urgent care discharge instructions

Document Sample
urgent care discharge instructions Powered By Docstoc
					                                           These are samples
                                           from other facilities...                                                                                                  Thank you for choosing our
                                                                                                                                                                                     Urgent Care
                                                                                                                                                                       For further assistance call




PATIENT DISCHARGE INSTRUCTIONS
B e n t l a s t h A a l i a l t m l i a                           Plim2gWagatfigsgt
▪ Rest; Drink 8 to 10 glassesofwatereach day.                     et M I * 8 to 10 glasses &water each day.
C t h e a cooltnist vaporizerorhumidifier; makesure
 I                                                                ▪ Take all of amt ilot ic, if prescribed.
    egniputent is clean and wateristreated according to            l
                                                                  E Careful handwashing is importantbecauseyou Ira likely to
    manufacturer'sinstructions.                                        becontagious-
cf Over thecounterdecongestants(like pseudoephedrine)can          ° Over thecounterthroatlozengesmayhelp with pale.
    beusedto relieve nasalcongestion,but mayraisetheblood.        • Yo u maygargle whit warm salt water, Listerine ordrink
    pressure dimple with hypertension (high blood pressure).           immt fluids fbrpahsrelief aswell.
    Mover thecountercoughsuppressactcontaining                                      i t:1
                                                                       Useryienol orlmpe Amfor fever or discomfbrt.
    dextromethorphanmaybeusedto lessencough. Neither              El I f hurts to swallow,rememberfloldsaremoreimportant
    overthecounterorprescription medicineselliecompletely              thansend food.
    stopcoughing.                                                 u See yourphysician In d a y s , if noimprovemem call
ci Avoid smoking,second-bandsmokeorotherairborne                       your O rk i n sooner if yoursymptomsworsen.
    irrkaots.
O Use tylenol or ibuprofen fix fever ordiscomfort.                 1111:1113.1thatilitella
 3
1 Follow up quickly if high fever, pain In sinuses,shortness of   Cl Rest theinjured areaandkeep it elevated.
    breath or pain in chest with deepbreath.                       3
                                                                  L Appl y Ice to the figured area. Use foe for one-half hour
a See yourphysician in t h i l y s , if rtoimprovement; call         periods, allowing one-half hour rest periods between
    yourphysiciansooner if yoursymptomaworsen.                               applications. Avoid direct contact of theice with yourskin,
                                                                             by p n g sometype of cloth material, (le: towel),between
Cat& Punciatreg                                                              the akin andlea_
a Keep r -
t S i t awoundand draining cleanand dry for d e m                  t
                                                                  E See yourphysician in d a y s , if noimprovement
n Change dressing if it becomessoiled orwet. After                   yourphysician sooner if yoursymptomsworsen.
a d _d ays, changedressing daily. Wash areagentlywith
    o u n
W hydrogenperoxideandapply a thin layer of antibiotic             112iMat
d s ointment overthestitches.                                     ▪ T h e results e fts xrays given today are the preliminary
• Call yourphysition in theuttat day ortwo toschedulean                      readings_ if thefinal Muttsshouldbereed difibrentlybythe
    appointment orreturn here In d a y s forsutureremoval                    radiologist,you will be notified.
    or fbrwoundrecheckand/ordressingchange.
a D o notsubmergesuturedwoundin water, (le swim/bathing).

E g g for Sims otinfection
0 Palo andtenderness
0 Excess warmtharound thewound
 3
1 Fever
0 beamed swelling,redness,streaks.
▪ Drohlage or pus film the wound.

