Choose a discharge order set:
Order Set:

Does the patient have atrial fibrillation or a flutter?


Was the patient on coumadin at any point during his/her visit or will he/she be discharged on coumadin?



Ejection Fraction
Enter ejection fraction: %
Discharge Specific Information
When To Discharge:  Now In AM At/on    If (optional)  Clear

Discharge To: Home with no services
Home with home health            
Skilled nursing facility              
Long term acute care facility   
Other/Facility                             
Clear


Diet: Regular Diabetic calories Cardiac Cardiac Diabetic calories
  Renal Clear Liquid Full Liquid Nothing by Mouth
  other   Clear

Medications: medication reconciliation completed
Referrals
diabetes center diabetes center (education only)
Is this patient an AMI?
(Check for yes)
cardiac rehab
pulmonary rehab
senior resource center wound care clinic asthma clinic occupational therapy
smoking cessation coumadin clinic physical therapy speech-language pathology
outpatient iv services other  
Labs, Tests, and X-Rays:    indication     copies to    
lab/test/x-ray when indication copies to
Follow-up Visits / Consults
visit/consult when additional info
Durable Medical Equipment dropdown
Instructions
instruction
Activity - Resume/Start      
restriction resume/start  
Call If - Who To Call       
Reason to Call Who To Call Call 911
Wound Care
Instruction
Discharge Education
Write the names (or links) of any education that should be included with the discharge bundle. The patient will receive a list that says, "You should have received..."
Education
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