What should a patient's record of stay include upon discharge?

A patient's record of stay upon discharge should comprehensively document the patient's entire experience during their time at the facility. This includes critical information needed for continuity of care and to ensure that the patient’s health information is available for future healthcare providers.

Including the preadmission assessment and medication records is essential because it provides context regarding the patient’s baseline health status and the treatments they received during their stay. This helps any new providers understand the patient's needs and history.

Additionally, interdisciplinary notes and medication administration records are vital components of the discharge documentation. These notes contribute to a holistic view of the patient's care, showcasing the collaborative efforts of various healthcare professionals in managing the patient's needs. Accurate medication administration records are crucial to ensure that patients continue on the correct treatment plan post-discharge.

Therefore, the combination of both preadmission assessments, medication records, interdisciplinary notes, and medication administration creates a complete and effective discharge record that supports ongoing patient care beyond their stay.