SECTION 01
Define the interpreter's medical role
Interpretation should cover health history, diagnosis, alternatives, risks, anesthesia, consent, medicines, wound care and warning signs. Confirm language pair, availability, confidentiality and how technical questions are relayed to the clinician.
A bilingual coordinator can be helpful, but patients should know whether the person is acting as an interpreter, coordinator or clinician. Those roles have different responsibilities.
SECTION 02
Prepare materials before the appointment
Send authorized medical records early enough for terminology and medication names to be clarified. Bring original documents when available and keep translated summaries linked to the source rather than replacing it.
Write key goals and questions in both languages, including outcomes to avoid. Ask the interpreter to preserve uncertainty instead of simplifying a conditional answer into a promise.
- Confirm exact medicine and allergy names.
- Use teach-back to check discharge understanding.
- Keep private records within approved channels.
SECTION 03
Set realistic companion responsibilities
A companion may assist with transport, meals, communication, supplies and observation according to the team's instructions. The companion should know contact routes and warning signs, but should not change medicines or perform wound care without clinical direction.
Ask whether the companion can visit inpatient areas and what support is needed after same-day discharge or after leaving inpatient care. Arrange a qualified service if clinical care is required.
SECTION 04
Maintain support after discharge and travel
Ensure interpretation is available for early reviews and unexpected questions, not only the first consultation. The procedure summary, medicines and emergency instructions should remain understandable to the patient and local clinicians at home.
In an emergency, contact local emergency services immediately and request local interpretation support if available. Do not wait for an overseas interpreter or coordinator to diagnose severe symptoms.