Q&A: Discharge lounges

Q. What should hospitals bear in mind if opting to use discharge lounges for patients rather than keeping them in a bed until their ride arrives?

A. Many discussions have been had regarding a discharge lounge where patients wait for a ride or for prescriptions to be filled. Ask the following questions to determine whether the risks of this service may outweigh the benefits:

• Which patients are safe to be sent to an non-official area of the hospital?
• Who staffs the lounge (e.g., nurses, volunteers, aides)?
• What happens if there is a delay in leaving past the time of the patient’s next scheduled medication?
• What happens if the patient has an unstable event, falls, or misses a meal?

Through these questions, you can surmise that I do not believe ‘discharge lounges’ are worth the risk to the patient and to the liability of the hospital. Early and effective discharge planning should ameliorate the need for a ‘holding’ pattern during discharge.

For more information, see Discharge Planning Guide: Tools for Compliance, Fourth Edition.

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