Who is primarily responsible for initiating patient and caregiver teaching and discharge instructions?

• A. RN
• B. LPN
• C. CNA
• D. MD

Answer: (A)

The ability to initiate patient and caregiver teaching and discharge instructions rests with the registered nurse because they oversee the plan of care and are trained to assess learning needs, coordinate education, and ensure understanding before a patient leaves the facility. The RN evaluates readiness to learn, language and literacy barriers, cultural considerations, and thepatient’s home situation, then creates a personalized teaching plan. This includes information on medications, wound or device care, follow-up appointments, recognizing warning signs, and how to access community resources. The RN delivers the instruction and uses methods like teach-back to verify the patient and caregiver truly understand, adjusting explanations as needed. Documentation of what was taught and the patient’s comprehension is also part of this role, ensuring continuity of care after discharge. The RN also coordinates with case management, social work, and other team members to arrange support services and ensure a safe transition home.

Reinforcement of information by licensed practical nurses can occur, but initiating comprehensive discharge teaching independently falls outside their scope and under supervision. Physicians provide medical orders and information about treatment, but the primary responsibility for discharge education and ensuring a smooth transition is the RN.