MHANC CLP Resident Hospitalization Discharge Procedure p.

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 Residents on NS LIJ MLTC can be discharged only after a member of the resident’s hospital
treatment team speaks with the resident’s NS LIJ MLTC care coordinator.
 A resident’s hospital discharge can be contested with well-founded reason. When contesting
a discharge, request a meeting with the resident’s hospital social worker.

1. Bring the resident’s Foothold medication list to compare it to the hospital’s discharge
medication list.
2. With a social worker or nurse who was on the resident’s treatment team, compare the
hospital’s medication list with the Foothold medication list. Do not let any hospital staffer
rush you. Take ample time to discuss every detail of treatment/medication changes and
hospital discharge instructions.
a. Note any and all discrepancies between the two medication lists.
i. Get clarification on every minute detail of the hospital’s discharge medication
list, e.g., extended release (“ER”) versus regular release, differences in dosage
or administration times. Every detail is important and must be clarified in the
hospital before the hospital treatment team sends any prescriptions to the
proper pharmacy.
b. Learn the reason why any new or slightly different medication or supplement was
prescribed to the resident, i.e., learn of any diagnosis the hospital’s treatment team
may have established.
c. Make sure any necessary supplies (e.g., blood glucose monitoring supplies such as
pen tips, lancets, and test strips), in addition to medications or supplements, are
prescribed and that the prescription is either going to be sent to the proper pharmacy
or given to you.
d. If a prescription from the Foothold medication list is not on the hospital’s discharge
medication list, inquire as to why. Learn if it has been discontinued or if a mistake on
the hospital’s discharge medication list has been made.
i. If a medication that the resident had been on at home is not listed on the
discharge medication list, the medication must be discontinued unless it was
indicated to you that the hospital prescriber intends to have the resident
continue to take the medication or supplement.
1. If a prescription change is not listed on the hospital discharge
medication list and it was indicated to you that the resident is to
continue or discontinue using the prescription, you must make a
General Chart Note in Foothold stating that although the prescription
was not listed on the hospital discharge medication list, it was
indicated to you that the resident is to continue or discontinue the
prescription.
3. Note the last time the resident took (or was given, injected with, etc.) each of his or her
medications.
4. With the resident, review and discuss all of the hospital’s discharge instructions, any new
diagnosis, and any safety and health-related literature provided in the discharge packet.

File Location: F:(MHACOMMON)\CLP Forms\Cushman-Haypath House\Hospitalization Discharge Procedure

MHANC CLP Resident Hospitalization Discharge Procedure p. 2 of 2

5. Discontinue Foothold listed medications if they do not correspond to the hospital’s discharge
medication list.
a. Get advisement from the resident’s outpatient prescribers regarding medication
changes made by the hospital’s treatment team.
6. Make sure the proper pharmacy received any new prescriptions from the hospital including
any supplies.
7. Input or discontinue any prescription changes in Foothold.
8. In Foothold, make a General Chart Note stating that the writer has reviewed and discussed
with the resident all of the hospital’s discharge instructions, any new diagnosis, and any
safety and health-related literature provided in the discharge instruction packet.
a. Include any new diagnosis.
9. Put discharge instructions in the resident’s medication binder.
10. If a prescription is discontinued, write “D/C” on the top of the cap of the prescription bottle
and place the bottle in the D/C lock box.
11. Revise the medication monitoring forms to match the new prescription instructions, e.g.,
write “D/C” in the log for discontinued prescriptions and add new prescriptions by hand in a
blank prescription log. If many changes were made, print the medication monitoring forms
from Foothold after the changes have been made in Foothold.
a. Transcribe onto the new forms any packing notations from the outdated forms, i.e.,
“X”, horizontal lines, and the number of pills packed.
12. Make certain that Foothold’s medication list, the medication monitoring forms, and the
prescription bottles/containers match in all aspects, e.g., strength, dosage, and directions.

File Location: F:(MHACOMMON)\CLP Forms\Cushman-Haypath House\Hospitalization Discharge Procedure