill Assessed and the appropriate attitude demonstrated
Yes/ No
Full name of assessor:
Signature of assessor:
Date:
Assessor’s comment *
*Assessor is invited to comment on how well the student performed. If they have been unable to achieve the required standard, give the
reason why and indicate in action plan, the remedial action to be taken.
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