Patients who are informed about their care are more likely to go home from hospital on time.
Make sure you ask your doctors and nurses these questions:
What is the matter with me?
What is going to happen next?
What needs to happen before I can go home?
When am I going to go home?
This Hospital Passport is a guide through your hospital admission, helping you understand the processes and leading you to a stress free, successful discharge. We hope this is a useful tool for you and your family/whānau to use.
The reasons you have been admitted to hospital may impact on your ability to do many things you took for granted before the admission. Think about the issues that might arise on discharge discuss these with the appropriate staff. Our goal is to make sure you have the right information and support in place to help you go home safely.
A well-planned return home can decrease your chance of going back to hospital and help with your recovery.
Please ask the team to walk you through your Passport. They will answer any questions you may have and make sure it works for you.
The date of my admission to hospital:
for my admission to hospital:
Date we are aiming for me to go home (this may change based on your condition):
Confirmed discharge date:
I normally live: ⃝ at home on my own ⃝ at home with others that can help me ⃝ at home with others that are dependent on me for help ⃝ at a retirement village ⃝ in a rest-home:
I intend to be discharged to my home
I have a key support person
Name:
Relationship: Phone:
I have told my family/support person my expected discharge date Arrangements have been made for someone to take me home
I have got outdoor clothes to go home in I have a key to get into my property I know who will help me at home
I will need extra support services
What is really important to me to enjoy my life?
My goals:
Whilst your goals may not all be achievable during your stay these can help us guide your care.
Goal #1:
Goal #2:
Goal #3:
During your hospital admission there are a number of different professionals that may be involved in your care. You may not require every professional on the page. This information is to help you understand who might help you and how.
Diagnose and recommend treatment for your conditions
Assists with your care, promotes wellbeing and independence
Helps you to get moving safely and improve your breathing
Discusses your situation and can advise and educate on a number of practical and legal matters
Occupational Therapist
Promotes your safety and independence with every day tasks within your home
Therapist
Supports you with communication and swallowing disorders
Pharmacist
Ensures that your medicines are right for you and your conditions
Assess and gives advice to make sure that you are eating the right foods to improve or maintain health
Supports you and your family/whānau with any cultural needs
Provides you and your whānau with education and information around specific health needs - diabetes, respiratory and/or cardiac
Provides you and your family/whānau with emotional and spiritual support
Your physical condition may have changed, can you still do these activities on your own and do them safely? Before you leave the hospital, please check whether you can do these activities. Your health-care team can review them with you, if needed. Should you need extra support, we may be able to help organize this.
Getting in/out of a chair
Getting in/out of bed
Getting on/off the toilet
Using stairs
Getting to & from my appointments
Washing my hands & face
Brushing my teeth
Cleaning myself after toileting Bathing (bath/shower)
Can I pull my pants up?
Can I put on a shirt?
Preparing meals
House cleaning
Remembering (dates, appointments)
Other (e.g. managing insulin, oxygen, equipment, etc )
Questions I would like to ask:
If no, do you have anyone who can help you? Can I do this on my own? Support organised
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No
I know what all my medicines are for I know how and when to take all my medicines
I am aware of the side effects of my medicines
I know the changes that have been made to my medicines this admission
I would like to be given information about my medicines - Only New Medications / All Medications
I have discussed my medicines with my: ward pharmacist / nurse / doctor
Staff Member’s Name: Signature: Date:
On discharge:
I would like my medicines in a blister pack (some pharmacies have an additional charge for blister packs)
I would like my prescription faxed to my pharmacy (some pharmacies have an additional charge for receiving faxed prescriptions)
My family/support person is aware of any changes to my medication
My community pharmacy is: Name: Address: Phone/Fax:
Any medicines that have been stopped can be left here or taken to your community pharmacy for appropriate destruction.
See your GP for a new prescription before you run out of medicine. If you have any questions about your medicines after leaving the hospital, talk to your community pharmacist or your GP.
Questions I would like to ask about my medicines:
Visit: https://www.southernhealth.nz/home-as-my-first-choice to download a PDF of local and national community resources.
If you do not have access to the Internet, please ask for a handout of the on Home as my first choice - Community resources booklet.
