Nurse Documentation

Simplifying Discharge Preparation

Nurse Documentation on Realize-365

Scenario

Steve, an 80-year-old patient, is being discharged after a 5-day hospitalization for pneumonia. The medical unit nurse is responsible for completing the discharge summary and educating both Steve and his family to ensure a safe transition to home health. In today’s clinical workflow, this requires manually navigating multiple progress notes, lab results, and medication adjustments to compile an accurate and comprehensive discharge plan.

How Realize-365 Helps

Realize-365 generates a structured clinical summary that includes the final diagnosis, treatment overview, medication reconciliation, discharge prescriptions, and follow-up instructions.

Clinical Impact

The nurse reviews and finalizes the AI-generated summary in under 10 minutes, ensuring clear discharge instructions, continuity of care with home health, scheduled provider appointments, and an easy-to-follow, patient-friendly medication administration record.