Checklist

Safe Discharge Checklist & Family Communication Script

An interactive, saveable discharge checklist that pairs clinical tasks with family-facing communication prompts, teach-back verification, medication reconciliation fields, red-flag counseling, and follow-up scheduling.

Interactive Tool

Safe Discharge Checklist & Family Communication Script

Use this interactive checklist to confirm clinical tasks, verify patient and caregiver understanding using teach-back, document medication reconciliation, and schedule reliable follow-up. Complete every required item before the patient leaves and save a copy to the chart and to the patient/caregiver.

Full name as recorded in the chart.
Use local date/time format.
Include prescriptions, OTC meds, and supplements.
Document omitted, extra, or changed meds and the plan to resolve.
Include reasons and expected side effects.
Provide dosing, timing, and indication for each med.
Record what the patient said or demonstrated and any clarifications given.
Include specialty, date/time, and clinic phone number.
List each appointment (clinic, date/time, phone) or write 'none' if not required.
Typical check at 48–72 hours for high-risk patients.
If scheduled, enter date/time; otherwise leave blank.
Use your local risk-stratification criteria if available.
Social work, home health, equipment needs, insurance or transport notes.
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