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Reflection

To understand why having MET meetings are Important, and the Importance they have on effective patient care.Structure Membership & Attendance0Technology (availability and use)physical environment of the meeting venue Preparation for MET meetings Organization/administration during MET meetings Clinical Decision Making Case management and clinical decision-making process Team-workingјPatient-centered care/co-ordination of service Team Governance Leadership’s collection, analysis and audit of outcomes Clinical governance Professional development and education of team members

Development and training.So what? MET meetings happen weekly on the ward, usually Fridays as this Is when the appropriate staff are available and patient’s are usually eager to be discharged before the weekend.

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MET meetings can happen for various reasons, such as; change in the patient’s care plan or new diagnostic information. In my case, the MET meeting was to promote discharge, and ensure all professionals caring for the patients were up to date and aware of the care the patient was receiving at the present time.

When It has been determined that a patient Is medically ready for discharge, the lath care team must determine the most appropriate setting for ongoing care. Determinants of the appropriate site of care Involve medical, functional, and social aspects of the patient’s illness. The patient’s acute and chronic medical conditions, potential for rehabilitation, and decision-making capacity must be taken into account. A multidisciplinary team (MET) is composed of members from different healthcare professions with specialized skills and expertise.

The members collaborate together to make treatment recommendations that facilitate quality patient care. Multidisciplinary teams form one aspect of the provision of a streamlined patient journey by developing individual treatment plans that are based on ‘best practice’. Multidisciplinary teams aim to address treatment that is focused on both the physical and psychological needs of the person suffering with the orthopedic condition or illness. The MET meeting took place on the ward, and all members of the team were aware of the time the meeting was taking place so avoid any delays and confusion.

I was asked by my Mentor ( ward manager) If I wanted to fill In her he care we were at with the patients on the ward and what further implementations we felt were needed to promote the patients discharge. Then what? To start off the meeting, I was asked to discuss with the other professionals information about each patient, what they had firstly come to the ward with, what care they were receiving from the nurses, what the doctors had put into place to promote their health, and if they needed any further input from the members in the team present.

It was important that I discussed all relevant information with the there professionals to ensure the appropriate care plans were in place and the patients discharge wasn’t being delayed. Throughout this discussion with the MET members, I was able to give them an estimated discharge data, and also if I felt their intervention was needed. For example; Patient A was awaiting a physiotherapist assessment before going home to ensure that they were safe and felt comfortable with their physical needs (embroiling) at home. In another patients circumstances, they were awaiting a bed at a community hospital.

At this stage, the bed managers in prevention is required. The role of the bed manager was to allocate beds around the different hospitals and ensure that when a bed was made available, the patient was able to go. The medical necessity of continued hospitalizing is primarily determined by the presence of an acute health condition of sufficient severity that ongoing diagnostic or therapeutic intervention, or careful monitoring, is required. However, patients often appropriately remain in the hospital when these criteria are not met, due to the lack of a suitable alternative setting to provide necessary care or other social factors. Mature discharge or discharge to an environment that is not capable of meeting the patient’s medical needs may result in hospital readmission. In addition, early hospital discharge may not lead to overall cost-savings if it results in need for more intense subsequent healthcare utilization, including emergency department or nursing facility visits, as indicated by one observational study comparing patients who received hospital care from a primary care physician with care by a hospitals The period following discharge from the hospital is a vulnerable time for patients.

About half of adults experience a medical error after hospital discharge. This is why it is most important that patients are discharged from hospital safely, confidentially, and any package of care they require is put into place. Discharging patients from the hospital is a complex process that is fraught with challenges. Preventing avoidable rationalizations has the potential to profoundly improve both the quality-of-life for patients and the financial well-being of healthcare systems.

In order for the patient to be deemed safe and ready for discharge to home or to a on-acute environment (rehabilitative, transitional, or chronic care), I took into account the following aspects; Patient cognitive status. The nature of the patient’s current home and suitability for the patient’s conditions (egg, presence of stairways, cleanliness). Availability of family or companion support. Ability to obtain medications and services. Availability of transportation from hospital to home and for follow-up visits. Availability of services in the community to assist the patient with ongoing care.

Approximately three-quarters of hospitalized patients are able to return to their mom environment following discharge. For discharge home, patients, with help from family or other caregivers if available, should be able to; Obtain and self-administer medications. Perform self-care activities. Eat an appropriate diet or otherwise manage nutritional needs. Follow-up with designated providers. Now what? Discharge planning is the development of an individualized discharge plan for the patient prior to leaving the hospital, to ensure that patients are discharged at an appropriate time and with provision of adequate post-discharge services.

Such leaning is a mandatory part of hospital accreditation. Once the patient had been made medically fit for discharge, and all members of the MET were happy for the patient to be discharged, I was then able to commence their discharge process. The discharge process usually requires the following; DES completion by doctors, medications sent to pharmacy and explained to patient, any family/friends made aware of patients discharge, and ensuring any transport is booked for the patient. A challenge I found when carrying out discharge, was the patients medications.

The first tepee is having an accurate medication list at hospital discharge, which depends on the following: From my placement, I have gained important knowledge on the following: Having an accurate pre-admission medication list. Having an accurate list of medications being taken by the patient at the time of discharge. Having knowledge of what medication changes were made during hospitalizing and the reasons for the changes. An example from my placement is; Was a proton-pump inhibitor (PIP) initiated for stress ulcer prophylaxis and therefore no longer required, or is ongoing PIP therapy necessary for treatment of an ulcer?

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