nursing exam questions about "when does discharge begin"

[wcbembe]

Hi, this is my first post, so I hope I'm in the right section.

I'm in nursing school GU med-surg and got a test question related to burns and when discharge planning begins. I answered that it begins after the emergent stage. But the correct answer was that it begins on admission.

My question is this...Is it safe to assume for all tests (including NCLEX), that discharge planning ALWAYS begins on admission?

Thanks for the help!

dpa

[heavencutstma32]

I would say yes, you start thinking about discharge as soon as the person enters the hospital. Thinking about can they move their body enough to go up the stairs? Can they move enough to go around the house, if not do they need to stay longer or some pt eval for assistive devices? Do they have the money for the supplies needed and mess once they get home?

[Bruce_Wayne, ASN, RN]

Discharge planning begins on admission that's what I've been taught so far.

[Wave Watcher]

Yes. Discharge plans begin the minute they are admitted. The whole goal of the plan of care is to get them better and back home.

[EricJRN, MSN, RN]

It's safe to assume that data from any patient's admission assessment could be useful for discharge planning purposes.

[xtxrn, ASN, RN]

I got the same answer in 1985- discharge starts with the admission assessment.

[Mentalageis16]

discharge begins when turkey is fully digested...!

[tech1000]

Yes yes yes. Always at admission.

[mitral]

Yup! I knew exactly where this topic was going from your title, lol. We had this as a med surg ?, and half of the class missed it and grumbled about it.. doesnt seem to make sense at first.

[Soliloquy, MSN, APRN, NP]

I might've put the same answer you put because in my head, you want to make sure that the patient is secure first and no longer in a threatening position. BUt I realize that hospitals don't have the space they use to, the possibility of getting infected in hospitals and having them be liable, etc, just isn't something that hospitals are looking forward to.

Sooo...the quicker you can get the patient out, the better. How can you get this person well enough to leave? And so you start thinking about discharge from the moment they're admitted.

[nurseprnRN, BSN, RN]

even if your patient comes into the er with ems in a full code, there's still info you get from the crew that helps start the discharge plan. where did he live? how was he found? what was he doing? any injuries or meds or family? all part of disch planning.

op, every single time you see that question, the answer will always be the same: discharge planning begins at admission.

[bols27]

discharge begins when turkey is fully digested...!

Discharge begins when turkey is admitted to my mouth.

Pardon the aside, I had to reply to that lol. Yes discharge planning begins the minute they are admitted because that is the exact minute you are trying to get them back home and everything you assess, plan, implement, evaluate, and teach is aimed at getting them back home.