    ....11118numkat
  0 Tetanus Mold   0        D.T.     0     Hypertet
    10i                                                           bi=01.• • • • • • • • 1• • • • • • • • • • • • • • • • • • • • • • • • • • • • • moloomM IIM M I



0Amdliary instrottion sheet given

 Mode of discharae
 0 Ambulatory 0 Whcolcb*
 _
 I mtderstand that!Ice my chap, have received emergency roomer, ono
         r      t h
 P cSot d e it c ! e r r e c contact Whi ceke e d
private physician or ,clinic and will o m m e r n d or the clinic al 300
 ,
 If h
 9 yourconditionworsens,ornewsymptomsappear,youshouldcontact your private physician, call or retorn to this hank between
,t           a       t                   I
1 Oand 8 p.m.S ker lgo to theemergencyDepartment or tall 911-
 e-ra.           daily, b k
 O
 m tS a O e
          Ph                e                                                                2
Your signature below Indicates yea have received and underetenti instructions for follow-up 1: re.
a            n
a   p    p     o    i     n    t    m     e    n    t
w          i           t         h
m                  y
 /2007 I                                                                                                               2 004/006




                                                          _
                              se                                    se                                    se anager
     ForassistancecontacttheNur Manager F o r assistancecontacttheNur Manager F o r assistancecontacttheNur M
     Howl;e am. to 8 p.m. daily   H o u r s : 8 a.m. to 10 p.m.daily                          Hours:8 a.m. toBp.m.daily
  ATE             M     N RUCTO
 P I DISCHARGE /HO ECAREI ST  I NS
 0 Get plentyof rest.                                               0 Follow up quickly for a high fever unresponsive to
 0 Take all of yourantibiotics, If prescribed.                         medication,shortness of breath,pain in theabdomen,
                                                                       orseverevomiting.
 O Drink 8 to 10 servings of fluidsdaily.Avoid caffeineand
     alcohol.A 1:1mbdureof waterwith a sportsdrinkworks    =
                                                         1 IConsume a 4
     wellforrehydration,                                     liquid
                                                         c l e a r is any liquid through which you can read a
 El See yourphysician in d a y s if noImprovement        l i newspaper.ThisincludesJe11-0andbroth.
                                                             q u i d
     isnoted. Call yourphysician sooner if yoursymptoms  O Avoid all sexualcontact for d a y s .
                                                         d i e t
     worsen.                                             f Avoid the use of all tampons,douches, or othervaginal
                                                         D o         r
 O Use Tylenol orIbuprofen for feverand/orbodyaches.     2   productsfor d a y s .
                                                                  4
 O Avoid smoking,secondhandsmoke,and otherairborne      • MICROMEDlixCaraNotessheetprovidedatdischarge.
                                                         t
    irritants.                                           o
 ADDM AL I ET  N R                                       4
                                                         8
                                                         h      o
                                                         u      r
                                                         s      .
                                                         A
                                                         c        l
  EE R L         O L W PN O
 R F R A ANDF L O -O I F RMATO        IN                 e        a
       h
     T eurgentcarephysicianhasreco         d
                                     mmen edthatyourconditionbere-evaluatedbyyourprimarycarephysicianor by a
                                                         r
         i
     medcalspecialist.Pleasereviewtheinformationlistedbelowcarefully.PleasecelltheUrgentCareCenter It youhave
      u os
     q esti n aboutthisreco      d o.
                           mmen ati n
                       ecommendedwith: 0 PrimaryCare 0 Pediatrician 0 Orthopedics 0 Ophthalmology
 Consultation/Follow•upr
                                                          erap
                                              CIPhysicalth y C I Establishcartwithprimingphysician
                                     0 Other
  e omme dtimeframeforconsultation: 0 Within 24hours 0 72hours 0 5 days D 1 week 0 Other
 Rc     nde
 Contactinformation: Physician/Provider name
                        Address                                                                   D Physician Referral Service
                                                                                                     1-80041111§116.
                         Tee
                           l phone                                                                0 Cardattached
Diagnosisorcondition:
 C N WE G M N OF    P
A K O L D E E T RECEI T
        and                                          en
Iunderst that I (or my child)havereceivedemerg cytreatmentonly andMat It Isreco            d
                                                                                       mmen edthat I makeanappointmentwithmyprivate
physician,consultant, or clinicandwill contacthis/heroffice orthe clinic assoonaspossible.
   O R ON I I OR E S  E S M TOM P E R OU H L C N A T O R RV TE HY I    A L R EU N
IFY U C DTONW S N ,ORN W Y P SA P A ,Y S OU D O T C Y U P I A P SCIAN,C L O R T R TOTHIS
   C       O      E EA EST ER C OOMORCALL Sit
 FA ILITY,G TOTH N R EM GEN YR               ,
   u
 Yo rsignaturebelowindicates thatyouhave MINH e i l d
 Mese
 ,               P a t            i e n t                 s i
                                                      orRe ponsblePetty
 Unde re le nd t h e s e
                               n s
 I n s t r u c t i o PATIENT INSTRUCTIONS/
   •
 a        n       d          HOME CARE INSTRUCTIONS
Medical Center
 r e c o m m e n d a t i o
 n s
 GASTROINTESTINAL I GENITOURINARY
 f            o            r
 f      o      l    l INFECTIONS-
                           o      w
 u       p
 c      PF a
NWACC4 P OMR            r ()RONAL-OHART1YELLOW•PATIENT
                                   e
 .
- 0 9 / 1 0 / 2 0 0 7 1 4 : 0 3 FAX -411111111111iiiilli                                                                             IJ 005/ 008


