Post-Discharge Phone Call — 48 to 72 Hours
Ten minutes, by a nurse, two days after discharge. Medicines, symptoms, appointments, questions. Half of readmissions announce themselves in this call
What it is
A structured follow-up call script and record: identity check, how they are, medicines (each one: taking it, how, problems), symptoms and warning signs, appointments confirmed, questions, actions — with the escalation rule.
Where to use it
Discharge nurse or ward, 48–72 hours after every discharge of a patient at risk of readmission; record filed in the chart. Evidence for: Standard 6 — aftercare (post-discharge follow-up). Evidence for: Standard 6 — aftercare (post-discharge follow-up). Evidence for: Standard 6 — aftercare (post-discharge follow-up). Evidence for: Standard 6 — aftercare (post-discharge follow-up). Evidence for: Standard 6 — aftercare (post-discharge follow-up). Evidence for: Standard 6 — aftercare (post-discharge follow-up).
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Discharge Checklist — Nothing Leaves the Ward Unfinished
Teach-Back — Ask, Explain, Check
My After-Hospital Care Plan
Going Home? Five Questions Before You Leave