Policy for the Discharge and transfer of children and young people ...

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• Will ensure that a discharge summary is sent to the children/young people’s healthvisitor/ school nurse. This should be within 24 hours of discharge. Parents can begiven a copy, if available, prior to them leaving the ward.• Have a responsibility, in consultation with medical staff for co-ordinating whichmultidisciplinary team members and agencies need to be involved in the assessmentand discharge/transfer plan for the children/young people. If the child has nursingneeds, the Children’s Community Nurses should be notified as soon as possiblefollowing admission via a Paediatric Community Nursing referral form (Appendix 6 &7). All members of the multidisciplinary team involved in the child or young personscare must also be made aware of any transfer.• Have a responsibility for ensuring that the relevant community nurse/healthvisitor/school nurse is invited to attend any multidisciplinary meetings regardingdischarge or transfer. Adequate notice of such meeting must be given wheneverpossible. The Paediatric Discharge/Liaison Co-Ordinator can be contacted for furtheradvice and support.• Will ensure that transfers of children/young people to other provider units from acutepaediatric services use the same standards as discharges, and that the transferdocumentation (appendix 8) is completed, transport is arranged and personalproperty and the relevant medical records are transferred with the child/youngperson.• Will co-ordinate transport arrangements at the earliest opportunity to ensure that thetiming takes account of the care arrangements made for the day of discharge. Whentransport is required for transfer this will also be arranged by the nursing staff whomust at all times liaise with Patient Transport Services (PTS) ensuring a riskassessment is carried out when considering mode of transport• Should ensure that the children/young people’s carers are involved in assessmentsand discharge or transfer plans. Their views should be sought, recorded andcommunicated with other members of the multidisciplinary team.• Will ensure that, if necessary, the community nursing services have full written detailsof nursing requirements, equipment and disposable supplies required for dischargeand continuing care at home by helping them to complete their nursing assessmentdocumentation. This may be part of the agreed discharge plan or a copy of thedischarge summary.• Should ensure that children/young people and carers are given relevant information,verbally and in writing, regarding medication, follow up services, health educationand where to get help if needed. The guidance for Open Access to the PaediatricWards (Child Health Website -May 2009) should be followed for those who mayrequire this facility.• Should ensure child/young person is discharged from PAS5.7. Role of Paediatric Discharge Liaison5.8. Whilst responsibility for managing discharge remains with the ward, the PaediatricDischarge/Liaison Co-Ordinator will provide assistance/support, where appropriate, inPolicy for the discharge and transfer of children and young people from child healthPage 6 of 38
elation to communication between hospital and community services. The PaediatricDischarge/Liaison Co-Ordinator pathways are detailed in Appendix 9.6. Standards and Practice6.1. Discharge of Children/Young People without continuing healthcareneed6.2. When the hospital admission has been straightforward, discharge planningneed not be elaborate, but must include:• Written information to the GP and Health Visitor/Midwife (under 5’s) and School• Nurse (over 5’s). All parents and carers must be informed of this sharing ofinformation and they must be given the opportunity to let us know if they do not wishthis to happen. This information must be copied to the parents and/or young person• Enter record of admission in parent held record including height and weight.• Appropriate information, in writing, where available for the parents/young personabout any likely after effects and follow on treatment• Provision of written information to parents/carers about medication, including safestorage and side effects. The instructions/advice on the discharge summary isacceptable, as are patient information leaflets.• What to do should their child/young person’s condition deteriorate.• Written point of contact in case of difficulty.• Written arrangements for follow up.• Written and verbal health promotion/illness prevention advice.• Whenever there is information sharing or verbal consent, details should bedocumented in the health record• Discharge Plan and Checklist (Appendix 3) is completed and filed in the child’snotes.• Discharge from PAS6.3. Discharge of Children/Young people with Complex and On-goingHealthcare Requirements6.4. Where there is a more complex hospital episode and/or the child has ongoinghealthcare needs (e.g. long term illness, disability or life limiting conditions) discharge ortransfer planning must include all of the above and, appropriate consideration must begiven to:• Medical information being sought from the previous NHS Trust(s) before dischargewhere a child is admitted to hospital with an ongoing medical problem. (To includeinformation about any social or child protection concerns).• Social Services contact and follow up arrangements.• Primary Care contact and follow up arrangements.• Community Children’s Nursing / Allied Health Professional contact and follow uparrangements - the ward needs to be aware of the roles of these groups, their referralprocesses and the information they will require, prior to discharge, to support childrenwho are discharged with additional needs.• Community Paediatric contact details and follow up• On-going hospital contact and follow up arrangements• Equipment needs.• Parent/Carer’s proficiency in managing their child’s condition and associated needsPolicy for the discharge and transfer of children and young people from child healthPage 7 of 38
Page 5: • Must inform the GP at the earli
Page 9 and 10: When a young person has ongoing car
Page 11 and 12: 7.2. All managers will be aware of
Page 13 and 14: Training Need Identified?Guideline
Page 15 and 16: Appendix 2. Initial Equality Impact
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Page 21 and 22: Appendix 4. Vulnerability Criteria1
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Page 27 and 28: Date first visit requested:Date Vis
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Page 31 and 32: PUPILSNEUROOBS:COMASCALEEyesOpenBes
Page 33 and 34: NURSING REFERRAL FORM - TRANSFER OF
Page 35 and 36: Appendix 9 - Paediatric Discharge L
Page 37 and 38: NEONATALAttend ward regularly to ga

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