                                                                                                   \---
               goollING•gotheatirtmcc,                                                             \
              ,                                                                    Al
                                                                                                   N •-slatitaiwilepeloperent-
              AtatitipM049110                             41111111111
                                                          -4 1 1 1 8 1 1 1 8 1 .
              8kratestisteitimeetatektesethllimer                                                  ,
                                                                   Sf
                                                            ForBeit anee MOW the NUM Mina et • • F o r liSsist      ancecontacttheNurseManager
             -1
              OSSIINSISOSIO-110811151INISOu                                                    o 0
                                                           4144119.101,111111111111011111N -immiglorptionEPIIPIIKENOldrol-
               H
              1 ours:8 a.m. to 8 p.m. daily                 HeuraA am. 113114,7                    .
           P 0 NT S
            AT DI CHARG /HO ECAREINSTRUCTION' l' y .::'.7
               I
               E                E M                         1 d a i ':'                            L
           0 Getplentyof rest.                                                                     e
                                                            H o u r CI Follow up quickly for a higri fever unresponsive to
              1                                                                                    m
                                                            s     :
           0 D notresumeregularphysicalactivityuntilinstructooto do,          - • ,medication,anysigns of Infection at theshe of Injury, or
              1o                                            8                        severepain. e
                 o
               s byyourphysician.
              1                                             a                                      a
                                                                                 In Acoolcompress or ice may beapplied to theInjured site
                  k
               Ta eall of yourantibiotics. If prescribed.                   •
           0 1 yourmedicationsasprescribed.
               Utilize                                      m                                      e
                                                                                     intermittentlyforthefirst 72hoursaftertheInjury.
              1                                             t                            oi        l
                                                                                     Av dsmoking,second hand smoke, and otherairborne
               Drink 8 to 10 servings of fluidsdaily.Avoido   caffeineLent,-        •Irritants.     i
              1 cohol,
               al                              •
           0 1eeyourphOiciariin d a y s if noimprovimeritia
                                                            8                        Retur to thislfacilityIn 24hoursforre•evaluation.
                                                                                            n
               S                                            p           .                          i
              inoted.Call yOirphysiciansoonerif yoursymptomsworsen: • ,Q Please contactourofficeatthenumberlistedaboveforthe
                                                                                                   g
                                                            m             .          final(radiologist's)reading of yourx-ray(s).
           D iUtilizetheappliedspent/ACEwrapasdirected. ,                                          e
                                                            d           a
           0 iUs Tylenoloribuprofenforfeverand/orpain.
                  e                                                              P MICRONEDEXCareNotessheetprovided at discharge.
                                                            i         l                            l
              i
           ADDMOIMLINSTRUCTIONS                             y                                      l
              i                                                                                    P
                                                                                                   O
              i
                                                                                                   S
              i                                                                                    S
              n                                                                                    I
              d                                                                                    S
            E kR A
           R FE R LANDFOLLOW INFORMATION
                                      -UP                                                          m
              e                                                                                    i
           0 The urgent care physician hasrecommendedthal.your/condition be re-evaluated by yourprimary care physician or by a
                                                                                                   e
              k medicalspecialist. Please review the irdomtatkor t ist u d
                                                                                                   r
              4 questionsabout thisrecommendation.
                ,                                           -           •
            Consultation/Follow e f u l l y .
                  b alo w c a r
            - P l e a s e                              c      a 0 Physicaltherapy EtEstablith care with primaryphysician
                                                                     l    l
            up t                                                 D Other. •
                            h         e
            Re c o nde m e
                cU                          for n
            r e omme m dlimeframee consultation: 0 Within:24'hodra, 7 2 hours 0 5 days 0 1 week 0 Other
                           r     g                        t
            Contactinformation: Physician/Providername
            n dC d  e         a            r         e                                                              o PhysicianReferralService
            w C t h : nAddr t
                   i         e
                                               ess
                                                          e         r                                                  1-800-554.9550
            P r i m a f
                  i                                                                                                 0 Cardattached
                                , o
            r yy • C aTelephone u
            Di eh
            r agnosisorconagion:  a                v              e
            • M W I SEMENTOFRECEI T
            ACI O LO                              P
            0        and                                                             l
             Iunderst that1(or my child)havereceivedemergencytreatinentOny,andltiat It isreco            d
                                                                                                     mmen edthat I makeanappointmentwithmy private
             physician,consultant, or clinic andwill contacthiS/heroffice Otte allritcas,sconaspossible.
            P e d i
                OU ON I I           OR E S          E Y P S PE R                            O T C Y U RV TE HY I
             IFY RC DTONW S N ,ORN WS M TOM A P A ,YOUltittiElC N A T O RP I A P SCIAN,C L ORR T R ToTHIS                  A L EU N
             mciLrry, r O i E R S M R E C R
            a t GOT TUEN A E TE E G N Y OOMORCALL,1111,.          .
             Y i          a n
            coursignature belowIndicates thatyouhavereceivedandtilderatandlitetailostrections andrecommendations for follow
             ,
            0 ine s
             W
             - t s            P a t i e n t ' orResponsiblePorty
                       r
            O c a r e .t
             up
            h         o                         PATIENT INSTRUCTiONS1
            p         e                  • HOME CARE INSTRUCTIONS
          Mecucal Center
          --d         i      c
            s
                               SPRAIN / STRAIN / •
            I
                             INJURY / FRACTURE
            n
           a . MULP Fp0 0 1 O N I O N & - °HAAT /Y LLO -PATIENT
          a O1
            t41          1
                     P 1 11                                   E W
            h          t
                                                                                                                     003/ 008




