| Course | PA 612 Clinical Clerkship - Internal Medicine |
|---|---|
| Week | 8 |
| Paper type | Discharge checklist |
| Length | About 570 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 612 Week 8
Day of Discharge Checklist for W.H. on March 13: Each Item With an Owner, a Time, What It Depends On and Whether It Is Done, Ordered by Dependency and Shaped by Six Weeks of Home Intravenous Antibiotics
Student Name
Chamberlain University
PA 612: Clinical Clerkship - Internal Medicine
Instructor Name
Month Day, Year
Day of Discharge Checklist for W.H. on March 13: Each Item With an Owner, a Time, What It Depends On and Whether It Is Done, Ordered by Dependency and Shaped by Six Weeks of Home Intravenous Antibiotics
Owners, Not Tasks
Table 1
Discharge Checklist, March 13
| Item | Owner | By | Depends on | Done |
|---|---|---|---|---|
| Home infusion company accepts referral | Case manager | 09:00 | Insurance authorization | Yes, 08:40 |
| First home ceftriaxone dose scheduled for March 14 | Home infusion nurse | 11:00 | Acceptance above | Yes |
| PICC line dressing changed and flushed | Ward nurse | 10:00 | None | Yes |
| Discharge prescription list reconciled; aspirin stopped; amlodipine continued | PA student, cosigned by attending | 11:00 | Morning labs | Yes |
| Weekly lab orders sent to infusion company | PA student | 11:30 | Infusion acceptance | Yes |
| Infectious disease follow-up booked for March 27 | Unit clerk | 12:00 | None | Yes |
| Surgery clinic appointment for April 15 | Unit clerk | 12:00 | None | Yes |
| Echocardiogram ordered for April 8 | PA student | 12:00 | None | Yes |
| Teaching on line care and fever signs, with teach-back | Ward nurse | 13:00 | Spouse present | Yes, 12:50 |
| Transport home | Spouse | 14:00 | All above | Pending |
| Discharge summary sent to primary care | PA student, attending | 16:00 | Final review | Pending |
Note. Note. Order follows dependency; items without dependencies were done in parallel.
Order by Dependency
The home infusion company had to accept the referral before the first home dose could be scheduled, and the first home dose had to be scheduled before discharge, so that no dose would be missed. Six weeks of outpatient intravenous therapy for endocarditis carries risks of line infection and missed doses (Baddour et al., 2015), which is why these rows came first.
The teaching row depended on the spouse being present, so it was scheduled for 13:00 when the spouse could come, not left to the end of the day when the infusion company would already have closed intake. The medication list could not be finalized until the morning hemoglobin and creatinine were back, because the iron plan and the antibiotic dose depended on them.
Destination Changes the Rows
W.H. is going home with a spouse, not to a skilled nursing facility, so rows for home infusion, line teaching and transport by family appear; rows for facility report and transfer paperwork do not.
If W.H. had gone to a skilled nursing facility, the infusion company rows would be replaced by a facility report call, a transfer medication list and confirmation that the facility can give daily intravenous ceftriaxone.
Hours Are Part of the Content
Times are written beside each item because the infusion company's intake closes at 15:00 on Fridays. Discharge after that would have delayed the first home dose to Monday.
Communication Is a Block
Three people outside the hospital need to hear today: the infusion nurse, the primary care clinician and the infectious disease clinic. Each is a row with an owner. Structured discharge processes that assign these tasks have reduced hospital use after discharge (Jack et al., 2009).
Each call or message is logged with its time, so if the infusion nurse cannot reach W.H. tomorrow, the ward can show what was arranged.
References
Baddour, L. M., Wilson, W. R., Bayer, A. S., Fowler, V. G., Jr., Tleyjeh, I. M., Rybak, M. J., Barsic, B., Lockhart, P. B., Gewitz, M. H., Levison, M. E., Bolger, A. F., Steckelberg, J. M., Baltimore, R. S., Fink, A. M., O'Gara, P., & Taubert, K. A. (2015). Infective endocarditis in adults: Diagnosis, antimicrobial therapy, and management of complications: A scientific statement for healthcare professionals from the American Heart Association. Circulation, 132(15), 1435-1486. https://doi.org/10.1161/CIR.0000000000000296
Jack, B. W., Chetty, V. K., Anthony, D., Greenwald, J. L., Sanchez, G. M., Johnson, A. E., Forsythe, S. R., O'Donnell, J. K., Paasche-Orlow, M. K., Manasseh, C., Martin, S., & Culpepper, L. (2009). A reengineered hospital discharge program to decrease rehospitalization: A randomized trial. Annals of Internal Medicine, 150(3), 178-187. https://doi.org/10.7326/0003-4819-150-3-200902030-00007
What the PA 612 Week 8 assignment asks for
The final week asks for a day of discharge checklist that works. Each item sits in a row with four things beside it: who does it, by when, what it depends on and whether it is finished. Group items by function, such as medications, equipment, appointments, transport and communication, rather than by profession. Order the rows by dependency so the items that block others come first. The destination changes the rows; a home discharge needs different items from a facility transfer. Times are part of the content, especially when an outside service has a cutoff. Communication with people outside the hospital deserves its own block with owners. Cite evidence on structured discharge where it supports the approach. A checklist is enough for the assignment if every row is complete.
