Table 3 Example of how the medical goals... | Emerald Publishing

Table 3

Example of how the medical goals for discharge-ready needed to be scrutinized according to how, when and by whom

Goals medicine	How?	When?	By whom?
The infection markers are decreasing	Regular/routine blood sampling	According to routine or after the decision at the team round	Nurse
The hemoglobin level is increasing	Regular/routine blood sampling	According to routine or after the decision at the team round	Nurse/assistant nurse
Afebrile	Controls according to routine or if necessary	According to routine or after the decision at the team round	Nurse/assistant nurse
The wound heals as expected	Daily reconciliation with patients and staff	Follow-up at team round	Patient/nurse
Test results and vital signs normalize (expected) or are within the patient’s normal range. Not acute, remaining pathology, is referred further	Controls according to routine	Follow-up at team round, controls according to routine or after assessment	Patient/nurse → external caregivers
The patient is symptom-free	Review of the patients' journal, test results, reconciliation/discussion with staff. If necessary, also reconciliation with relatives/staff in the municipality for information on habitual status	Continuously during the hospital stay, especially when approaching the date for discharge	Nurse/patient/relatives → external caregivers
The pharmaceutical prescription is updated	Review of the patient’s drugs before admission. Reconcile the current drug list with the patients' drugs before admission in the last 6 months/update the medical journal system	Continuously during the hospital stay, especially when approaching the date of discharge-ready	Physician/pharmacist

Goals medicine	How?	When?	By whom?
The infection markers are decreasing	Regular/routine blood sampling	According to routine or after the decision at the team round	Nurse
The hemoglobin level is increasing	Regular/routine blood sampling	According to routine or after the decision at the team round	Nurse/assistant nurse
Afebrile	Controls according to routine or if necessary	According to routine or after the decision at the team round	Nurse/assistant nurse
The wound heals as expected	Daily reconciliation with patients and staff	Follow-up at team round	Patient/nurse
Test results and vital signs normalize (expected) or are within the patient’s normal range. Not acute, remaining pathology, is referred further	Controls according to routine	Follow-up at team round, controls according to routine or after assessment	Patient/nurse → external caregivers
The patient is symptom-free	Review of the patients' journal, test results, reconciliation/discussion with staff. If necessary, also reconciliation with relatives/staff in the municipality for information on habitual status	Continuously during the hospital stay, especially when approaching the date for discharge	Nurse/patient/relatives → external caregivers
The pharmaceutical prescription is updated	Review of the patient’s drugs before admission. Reconcile the current drug list with the patients' drugs before admission in the last 6 months/update the medical journal system	Continuously during the hospital stay, especially when approaching the date of discharge-ready	Physician/pharmacist

Source(s): Authors’ own work