Clinical documentation - Admissions & Discharges

• Completed in DMR by ICU HMO or registrar
  
• Identify possible discharges the day before if possible
• Patients ready for discharge remain under ICU care until they are discharged
• Patients are sometimes discharged to CCU (~1%) and home (~5%)
• The junior doctors and nurses have clear guidelines as to what needs to happen when a patient is discharged, including a discharge summary, verbal handover, new drug chart and IV fluids when appropriate, and a “time out” to ensure all these things have occurred prior to the patient leaving.