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RN Nursing · Admissions, Transfers, and Discharge · Practice question

At what point during hospital-based care does planning for discharge begin?

Answer & explanation

Correct: On admission to the hospital

Discharge planning is a process that begins at the moment a client is admitted to the hospital, not at some later point in the stay. Beginning early allows the care team to identify barriers to a safe discharge — such as limited support systems, financial constraints, need for home equipment, or referrals to rehabilitation or skilled nursing facilities — and address them before the day of discharge. Early planning prevents rushed, incomplete arrangements that can lead to readmissions. Waiting until immediately before discharge, after the client has already left, or simply after the client is settled in a room are all too late to coordinate the multidisciplinary resources that safe transitions of care require. The Joint Commission and evidence-based practice guidelines consistently emphasize that discharge planning is an ongoing process integrated throughout the hospitalization, beginning with the initial nursing assessment on admission.

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