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May 06, 2010

Hospital Discharge Summary

After reading about what should be included in a hospital discharge summary report from TheHappyHospitalist, I took a closer look at mine.

The discharge instructions given to me was actually quite brief and can be condensed into a one page report, and I have to sign on the report to acknowledge that I have received the instructions:

OB / POST PARTUM
DISCHARGE INSTRUCTIONS

The following instructions are provided for your recovery. Please follow these instructions and call your physician for any complications or questions about your illness.

Your stated you will be discharged to your home. Should we need to reach you, your contact phone number is XXX-XXX-XXXX (home). If possible, have a responsible adult drive you home and stay with you for the remainder of the day and overnight.

CALL YOUR DOCTOR IF YOU EXPERIENCE THE FOLLOWING:
- Fever greater than 101 degrees
- Heavy bright red vaginal discharge that soaks a pad every 1-2 hours
- Severe nausea or vomiting
- Hardness or redness in your breast, with fever
- Lochia (vaginal discharge) that has a bad smell
- Calf or leg pain, redness or swelling in your legs
- Chest pain or shortness of breath
- Trouble, pain or burning when you empty your bladder
- A bad headache or vision changes
- Redness or drainage at the site of your surgery
- if the edges or your surgical site open

Current Discharge Medication List

DISCLAIMER: This list was made with the assumption that the information given by you (or the person with you) is complete and accurate. If you have questions, about any of the home medications, please contact the prescribing physician.

Additional Discharge & Follow-up Orders

Additional Activity Instructions: Continue breast care and No sex, no tampons, no douching, nothing in vagina

Equipment: Your doctor has ordered the following equipment for you to use at home: Breast pump

If you have any questions/problems/or concerns about the equipment please contact your doctor or the appropriate person from the contact list provided in your discharge instructions.

I have received all medications that were brought to the hospital for the purpose of taking my own medications.

I have received and understand these instructions which add to the information that I may have received verbally or printed from my doctor and/or other caregivers.

Signature:

Information given by: XXX XXX, RN on 4/29/2010

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