                                                                                        :
                                                                                       11


            ancecontacttheNurseManager F o r assist _contactthe Nuns Manager
    Forassist                                     ance                                          SIIN   c
                                                                                            ForE SSE I acontacttheNurseManager
                                            -—                                                                          -•
    Hours:8 a.m. to 8 p.m.daily H o u r s : a a.m. to 10 p.m.daily                          Hours:8 a.m. to 8 p.m.daily
  ATI NT CHARGE / HOMECAREINSTRUCTIONS
 P E DIS
 0 Keep the woundstrictly cleananddry for d a y s .         0           u
                                                                      Yo receivedtetanus immunization:
• Do notr   esumeregularphysicalactivityuntilinstructedtodoso         0 Tetanus teal ID D.T. 0 itypertet
     y
   b yourphysician.                                                   Utilizetheappliedsplint/ACEwrapasdirected.
o Take all otyourantibiotics,if prescribed,             0               hn e                    c s
                                                                      C a g thedressing if itbe ome soiled orwet.After
11Woundsmaybecleanedgentlywithhy oge peroxide.Athin
 :                                        dr n                        days,changethedressingdaily,
   layerofantibioticointmentmaybeapplieddaily,butonlyforthe             O               ge
                                                                      D NOTsubmer thewound in water,especiallyanopen
   firstthr daysafterInjury
           ee                                                           our e
                                                                      s c ofwatersuchasalakeorpond.
0 See yourphysician in d a y s if noimpr            ovement is        Callyourphysician in the next 48 hours to schedulean
        d,
   note Callyourphysiciansoonerif yours mptomsworsen.
                                            y                           ppoi nt
                                                                      a ntme orreturnherein d a y s forsutureremoval.
O Use Tylenoloribupr forfeverand/orpain,
                       ofen                                             e n                        s
                                                                      R tur tothisfacilityin 24hour forre-valuation.
                                                                        l                                r
                                                                      Peasecontactourofficeatthenumbe listedaboveforthefinal
OFollowupquicklyfor ahighfeverunr       esponsivetomedication,        (radiologist's)readingofyourimay(s),
     ny
   a signsofInfectionatthesiteofinjury,orseverepain,
                                                                        I        DE o
                                                                      MCRONE XCor Holessheetprovidedat discharge.
ADDMODALINSTRUCTIONS




