ED Discharge Instructions

[vmed]

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Hello everyone! Just wondering if anyone here knows of a good ER Discharge instructions bank available and that is free or low cost. The current hospital I work for has the crappiest ED DC instructions known to man. I want to use different templates...over half of the time I can't even find the appropriate instructions. Any input will be greatly appreciated. Thanks

 

[spyderdoc]

I liked the ones on Micromedex. Used them during residency and when at Kaiser (before health connect times). Not sure if they are still available, but they were great.

I think eMedicine has some as well....Our Ibex system has the Exit Writer DCI built in, so I haven't been using other ones for quite a while....

 

[daveyjwin]

When I was working at an urgent care, there were literally NO discharge instructions available, so I would Google for them.

Typically:

<disease name> discharge instructions drugs.com

Example: "COPD Exacerbation discharge instructions drugs.com"

Then I would favorite the printer friendly version, and I could just open and print whatever it was, as needed.

If that didn't work, you can usually Google something.

 

[deleted109597]

Googling usually gets you drugs.com. They're not bad. It's copyright infringement to cut and paste it, but you can probably use the key points as fair use.

Or you could convince your job to not have terrible canned d/c instructions. Maybe this is what you're trying to do.

 

[Daiphon]

Micromedex is awesome; but not cheap - though your hospital may have it as part of the ThomsonHC suite that includes a lot of things pharmacy tends to use.

Also, UpToDate has a pretty solid (though limited) patient instructions/information dbase.

Not perfect either, but if you can access JAMA you can pull their archives of "patient pages" - single sheet info pages written in layspeak. Covers a lot, but not ED specific. No copyright infringement such as with drugs.com as DMN refers to above. PDF & save on a jumpdrive.

Finally, all your d/c ought to end with something along the lines of: please follow up with your physician/referral in [time frame] as we discussed, and do not hesitate to return to the ED if your symptoms change, worsen, or if you feel you need sooner reevaluation.

Cheers!
-d

Sent from my DROID BIONIC using Tapatalk

 

[jaeida8]

If you have access to MDConsult, there are nice discharge instructions there with both english and spanish versions.