✍️ Writing
Hospital Discharge Instructions Plain Language Writer: Clinician Orders to Patient Steps, Medication Schedule Table, Warning Signs by Urgency, Follow Up List, and Teach Back Questions
Turn the discharge orders a nurse or physician has already written into patient instructions at about a sixth grade reading level: what to do at home, a medication schedule table, warning signs sorted into call the office and call 911, follow up appointments, and teach back questions for the bedside review.
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Prompt
Act as a nurse educator who rewrites hospital and surgery center discharge orders into plain language patient instructions, keeps every clinical detail exactly as the care team wrote it, and checks understanding with teach back. Inputs: - De-identified discharge orders from the care team: procedure or diagnosis, activity, diet, wound care, bathing, driving, and work rules: [DischargeOrders] - Medications to take at home with dose, timing, and any stopped or changed home medications: [MedicationList] - Warning signs and who to contact, exactly as the care team listed them: [WarningSigns] - Follow up appointments and tests already scheduled or to be booked: [FollowUps] - Patient context that affects how instructions are written (preferred language, caregiver at home, vision or reading needs): [PatientContext] - Output format: [Format] Generate: 1. A short opening that names the procedure or diagnosis from DischargeOrders in everyday words. 2. Home care steps grouped under plain headings (Your incision, Moving around, Eating, Showering, Driving and work), each a short numbered step with any number or time limit kept exactly as written. 3. A medication schedule table from MedicationList: medicine, what it is for in plain words, how much, when (morning, noon, evening, bedtime), and notes, plus a separate Stop taking or Changed list. 4. Warning signs from WarningSigns split into two boxes: Call your care team and Call 911, using the care team's thresholds word for word. 5. A follow up list from FollowUps with what to bring and who books it. 6. A caregiver note if PatientContext mentions one. 7. Three to five teach back questions the nurse can ask before the patient leaves. 8. A clinician check list of every place where the orders were unclear, marked [ask care team]. Constraints: - Never add, change, or drop a medicine, dose, limit, or warning sign. If something is missing, ask; do not fill it in. - Aim for short sentences and common words; explain any medical term once in parentheses. - Not medical advice; the care team reviews the final sheet. Remove any names, dates of birth, or record numbers. No em dashes.
Instructions
Replace every [bracket] with your details before running. Works on ChatGPT, Claude, and Gemini.
Generated Output
This image was generated using the prompt above.
Examples
Example Input
DischargeOrders: laparoscopic cholecystectomy, outpatient; no lifting over 10 lb for 2 weeks; walk at least 3 times a day; regular diet as tolerated, start with small low fat meals; may shower after 48 hours, no tub baths or swimming for 2 weeks; leave skin glue on, it will peel off in 7 to 10 days; no driving while taking oxycodone; may return to desk work in 1 week MedicationList: acetaminophen 1000 mg every 8 hours for 5 days; oxycodone 5 mg every 6 hours only if needed for severe pain, max 4 tablets a day; docusate 100 mg twice a day while taking oxycodone; HOLD home ibuprofen until follow up visit WarningSigns: call surgeon's office for temperature over 101 F, redness or drainage at incisions, nausea that keeps you from drinking for 12 hours; call 911 for chest pain, trouble breathing, or yellow skin or eyes with severe belly pain FollowUps: post op visit with surgeon in 2 weeks, office will call to schedule PatientContext: English, adult daughter staying with patient for 3 days, patient wears reading glasses Format: opening, home care, medication table, warning boxes, follow up, caregiver note, teach back, clinician check
Example Output
GOING HOME AFTER GALLBLADDER SURGERY You had your gallbladder removed through a few small cuts in your belly (laparoscopic surgery). These steps help you heal at home. YOUR INCISIONS 1. Leave the skin glue on. It will peel off on its own in 7 to 10 days. 2. You may shower after 48 hours. Pat the cuts dry. 3. No tub baths or swimming for 2 weeks. MOVING AROUND 1. Walk at least 3 times a day. 2. Do not lift anything over 10 pounds for 2 weeks. A gallon of milk is about 8 pounds. EATING 1. You can eat your regular foods as you feel ready. 2. Start with small meals that are low in fat. DRIVING AND WORK 1. Do not drive while you are taking oxycodone. 2. You may go back to desk work in 1 week. YOUR MEDICINES | Medicine | What it is for | How much | When | Notes | | Acetaminophen | Pain | 1000 mg | Every 8 hours | For 5 days | | Oxycodone | Severe pain only | 5 mg | Every 6 hours if needed | No more than 4 tablets a day. No driving. | | Docusate | Keeps stools soft | 100 mg | Morning and evening | Only while taking oxycodone | Stop for now: Ibuprofen. Do not take it until your follow up visit. CALL YOUR SURGEON'S OFFICE IF - Your temperature is over 101 F - A cut gets red or has drainage - You feel sick to your stomach and cannot drink for 12 hours CALL 911 IF - You have chest pain - You have trouble breathing - Your skin or eyes turn yellow and you have severe belly pain FOLLOW UP Visit with your surgeon in 2 weeks. The office will call you to schedule. Bring this sheet and your medicine bottles. FOR YOUR DAUGHTER Please help with lifting, keep the medicine table on the fridge, and call the office if you see any of the warning signs above. TEACH BACK QUESTIONS 1. What is the heaviest thing you can lift for the next 2 weeks? 2. When can you take a shower? 3. When is it OK to take oxycodone, and how many tablets a day at most? 4. What would make you call 911? CLINICIAN CHECK - Office phone number for the warning box [ask care team] - Can acetaminophen continue after 5 days if pain persists? [ask care team] - Large print copy requested because the patient uses reading glasses