Acute Care General Surgery Service DISCHARGE SUMMARY
Patient Name:
MRN:
DOB:
Admission Date:
Discharge Date:
Discharge Disposition: {Home/RH/LTC/lodging}****
Family Physician:
ADMISSION DIAGNOSIS:
OTHER DIAGNOSIS:
DIAGNOSIS AT DISCHARGE:
PROCEDURES IN HOSPITAL:
COURSE IN HOSPITAL:
@NAME@ is a @AGE@ @SEX@ who was admitted to the Acute Care Surgery Service on @ADMITDT@ ****with a diagnosis of ***. Their course in hospital included {chronological list of events in hosp}. Their post operative course was {Complicated/Uncomplicated}. They were discharged on POD X.
At the time of discharge, NAME was at their functional baseline, tolerating a {full/partial/liquid/etc.} diet, and mobilizing {well/poorly/marginally}. Their bloodwork was reviewed and found to be within normal limits.
Indications to return were discussed in detail prior to discharge, including but not limited to signs or symptoms of systemic illness or infection such as fever, worsening pain, inability to tolerate a solid diet, or any worsening of their condition. All of their questions were addressed to their satisfaction prior to discharge, and they were in agreement with the above plan.
They will have follow up with Dr. *** in *** weeks.
SUMMARY OF PLAN:
FU in *** weeks with Dr. ***