Registered Nurses' Association of Ontario

Topics For Discussion at Transition Planning Meetings

Topics For Discussion at Transition Planning Meetings Should at a Minimum Include:

 

■ Client history;

■ Assessments, including functional status;

■ Diagnosis, investigations and results;

■ Medication and allergies;

■ Safety information;

■ Equipment requirements or recommendations;

■ Care needs;

■ Advanced directives;

■ Information and education for the client, their family and caregivers;

■ Consultations and discharge summaries; and

■ Follow-up requirements.

 

Foundational
Care Transitions
Point of Care Resources