← MA / Nurse Tech Curriculum
Level 2Common Visit Types
Post-Hospital Follow-up Intake
Set up the transition-of-care visit — discharge info, medication changes, and new symptoms.
Beginner~10 min
Learning Objectives
- 1.Collect the information a post-hospital visit needs.
- 2.Reconcile medication changes from discharge.
- 3.Flag new or worsening symptoms since discharge.
Goal
Post-hospital (transition-of-care) visits prevent readmissions. The big risks are medication mix-ups and new symptoms since discharge — your intake surfaces both.
What to collect
- •Why they were hospitalized and when discharged.
- •Discharge medications vs. what they’re actually taking (reconcile carefully).
- •New or worsening symptoms since discharge.
- •Vitals and weight (especially for HF).
- •Discharge paperwork and any pending tests/follow-ups.
Step-by-step
- 1.Confirm identity and the recent hospitalization.
- 2.Reconcile medications against the discharge list.
- 3.Take vitals/weight; ask about new symptoms; flag concerns; document.
Red flags to report immediately
- •New chest pain, worsening shortness of breath, significant weight gain, or confusion about critical meds (e.g., anticoagulant).
Alert
New/worsening cardiac symptoms or a critical medication mix-up after discharge → flag to the nurse/provider.
What NOT to do independently
- •Don’t resolve medication discrepancies yourself — document and flag them.
Scope note
Reconcile and report discrepancies; the provider decides changes.
Documentation tips
- •Note discharge date/reason, med discrepancies found, vitals/weight, and new symptoms.
Checklist
- Reconciled discharge meds vs. actual use.
- Took vitals/weight.
- Asked about new symptoms.
- Flagged discrepancies and red flags.
Knowledge Check Quiz
Disclaimer: This content is for educational purposes only. It is not medical advice, does not replace clinical judgment, and is not a substitute for institutional protocols or certified medical interpreters. No patient health information (PHI) should be entered into this application.