While at work over the weekend, I went "over the top" with my discharge teaching. I left a patient/family member extremely confused with entirely too much information and ended up switching patients, I wanted to do so. Despite trying to change my behavior, I still tend to do this: provide too dang much information. This was one of those occassions.
I guess my questions are as follows: 1). who is doing the discharge teaching in your facilities? 2). to what extent/detail are the nurses performing the discharge teaching?
I learned today, that we are only to teach those interventions that we as nurses provide. All other instruction must come from the appropriate department or doctor.
I have not seen the pharmacist instruct patients very often regarding medications. I have seen an awful lot of passing the buck: "the doc was supposed to do that". I have also seen patients forget what the docs told them due to "too much information, new diagnosis, stress, etc."
Some of our surgery patients don't follow up with their docs for 3 to 6 weeks. I know that some facilities have nurses who call to check on their surgical patients who have already gone home; but this is not available where I work.
Unfortunately, I just learned of a person, discharged from our hospital with limited teaching. It turned out that they had no idea what to expect at home or how to care for themselves. They followed up with their surgeon, but, still remained confused with home self-care. Yes, I understand this is the patient's responsibility to push for clarification; but, what about before the person was discharged? This was one of those people with a 3-6 week follow up appointment.
Any information is appreciated. Thank you to everyone, in advance.