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Discharge Planning Clearly states that the plan should be Clearly states that the plan should be Did

ld be Did not collaborate with the Did not perform


collaborated with the family or SO. The collaborated with the family or SO. family or SO. Did not Discharge Planning
Score________
plan must describe what life at home will The plan somehow describes what life describe what life at home
be like. Reviewed home medications at home will be like. Reviewed home will be like. Presented only
correctly as to the dose and timing. medications as to the dose and timing the home medications
Highlight all warning signs and problems, with some minor mistakes. Some of without reviewing them with
state whom to contact if ever problems the warning signs and problems were the family. Warning signs
arise, explain test results, and schedule a mentioned, state whom to contact if and problems not presented.
follow-up visit or appointment. ever problems arise, explain test Forgot to schedule a follow-
results, and schedule a follow-up visit up visit.
or appointment.

Nursing Procedures Correctly and systematically presented Correctly and systematically presented Incorrectly presented the Did not perform any
the step-by-step procedure if needed by the step-by-step procedure if needed step-by-step procedure if Nursing Procedure
Score________
the patient. Must mention the by the patient. Mention the needed by the patient. No
preparations, materials needed for the preparations, materials needed for the mentions of the
procedure. Approach the patient with procedure with minor corrections. preparations, materials
proper courtesy, respect the patient’s Approach the patient with proper needed for the procedure
decision, do proper nursing courtesy, respect the patient’s with minor corrections.
documentation before and after the decision, do proper nursing Improper courtesy, do not
procedure. documentation before and after the respect the patient’s
procedure. decision, nursing
documentation is
inappropriate

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