{"text":"Discharge Charcllict \nAcute Services Division \nNHS \n\\-\\,-J \nGreater Glasgow \nand Clyde \nPatient\u2019s name: \n[ BUROARAINEIY Y \nWard: \n= \n; . 10338654X : tion- \nUnit number: 1o . , Discharge destination: P\u2019S'DW \n- AGNES 08\/09\/1955 - \nCHI number: 39 RENNIE ROAD Estimated Discharge Date (1) 2 \/S \/13 \nRILSYTH _ : . \nGLASGOW G65 9PQ Estimated Discharge Date (2) \/ \/ \nA SFEREREEEER e Final date of discharge -+ 2 \/N )2 \nT \nChecklist Yes N\/A | Initials Comments \nPatient informed L\u2019 (Q \nRelative\/carer informed , @ \nOthers informed: Care Home \nTransport arranged. \nO\ufb01a'ns@ (preferred option) \nAmbulance-1 man\/ 2 man am\/pm \nOther: Flight, Air ambulance etc. \nDischarge medication \nDischarge prescription completed \nCompliance aids e.g. Dossette Box (involve pharmacist) \nMedication received \nMedication explained to patient and\/or relative\/carer \nOwn medication returned to patient \nDressings\/continence aids \n(7 day supply, ensure District Nurse referral completed) \nInformed of discharge \nSocial work\/ Other agencWe h\u2018?\u00e9TB) \n| Physiotherapist \nOccupational Therapist \nDietician \nSpeech and Language Therapist \nClinical Nurse specialist e.g. Care Home Liaison \nLiaison\/ District Nurse\/Practice Nurse \nOther discharge items . \nAccess arrangements (e.g. keys, door entry) \nPatients clothing available for day of discharge ' \nValuables e.g. cashier \nIntravenous cannula removed \nEquipment ordered (inc. walking aids) in place for discharge \nP \u2018. . \nIf unknown at time of discharge state reason \nPart 2 Discharge letter - Required \n- Completed \nO tient clinic appointment e.g. Anticoagulation clinic \u201c \u2018(,;\u2019i\u2018;:*;r\u2018lfu e \nArranged \/Yo follow L1 CNOINLF ILI-)S 13 D 1000 \nAdditional information \/ leaflets \/ factsheets \nTime of Discharge: \nA, \no \n- \ne \n\"\/:\"... Sja\u00a5 llinar \nNurse\u2019s signature: \u2019 \n\u2019(\/\\). \nFORM NUMBER 000575\\2 \nDesignationU\/ f\\\/ \nVI MEDICAL ILLUSTRATICN = DISCHARGE \u00ab 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