Family Elder Planning
First Night Home Quick Sheet
Date:
Complete only what is useful. Copy names and instructions from the discharge papers; confirm unclear details with the hospital, rehab, skilled nursing, pharmacy, home-health, or licensed care team.
1. Who to call with questions
Discharge or care-team contact:
After-hours number:
Pharmacy:
2. Medication changes confirmed
- Current list matches the discharge instructions
- New, changed, and stopped medicines were clarified
- The next dose and pharmacy pickup were confirmed
Who is confirming unresolved questions?
3. First-night setup
- Needed equipment or supplies are present—or an owner is following up
- Bed-to-bathroom path, lighting, stairs, cords, rugs, and pets were checked
- Phone, water, glasses, and the instructed mobility device are within reach
4. Follow-up contacts
First appointment or call:
Home health or therapy contact:
Who follows up next business day?
5. Warning signs the discharge team told us to watch for
Copy the patient-specific instructions. Do not guess or substitute a general website list.
Who to call and when:
6. First overnight and contact responsibilities
Staying or checking in:
Medication list and pickup:
Morning call or appointment:
Backup if the plan changes:
Organization support, not medical advice. Follow the discharge team’s instructions. For urgent symptoms or immediate safety concerns, contact emergency services or a licensed clinician.
familyelderplanning.com/first-night-home-quick-sheet/