How the PA 612 Week 8 example is put together
An eleven-row table covers home infusion acceptance at 08:40, a first home dose for March 14, PICC care, a reconciled medication list with aspirin stopped, weekly lab orders, infectious disease and surgery appointments, an echocardiogram order, teaching with teach-back, transport and the discharge summary to primary care, each with owner, time, dependency and status. A section explains ordering by dependency so no dose is missed, citing Baddour et al. (2015) on the risks of outpatient intravenous therapy. A section explains why home discharge brings rows for infusion, teaching and family transport and removes facility paperwork. A section explains the infusion company's 15:00 Friday cutoff. The communication section names three outside parties and cites Jack et al. (2009) on structured discharge reducing hospital use.
Where the points sit in the PA 612 Week 8 rubric
The checklist loses the most when it lists tasks without owners, since unowned tasks are the ones that fail. Next comes a list in no particular order, so a blocking item sits at the bottom. Graders deduct for missing times where an outside service has a deadline. Faculty reward rows with owner, time, dependency and status, grouping by function and rows that reflect the actual destination. A communication block naming who outside the hospital must hear today earns a defined share. Citation of evidence on structured discharge, in APA form, completes the rubric.
PA 612 Week 8 help: mistakes that cost points
Discharge checklists most often fall short by copying a generic template, with rows for services the patient will not use and none for the ones they will. Another common problem is a list with no owners or times. Some checklists also forget the people outside the hospital who need to be told. If your patient is leaving with different needs, such as home oxygen, a new insulin regimen or a transfer to rehabilitation, send the destination and the services involved; a checklist prepared for you would give every row an owner, a time, a dependency and a status, order rows by what blocks what and include a communication block. If your patient is not actually leaving, the checklist would be built for the planned discharge.
Get a PA-612 Week 8 example written to your instructions
Send the assignment, the rubric and any discharge template or checklist your site uses, and a custom PA-612 discharge checklist is written to them and returned inside 24-48h, first one free. Where the assignment names a destination and a case, the example is built for that destination rather than for a generic patient going home.
More PA 612 papers and MPAS samples
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- PA 612 Week 6: Goals of Care Summary
- PA 612 Week 7: Hospital Course Summary
- PA 610 Week 8: Continuity Case Report
- PA 608 Week 8: Deficit Classification
- PA 604 Week 8: CME and Recertification Plan
- PA 603 Week 8: Privileging Packet Review
PA 612 Week 8 questions, answered
Is a checklist enough for a graded assignment?
Sections assigning one usually want the rows plus a short piece of prose defending the order, so the graded object is both. The rows show completeness and the paragraph shows judgment: why these three items block everything else, what happens to the day if one of them slips, and which item would be abandoned if the patient had to leave two hours earlier.
What goes here that is not already in the discharge summary?
They serve different readers on the same day. The summary tells the next clinician what happened and what to do; the checklist tells today's team what still has to be finished before anybody leaves. Overlap in the medication line is expected. Duplicating the hospital course into the checklist is not, and it is a quick way to make the document unusable to the people working from it.
My patient is not actually leaving. Can I still write it?
Yes, and many sections assign it that way, because the reasoning sits in the dependencies rather than in the departure. An example built on a case that stalls is often stronger: it shows which item failed, who was waiting on it, and what the plan becomes when a discharge date turns into another night. Send the scenario your classroom supplied and the checklist is written against it.
Where can I find a free PA 612 Week 8 sample paper?
This page carries a complete PA 612 Week 8 day of discharge checklist for a patient going home on intravenous antibiotics.
Why are times written into the PA 612 Week 8 checklist?
The infusion company's intake closes at 15:00 on Fridays, and a later discharge would have delayed the first home dose to Monday.