"How to" on Discharges at VA

Complete the following steps in this order to ensure info will be accurately reflected on the DIPN.

  • Medication reconciliation
    • The list of outpatient medications at the end of your reconciliation is the final medication discharge list.
    • In the medication tab, transfer new inpatient medications to the outpatient medication list by right-clicking and select ‘Transfer’
    • Select “Pick up at window,” as this will ensure the patient will have the medication prior to leaving the hospital
    • Review the existing outpatient medications to determine if they need to be continued and if the pt has an adequate supply at home - refill meds if necessary
    • Discontinue any outpatient medications that you do not want the pt to continue taking. Right-click and select ‘Discontinue’

 

-  ​​​​​Return to clinic (Primary care)

    • Look at the pt banner to determine where he/she receives primary care (top of screen)
    • PCC codes should start with a location (ex. NA, MU, CA etc) followed by the MD and number which designates the proper primary care physician
    • Place an order for ‘Return to clinic’ with the appropriate physician and be sure to select the date of follow-up
    • PCP, consultants, and office coordinators (RNs) can be cc’d to DC summary by resident

 

-  Complete DIPN

  • The DIPN contains all of the discharge instructions
  • Start a new note and select ‘DIPN’ template. This will open a pre-templated note - follow the prompts and select finish. All sections need to be addressed to proceed.
  • Discharge related orders will generate after you finish the DIPN prompts, which includes vaccinations, removing IV, removing Foley catheter, etc.
  • The DIPN is valid for 24 hrs; thus the DIPN may be pre-signed one day prior. If DIPN is pre-signed, final changes to pt instructions and medications need to be addended.

 

-  Sign the DFF (discharge from facility) order

  • The DFF order is found under the “Discharge Orders” tab in CPRS orders
  • Once all steps are completed, DFF can be signed and pt will be discharged from facility