Patient Information:

Reason for Hospitalization:

Discharge Diagnoses:

Active Hospital Course:

Condition:

Wounds:

Indwelling Devices:

Significant Findings:

Pending Findings:

Procedures and Treatments:

Consultations:

Overnight To-Do:

Nursing:

Patient Instructions:

Family Instructions:

Recommended Outpatient Evaluations/Appointments:

Medication Reconciliation:

Summary by Received:

display/hide references
Reference: #1 Smith, C, Beachy, M, Vasey, A, Langenhan, T, Shiffermiller, J; Evaluation of an Enhanced Discharge Summary Template: Building a Better Handoff Document. Journal of Clinical Outcomes Management. 2017 Dec; 24(12): 542-550.

Result - Copy and paste this output: