icon. Please keep in mind that information on the PHPCP should be patient-friendly,
phrased to be easily understood by people who don't have medical training.
This form can be completed by a nutritionist. For additional information, see the Overview of Discharge Orders, Instructions, and the Patient Care Referral Form.
To help clinicians recall what will be seen by the patient, each field
with information entered that prints on the Post-Hospital Patient Care
Plan (PHPCP) is flagged with the
icon. Please keep in mind that information on the PHPCP should be patient-friendly,
phrased to be easily understood by people who don't have medical training.
Face Sheet Discharge Orders and Instructions are not available in the newborn nurseries. You cannot access the forms, even if you select a patient from the associated maternity unit lists or from patient lookup.
If you haven't already:
Select the patient and click Face Sheet Discharge (ALT+F) or Discharge (ALT+G).
Click the Nutrition folder to access the form.
Complete the form:
The diet order at discharge selected by the MD fills in automatically.
Current inpatient diet orders are displayed for your information.
If applicable, type a description of the discharge diet recommendation from the patient's MGH dietician.
If the patient requires nutrition follow-up as an outpatient, click to select an option from the Referral Reason for Outpatient Nutrition Follow-up drop-down list.
For pediatric patients only, as applicable, type a description of the total parenteral nutrition (TPN) needed on discharge. To work in a larger text area, click the field, then click Zoom. To return to the order, click OK.
If applicable, for formula feeding, type a description of the recipe. To work in a larger text area, click the field, then click Zoom. To return to the order, click OK.
Type a summary of nutrition services on discharge. To work in a larger text area, click the field, then click Zoom. To return to the order, click OK.
Type a description of the nutrition plan and/or recommendations for follow-up on discharge. To work in a larger text area, click the field, then click Zoom. To return to the order, click OK.
If you would like to check your spelling, click Spell Check. When you have completed the check, click OK to close the Spell Check complete message.
To generate a paper copy, click Print.
Complete other Instructions forms if applicable. See also: Instructions for Discharge Orders and Instructions .
Save the changes, and finalize the orders if the patient is ready for discharge:
Click Save.
Type your signing key in the field provided.
Click Yes or No to indicate whether the patient is ready to be discharged. If Yes, click one or more checkboxes to sign off on the discharge.
Click OK (ALT+O).
If you are saving the orders as final, and an option is selected for the Referral Reason for Outpatient Nutrition Follow-up, you are prompted to print and complete the referral form.
Click the link for the Nutrition Referral Form (PDF) to open the form.
Print the form, complete all fields, and sign. Regulations from the Centers for Medicare & Medicaid require an MD signature for nutrition referrals. The completed referral should be faxed to the Nutrition Department at 617-726-4277.
Click OK (ALT+O) to acknowledge the message.