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Discharge Plan

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Identify members of the Multidisciplinary team (at least 4) (in this scenario) and discuss their involvement in the discharge plan of the patient. Please choose the best 4 healthcare members for Charity's Williams case.You are an RN working the 7a-7p shift on a Renal/GI Pediatric Unit in a community hospital.  The Renal/GI Pediatric Unit has 22 beds.  The day staff consists of a Nurse Manager, 6 RNs, 4 PCTs (Patient Care Technicians), a Child Life Specialist, and a Unit Clerk.  Patient rounds with the pediatricians, nurse practitioners, physician specialists, and charge nurse occur daily at 0800.  After rounds, the charge nurse and nurse practitioner meet with the Nutritionist, PT and OT, Child Life, Certified Teacher, Nurse Case Manager and Social Work to discuss each patient's daily plan of care.  A satellite Pharmacist is assigned to the pediatric unit.Charity Williams     Age:  9 yo    Weight:  110 lbs    Admitting Dx:  Gastroesophageal Reflux Disease (GERD), R/O aspiration    PMH:  pneumonia 2x within last year, Cerebral Palsy, developmental delay    CXR:  hazy infiltrate RML    Current medications:  Nexium 10mg PO once a day    Diet:  bland thickened liquid feedings in upright position    02 Sats 96% on 2 L 02 via NC    Hgb 11.4, Hct 36.4    No emesis last night    Abd soft BM x2 yesterday    IV Saline lock    OOB to wheelchair as tolerated        Mother primary caregiver and is overwhelmed with Charity’s care.        Consults:  Surgery to evaluate for Nissen Fundoplication and GT insertion                                Dietary to evaluate caloric needs and feeding frequency
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