Social Work Question:
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What is your experience in discharge planning?
Answer:
► Referrals to community resources - must demonstrate knowledge of most common resources, i.e. home health, medical equipment, Title 19, Meals-on-Wheels, mental health services.
► Discharge planning starts with the pre-admission process
► Comprehensive documentation of all activities related to discharge planning, including name and time of any phone calls, meetings or interactions.
► Communication with interdisciplinary team, resident and family
► Coordination of home health and equipment to coincide on day of discharge or earlier if training is necessary on a new piece of equipment, i.e. 4-wheeled walker, glucometer, etc.
► Discharge planning starts with the pre-admission process
► Comprehensive documentation of all activities related to discharge planning, including name and time of any phone calls, meetings or interactions.
► Communication with interdisciplinary team, resident and family
► Coordination of home health and equipment to coincide on day of discharge or earlier if training is necessary on a new piece of equipment, i.e. 4-wheeled walker, glucometer, etc.
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