Introduce yourself by name and your position, and tell the person the reason for your call: like to call our patients soon after discharge to see how they are doing.” “We Suggested questions to ask: ___________________________________________________________ How are you feeling? Do you have any questions regarding your discharge instructions? Yes _____ No_____ If yes, please document what they are, and what was told to the patient: _______________ __ Our goal is to ALWAYS provide excellent care: Were the people involved in your care professional, friendly and considerate of your needs? Yes_____ No _____ Is there anything we could have done better? _____________________________________ Comments: __________________________________________________________________________ ___ Nurse completing form: __________________________________________ ATTACHMENT #5 Holyoke Medical Center
Introduce yourself by name and your position, and tell the person the reason for your call: “We like to call our patients soon after discharge to see how they are doing.” Suggested questions to ask: How are you feeling? ___________________________________________________________ Do you have any questions regarding your discharge instructions? Yes _____ No_____ If yes, please document what they are, and what was told to the patient: _______________ Our goal is to ALWAYS provide excellent care: Were the people involved in your care professional, friendly and considerate of your needs? Yes_____ No _____ Is there anything we could have done better? _____________________________________ Comments: __________________________________________________________________________ Nurse completing form: __________________________________________ ATTACHMENT #5 Holyoke Medical Center __ ___
STAAR-CCT%20Storybook%20Tools%202012.docx