Nursing Requirements (Including special diets, feeding <strong>and</strong> dressings)Drugs <strong>and</strong> MedicinesFamily In<strong>for</strong>mationFollow-up treatments <strong>and</strong> appointmentsDate 1. ……………………………………… Time …………………………… Place ………………………………………………Date 2. ……………………………………… Time …………………………… Place ………………………………………………What arrangements have been made <strong>for</strong> transport? …..………………………………………………………………....Please photocopy <strong>and</strong> keep1 copy in notesSignature …………………………………………………Designation ……………………………………………….Date ……………………………………………………….<strong>Policy</strong> <strong>for</strong> <strong>the</strong> <strong>Discharge</strong> <strong>and</strong> Transfer <strong>of</strong> Children <strong>and</strong> Young People from Child HealthPage 34 <strong>of</strong> 38
Appendix 9 – Paediatric <strong>Discharge</strong> Liaison Co-Ordinator PathwayCommunity pr<strong>of</strong>essionals includeHealth Visitors, School Nurses,Community Therapies, Communitynurses <strong>and</strong> communityPaediatricians… <strong>and</strong> any o<strong>the</strong>rcommunity services involved.PATHWAY FOR CHILDREN’S WARDS (HDU, POLKERRIS, HARLYN, FISTRAL)Attend wards to ga<strong>the</strong>r in<strong>for</strong>mation regarding any new admissions <strong>and</strong> on-going casesConsider priority/complexity <strong>of</strong> presenting casesROUTINE PRESENTATIONe.g – non-complex planned admissions,minor infections/injuries, <strong>children</strong> who will not needadditional support after dischargeRe-assess on regular visits to ward<strong>and</strong> review in <strong>the</strong> event <strong>of</strong> anychangeWhere <strong>the</strong>re is no change<strong>and</strong> <strong>the</strong> presentation remainsroutine, discharge should bestraight<strong>for</strong>ward <strong>and</strong>completed without <strong>the</strong>additional need <strong>for</strong> supportfrom <strong>the</strong> Paediatric<strong>Discharge</strong>/Liaison Co-OrdinatorHealth Visitors <strong>and</strong> School Nursesmay not be in<strong>for</strong>med <strong>of</strong> routine, noncomplexadmissions unless <strong>the</strong>yspecifically request to be in<strong>for</strong>medIn <strong>the</strong> event <strong>of</strong>changes topresentation, followpathway <strong>for</strong> ComplexPresentationSafeguardingconcerns identifiedshould be shared by<strong>the</strong> wards with <strong>the</strong>Named Nurse <strong>for</strong>Safeguarding, <strong>and</strong>relevant policies <strong>and</strong>procedures followedChildren meeting <strong>the</strong> Criteria<strong>for</strong> Outreach will besupported by OutreachNurses – e.g. Respiratory,Oncology, Diabetes, etc.These discharges are likely toproceed without additionalneed <strong>for</strong> supportCOMPLEX PRESENTATIONe.g – long term illness, disability, life limiting conditions, or <strong>children</strong>who will require additional support after dischargeWork with <strong>the</strong> wards to ensure any relevant community pr<strong>of</strong>essionalshave been in<strong>for</strong>med <strong>and</strong> this has been documented in ward notes (<strong>and</strong>by <strong>Discharge</strong>/Liaison Co-Ordinator on Electronic Records when available<strong>and</strong> where appropriate, * <strong>for</strong> community notes ensure that any call isfollowed up with email to add to patient community notes.)* Responsibility <strong>for</strong> contacting relevant pr<strong>of</strong>essionals remains with<strong>the</strong> ward, <strong>and</strong> community pr<strong>of</strong>essionals maintain responsibility <strong>for</strong>communication with <strong>the</strong> ward, unless <strong>the</strong>re are specific, significantcomplications that would benefit from intervention by <strong>the</strong> Paediatric<strong>Discharge</strong>/Liaison Co-OrdinatorIt remains <strong>the</strong> responsibility <strong>of</strong> community pr<strong>of</strong>essionals to attend relevantmeetings – in <strong>the</strong> event <strong>of</strong> significant difficulties attending meetings <strong>the</strong>Paediatric <strong>Discharge</strong>/Liaison Co-Ordinator can attend <strong>and</strong> provide feedbackto <strong>the</strong> communityAfter involvement in <strong>Discharge</strong> Planning Meeting, where appropriate,discharge may be followed with a call to <strong>the</strong> family to ensure that <strong>the</strong>discharge plan is being followed <strong>and</strong> to ensure that <strong>the</strong> family have <strong>the</strong>relevant contact details <strong>for</strong> <strong>the</strong> community teams/pr<strong>of</strong>essionals.A follow up meeting in <strong>the</strong> community may also take place if appropriate.If a child is identified as a Looked After Child it is <strong>the</strong> ward/departments responsibility to in<strong>for</strong>m Child in Care Team <strong>of</strong> admission/discharge. Paediatric <strong>Discharge</strong>/Liaison Co-<strong>Policy</strong> <strong>for</strong> <strong>the</strong> <strong>Discharge</strong> <strong>and</strong> Transfer <strong>of</strong> Children <strong>and</strong> Ordinator Young People can from assist Child with Health this <strong>and</strong> will double check that in<strong>for</strong>mation has been sharedPage 35 <strong>of</strong> 38
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