12 Week 12 Admission, Transfer, Discharge Process Flashcards
Define AMA discharge
Against medical advice, attempt to determine why patient wants to leave, notified nursing supervisor and patients medical doctor, patient signs appropriate forms, assist patient to get ready and escort them to the door
Define continuity of care
Coordination of healthcare services by healthcare providers for patients moving from one Healthcare setting to another and between and among Healthcare professionals
Define discharge planning
Preparing a patient to leave one level of care for another someplace else another floor, home, LTC, rehab
Describe the role of the RN ensuring continuity of care
1) roll varies to meet the needs of the patient
2) recognizes the patient may experience loss of control, new environment, roll transformation
3) assessor anxiety related to the process
4) understand that the patient is ill, and caregivers are strangers
5) discharge planning starts upon admission to the healthcare setting
6) collaborative collaborate with other Healthcare professionals to ensure consistency and then all needs are me
7) involved both the patient and family members and planning care
8) can be difficult while adhering to HIPAA
Describe techniques last strategies that facilitate establishment of an effective nurse-patient relationship one admitting a patient to a healthcare setting
1) therapeutic communication
2) active listening
3) be attentive to patient, not your computer or paper documents
4) smile
5) show empathy, not sympathy
6) put yourself in your basement shoes
7) maintain professionalism
Describe the nursing nursing actions and rationale for admitting a patient to healthcare setting
The RN gathers the admission assessment data
1) biographical data
2) Chief complaint
3) history of present illness
4) past medical and surgical history
5) allergies
6) immunizations
7) medications
8) family history
9) support systems
10) physical assessment
11) functional abilities
12) discharge needs
Describe a contagion check
1) gather the time of admission
2) RN obtains data about the patient’s immunization history, recent exposure to communicable disease, history of communicable disease, current signs of any illness
State the rationale for including a contagion Shack when a child is admitted to the hospital
1) identify as possible sources of contagious diseases some measures can be taken to prevent
2) identifies children / adults who require recommended immunizations
State common reasons for transfer within and between Healthcare settings
Change in patient condition that requires a different level of care
What is the RN’s responsibility in the transfer of a patient
1) facilitate interdisciplinary collaboration an ongoing communication
2) arranged transportation aheadt of time
3) ensure patient has all belongings medications and necessary documentation
4) notify support person / family of transfer
