Discharge Documentation

Comprehensive discharge charting and patient education.

For educational use only. Always verify with clinical judgment and facility protocols.

Discharge Documentation

Comprehensive discharge charting and patient education.

Discharge Details

Date / Time

Disposition

Transport

Accompanied By

Condition at Discharge

Level of Consciousness

Pain Score

Vitals

Ambulation Status

Diet Tolerance

Education Completed

Medications reviewedActivity restrictions discussedDiet instructions providedFollow-up appointments reviewedWound care instructionsWhen to call providerWhen to go to EDSmoking cessation (if applicable)

Teach-Back

Medications

Prescriptions providedMedication reconciliation completedNew medications explainedMedication list given to patient

Follow-Up

Appointments Scheduled

Referrals Pending

Lines / Devices Removed

IV access removedFoley catheter removedTelemetry removedWound dressing changed for discharge

Belongings ReturnedPatient / Family Signature

Live Preview

DISCHARGE DOCUMENTATION DISCHARGE: [Date/Time]. Disposition: Home. Transport: Ambulatory. Accompanied by: [Person]. CONDITION: Alert & oriented. Vitals: [Vitals]. Pain: 0. Ambulation: Independent. Diet: Tolerating PO. EDUCATION: [None documented]. Teach-back: Patient verbalized understanding. MEDICATIONS: [None documented]. FOLLOW-UP: [None]. Referrals: [None]. LINES/DEVICES REMOVED: [None].

Tip: Customize the template using the options on the left. The signature [NursingWorksheets.com] is added automatically when you copy.