 E RA                    -DP
R FE R LANDFOLLOW INFORMATION
0 The urgent care physician hasrecommendedthat yourconditionbere-evaluated byyourprimary corephysician or by a
    medicalspecialist. Please review theintormation listed below carefully. Please call the Urgent CaraCarnet if Youhave
    questionsabout thisrecommendation.
                      ecommendedwith: 0 PrimaryCare 0 Pediatrician 0 Orthopedics 0 Ophthalmology
Consultation/Follow-upr
                                          0 Physicaltherapy 0 Establish sorewith Omits physician
                                          CIOther
 e omme dtimeframeforconsultation: 0 Within 24hours 0 72hours 0 5 days 0 1week 0 Other
Rc        nde
ContactInformation: Physician/Providername
                        Addr s
                            es                                                              OPhysicianReferralService
                                                                                                1-800-
                                                                                               ElCardattached
                            l phone
                          Tee
Diagnosisorcondition:
 MN
A E LEDO U T RECEIPT
        and                   ave           en
 Iunderst thatl (or my child)h receivedemerg cytreatmentonlyandthat it Isreco    d
                                                                             mmen edthat I makeanappointmentwithmyprivate
     s i n,                                                        oon
 phy ica consultantorclinicandwillcontacthis/herofficeortheclinicass aspossible.
    O R ON I I      OR E S        E Y P OM P E R OU H U D O T C Y U R A HY I
 IFY U C DTONW S N ,ORN WS M T SA P A ,Y S O L C N A T O RP N TEP SCIAN,C L O R T R T NIS        A L R EU N O
    CLT , O O       E R S MR E C R
 FA I I YG T MIEN A E TE E G N Y OOMORC L 911. , AL
   our                o          ou                nd     r ta
 Y swoon belowtodl otoathaty havereceiveda undes ndthoseMet:actionsandr c             ndao
                                                                                e omme ti nslertallow-up OM
 Wayne           P    a      t    i   e     n     t     or Responsible Party

                              PATIENT INSTRUCTIONS/
                             HOME CARE INSTRUCTIONS
MedicalCentel.
- —
             CUTS / PUNCTURES /
              SUTURED WOUNDS
611511
-
01: 074
09/ 10/ 2007 1 4 : 0 3 FAX e l l I O M M e t t i t                                                                            008/ 008




