Inpatients, standardized leave documents

1. Patients should not go out without permission from the doctor during hospitalization. If they go out without authorization, they will be discharged automatically. If the patient changes during the outing period or other accidents, the patient is responsible for it.

2, go out to the doctor's approval, fill out the hospitalized patients out of the leave, write the name, the reason for the outing, the time of leaving the hospital, the time of returning to the hospital, etc., must be signed by the doctor, the patient or family signed.

3. Before going out, the nurse will hand over the drugs that need to be taken to the patient, and the medication should not be interrupted during the outing.

4. Keep confidential files, valuables and cash in the ward during the outing period. Otherwise the consequences will be the responsibility of the patient himself.

5. During the outing period, if you have physical discomfort, you must return to the hospital for hospitalization in time.

6. Going out should be returned to the hospital on time. After returning to the hospital, the leave registration form will be stored in the medical record and kept in a safe place.

Attachment: Inpatients, standard leave documents

Inpatients, standardized leave documents

Patient __, because ________ needs to go out on time, guarantee __year_month_day_ when returning to the ward on time. And agree:

1. The burden of aggravation or other accidental injury during the outing is at your own risk;

2, do not do other activities that affect the recovery of the disease and harm the health of the body during the outing period, such as drinking, drug use, etc.;

3. Do not do things that violate the law during the period of going out;

4. If the time is not returned, or the behavior of 2 or 3 occurs, the department has the right to be discharged from the hospital;

5, affecting the disease diagnosis and treatment during the outing period, at your own risk;

6. Leave must be approved by the competent physician or the on-duty physician;

7. Those who are critically ill will not be allowed to take time off.

Agree to the above agreement, please sign: __ Effective contact number:

Leave time __ year_month_day

Signature of the pseudo-false doctor: