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Discharge Planning

In this chapter of the Rwandan National Neonatal Protocol, Merab Nyishime will discuss discharge planning. She outlines the four assessments that should be made when deciding whether to discharge a patient, the danger signs that would prevent discharge, examples of infants that would require rendezvous after discharge, and how to model appropriate caregiver discharge counseling.

Released:

June 5, 2019

Audience:

Physicians

Learning Objectives
  • Describe the clinical criteria used to determine neonatal readiness for discharge, including assessment of feeding and hydration, respiratory status, thermoregulation, neurologic stability, and the absence of danger signs.

  • Identify neonatal danger signs that should delay discharge and explain their significance in determining the need for continued monitoring or treatment.

  • Apply discharge criteria to evaluate neonatal readiness for transition from inpatient care to home, using clinical findings related to nutrition, weight gain, temperature control, respiratory stability, and neurologic status.

  • Analyze neonatal case scenarios to determine appropriate discharge planning, follow-up requirements, and identification of infants at increased risk for post-discharge complications.

  • Evaluate caregiver preparedness for discharge by assessing understanding of newborn care, medication administration, warning signs requiring medical attention, and follow-up care requirements.

Author(s)

Merab Nyishime, RN, CO, MSc 

Neonatal Specialist at Partners In Health | Partners in Health

Citation

Nyishime M, Zackin B, Hansen O, Wills K, Hansen A. Rwandan National Neonatal Protocol: Discharge Planning. 6/2019. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/2938/rwandan-national-neonatal-protocol-discharge-planning.

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