https://log.fit-byte.com/templates/post-discharge-checklist
Post-Discharge Checklist Template
Use this worksheet at discharge to capture answers, warning signs, and the steps that must be moved into Care Routine Setup.
How families should use this
Bring this to discharge, ask every question on the sheet, and use the answers to build the care routine. This document is the guidance layer. The Care Routine Setup template is the recording layer.
1. Discharge snapshot
| Patient | Discharge date | Diagnosis / procedure | Primary doctor | Hospital / ward | Next follow-up |
|---|---|---|---|---|---|
2. Questions to ask before leaving the hospital
| Topic | Questions to ask | What answer means | Translate into | Done |
|---|---|---|---|---|
| Medicines | What medicines should be continued, stopped, changed, or started at home? | Defines the exact home dose/timing list and which medicines need monitoring. | Medicine Schedule + Care Routine | □ |
| Red flags | Which symptoms mean call the doctor, and which mean go to emergency immediately? | Creates the critical-care translation for the family. | Care Routine escalation rules | □ |
| Monitoring | What readings need to be taken, at what times, and how often? | Turns discharge advice into measurement timings and frequency. | Measurements section | □ |
| Mobility / wound care | How much movement is allowed? How should wound/device care be done? | Defines physio, support, dressing, and safety steps. | Physio + Care sections | □ |
| Follow-up | When is the next review, what tests are needed, and who should be contacted? | Sets review checkpoints and next actions. | Review notes | □ |
3. Translation into the care routine template
| Discharge answer | Care routine section | What to enter there | Who owns it | Priority |
|---|---|---|---|---|
| Medicines to continue | Medicines | Name, dose, timing, and change notes | Family caregiver | High |
| Readings needed | Measurements | What readings, what times, and frequency | Assigned caregiver | High |
| Emergency warning signs | Escalations | Trigger, action, call order, emergency number | Family lead | High |
| Wound / device care | Care | Dressing, cleaning, device checks, supply list | Primary caregiver | High |
| Mobility restrictions | Physio | What movement is allowed and what to avoid | Caregiver + physio | Medium |
| Follow-up appointments | Review notes | Date, doctor, tests, and preparation items | Family lead | Medium |
4. Questions to confirm before leaving
| Question | Why it matters | Answered? | Needs follow-up |
|---|---|---|---|
| What medicines are absolutely essential today? | Prevents missed or duplicated doses. | □ | □ |
| Which signs mean call the doctor today? | Gives the family a clear first response. | □ | □ |
| Which signs mean go to emergency immediately? | Separates urgent from non-urgent symptoms. | □ | □ |
| What exactly should be recorded at home? | Defines the care routine recording template. | □ | □ |
| Who do we call after hours? | Stops delays when the clinic is closed. | □ | □ |
5. First review after discharge
| Review point | What to check | What changed in the care routine | Completed |
|---|---|---|---|
| Day 1 call | Check medicines, warning signs, and first-night issues | Adjust timing / owner / escalation if needed | □ |
| Day 3 review | Compare symptoms and reading trends | Refine measurements and thresholds | □ |
| Day 7 review | Check recovery progress and concerns | Update care routine priorities | □ |
| Day 14 review | Plan for stable home management or next follow-up | Confirm what can be simplified | □ |