https://log.fit-byte.com/templates/post-discharge-checklist
Post-Discharge Checklist Template
Use this at discharge to ask every important question, capture the answers, and convert them into the care routine plan.
When to use this template
- At the hospital discharge counter or before leaving the ward
- When the family needs to understand warning signs and next steps
- When hospital instructions must be translated into home-care actions
- Before the first at-home review with the primary doctor
What you should ask for at discharge
- Medicines to continue, stop, start, or change
- What signs mean doctor call versus emergency
- What to measure at home and at what times
- What activity, wound, diet, or device care is required
- When the next follow-up should happen
How this connects to the care routine
This sheet is the guidance layer. The Care Routine Setup template is where the family records the actual routine: timings, owners, thresholds, and escalation steps.
Family rule to remember
If the family can explain the answer in one sentence, it can go into the care routine. If not, ask the doctor again before leaving.
Filled example (print-style)
| Discharge answer | What family asked | What it means at home | Move into | Done |
|---|---|---|---|---|
| Metformin to continue | When should it be taken and what if food is delayed? | Give after breakfast and after dinner; do not skip without advice. | Medicine Schedule | □ |
| Call doctor if sugar stays above 250 | What should we do first? | Repeat reading, give prescribed protocol, call family lead then doctor. | Escalation rules | □ |
| Walk short distances only | How much movement is safe? | Limit long walks, assist standing, and note pain or dizziness. | Physio / Care | □ |
Care routine transfer: The answers above are not the care routine itself. They are the source data used to build the care routine setup sheet.
Need the blank sheet directly? Open the printable template page: /templates/post-discharge-checklist