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TABLE 133.1
GENERAL PRINCIPALS OF DISCHARGE INSTRUCTIONS
Heading
Information to include
Patient identifier
Patient name, date of visit
ED information
Discharge
diagnosis
Phone number of ED, practitioner name
Separate header for each diagnosis
Under each diagnosis
Expected course
Potential complications
Indications for when to return
Follow-up
Include name, phone number, and date/time frame to
see each physician, including subspecialist referrals
Medications and Full prescription information, including lay
other treatments
instructions, on all new medications and treatments
Any changes to home medications
Patient/guardian
Signature, relationship to patient, date and time of
signature