Discharge

Fitness for discharge
Patient hemodynamically stable
Passed urine and stools after any procedure performed on her or after delivery
In post delivered patients, baby discharge by the neonatologist
In high risk patients, fitness for discharge from the respective specialties
Discharge card
Name of the patient
Address of the patient
Telephone number
OPD and IPD numbers
Name of the respective unit
Date of admission and discharge
Provisional diagnosis
Final diagnosis
Investigations
Condition on admission
Course in ward
Treatment in ward
Condition on discharge
Treatment on discharge
Advise on discharge with proper date and time of next follow up
For antenatal patients, plan of action in case of high risk
For gynaec patients, plan of action written,specially patients who have undergone hysterolaproscopy
On the top of the discharge card, additional information
Photocopy of OT notes, in case any operative procedure performed
Reference sheets from other departments, in case of high risk patients
Registered, unregistered or transferred patients
If transferred, name of the hospital from where the patient has been transferred
JSY card collected or not
TL money collected or not
RGJAY status, if applicable
Signatures of a houseman and registrar on discharge card
Inform the respective ward staff
All papers numbered and arranged in serial order with the indoor paper, before dispatch to the Medical    Record Department. Discharge summary given to the staff with signatures of the registrar or qualified on the indoor paper with date.
All relevant documents handed over to the patient (OPD paper or the casualty paper, discharge card, all the investigation reports for which the patient has paid, original payment reciepts, photocopy of OT notes and reference sheets from other departments
In case of discharge of a patient whose relatives are not available senior AMO has to be informed during routine hours and casualty officer during emergency hours and permission to be taken for the same and serious card issued.
No objection certificate to be taken from police in case of medico legal case
DAMA (Discharge Against Medical Advise)
Ward sister informed
Written call to AMO before 3 PM on routine hours or Casuality Officer after 3 PM in emergency
Inform assistant professor during    working hours and on call lecturer during emergency
DAMA stamp on the front indoor paper and OPD paper and discharge card, with signatures of the ward staff, unit registrar and the patient or the relative’s sign with date and AMO/CO written call number on DAMA
Patient and relative explained
In case of DAMA of serious patient informed consent of the relative has to be taken and high risk of the patient and the consequences has to be explained