DISCHARGING

A PATIENT FROM THE PATIENT CARE

AREA
 Purpose

 To facilitate prompt discharge of patients from

the patient care area.
 Definition of Terms

 Discharge Order
 Instruction from the physician that the patient is to
be released from confinement.


 DAMA (Discharge Against Medical Advice)

 Leaving the hospital at the patient’s or patient’s
representative’s insistence & against the advise
of hospital authorities & attending physician


 Responsible Person/Responsibilities

 Physician
 Clears & orders patient discharge
 Nursing Staff
 Carries out documentation, notification and instructs
patient & significant others home health teachings
 Billing Staff
 Facilitates processing of patient’s hospital accounts
 Housekeeping Aide
 Accompanies a patient to transport vehicle
 Cleans vacated room & all equipment & amenities in
the room
 Procedure
Flowchart Control Measure Person Responsible

Carrying out order for DISCHARGE 5 minutes Nurse

Notifying Physician/s of Discharge 10 minutes Nurse

f return slip for unused pharmaceutical & medical supplies & other charges
15 minutes Nurse/Ward Clerk

B A
 Procedure
Flowchart Control Measure Person Responsible

B A
Philhealth form
Forwarding of

15 Form.
ding of notice of discharge. Prepare Discharge Instruction minutes Nurse/Ward Clerk

30 minutes Billing Staff

Preparation of Bills
Provision of health teachings 10 minutes Doctor/Nurse

Securing of Discharge Clearance 2 minutes Nurse/Clerk/

Nursing Attendant

C
 Procedure
Flowchart Control Measure Person Responsible

Notifying Housekeeping Nurse/Clerk/

5 minutes
Nursing Attendant

Accompanying of patient to transport vehicle 15 minutes Housekeeping

Aide

Note: For DAMA, Nurse & Nursing Attendant will accompany patient to
the vehicle.