         111
         §11
                  an
         Forassist cecontacttheNurseManager        •For est/Stance                              Foraisistance contactthe tirursaMenager
         11r i u i
          i i i                                                  , 41111111...MIte            ALU           8
         1 o rs:8 a.m. to 8 p.m,daily              ,
          H1 1
          uu                                               urs
                                                     H onte :                                       a
                                                                                              F Hours*m, to 8 p.m.daily
                                                   _co
       ATIE1 aCHARGE / HOMECAREINSTRUCTIONS '' • ' I
      P 0 NTDIS
                                                   c tt %h e
          F                                                                                   k         '
         011                                            t
                                                                       • Follow up quickly for a high fever unresponsive to
                                                   Np u p r
      0 Dot plentyof rest.
          x                                              r
         1
      0 Do notresumetheuseof contactlensesuntild eatoldoso•
                                                   s  told     t           medication,anysuddenchangein vision,severedizziness,
         .
          byyourphysician.                         M y a n               ,headache,orseverepainintheeye.
         1
         Ta eall ofyourantibiotics, If prescribed. a g e
            kl                                                             Utilizetheappliedeyepatchforaperiodof 24hours,
         bi
      0 Utilize youreyedrops/ointmentasprescribed.
         a                                         r                • b A warmcompressmaybeappliedtotheeyeasneeded.
            dnk
          D 8 to 10 servings of fluidsdaily.Avoidcaffeineand 0 Avoid smoking,secondhand smoke, and otherairborne
          alcohol.                                             irritants.
      0 See yourphytician in d a Y s If noImprovementIs        :3     n
                                                              r ,,Retur to thisfaclityin 24hoursforre-evaluation,
             d.                              y
         note CallyolkphysiciansoonerIf yours mptomsworsen,. 0 , FollowupwithopMhalmologistwithin 24hoursis strongly
      0 Use TylenolorIbuprofenforfeverand/orpain. r a c o m m a n d e d .
                                                              0 MICROMEDIFit CareNotessheetprovided at discharge.
         TO
      ADDI I NALINSTRUCTIONS




       E RA                    -UP
      R FE R LANDFOLLOW INFORMATION
      El The urgent care physician hasrecommendedthat yourcondition be reevaluated byyourprimary care physician or by a
          medicalspecialist. Please review theWM1011011listed below carefully. Please call theUrgent OarsCenter if you have
          questionsaboutthisrecommendation.
                            ecommendedwith: 0 PrimaryCare C I pediatrician 0 Orthopedics 0 Ophthalmology
      Consultation/follow-upr
                                                 Physicaltherapy 0 Establish care with primaryphysician
                                                     0 Other   •
       e omme dtimeframeforconsultation: 1 0 Within 24hours D 72hours 0 5 days 0 1 week D Other
      Rc       nde
      Contactinformation: Physician/Providername
                             Address                                                CI Physician Referral Service
                                                                                        1-80041101181k

                                Telephone                                                             In Card attached
      Diagnosis or condition:
     -
     Aunderstandthat I (or mychild)havereceivedemergencytreatmentonlyandthat It Isrecommendedthat Imakeanappointmentwithmyprivate
       I
          sca ons nt,                      onta t                      oon
       phy i i n,c ona orclinicandwillc c W e officeortheclinicass aspossible.
     C Y URCONDITIONW SENS,ORNEWSYMPTOMSAPPEAR,YOLPSNDILDC N A TY RPRIVATEPHYSICIAN,CALLORRE URNTOTHIS
       IF O                 OR                                             O T C OU                                 T
         A IIY O            E R S M R N Y OOMORDLL ' .
       F CLT 00T THEN A E TE E GE C R                    ,
     K
         u                                                                                          ions
       Yo rsignature belowindloetaa thatyouhavereceivedandanderstandibestInstructionsandrecommendat tor follow-upcare.
     N OWS 0 8 1 1 8 1 1 t or-RalasnsibisPasty
       W
     O
     W                                PATIENT INSTRUCTfONel
      medical Center               HOMECAREINSIRUCTIOOS'
     L
     E
                      EYE PAIN / INJURY / •
     D                      INFECTIONS
     G                             "(Flamm - maga' b711111hr • PATIENT
     E

				
DOCUMENT INFO
Description: self explanatory, discharge instructions for the urgent care patient.
BUY THIS DOCUMENT NOW PRICE: $6 100% MONEY BACK GUARANTEED
PARTNER Compliance  Doctor
THE COMPLIANCE DOCTOR, LLC is a consulting firm that offers services to assist health care professionals at the task(s) of state licensing, National Accreditation, as well as Medicare Certifications in any outpatient, ambulatory type of business. We assist the client by providing them leadership and consultation along the labored process of the regulatory world in health care. There is never a job too small, nor too big, we can handle them all.