9. Admission, Transfer, Discharge, & Physical Exams Flashcards
Name 5 emotions a new resident many experience when moving in
- fear
- anger
- uncertainty
- decline of health
- decline of independence
T/F - it is a good idea to ask new residents questions to find out their personal preferences, history, rituals, and routines
True
What baseline measurements do most facilities require?
height, weight, and vital signs
What 2 types of special scales exist for people who cannot walk?
wheelchair scale and bed scales (for bedridden residents)
How can you measure the height of a resident with contractures?
use a tape measure to follow the curves of the spine and legs - number of inches is totaled and recorded
What is a common role of CNAs during in-house transfers?
usually responsible for packing all of the resident’s belongings
During in-house transfers, what signals the formal transfer of responsibility for the resident to the new unit?
CNA should report to the nurse in charge of that resident after leaving their room
What makes a discharge official? Where are residents usually discharged to?
after a doctor writes the discharge order that releases the resident to leave the facility to go home or another facility
During a residents discharge, the CNA is responsible for the resident until when?
until they are safely in the vehicle with their belongings and the doors of the vehicle are closed
What is the CNA’s role during physical exams?
may help by bringing the resident to the proper area, gathering equipment, and providing emotional support
T/F - residents have the right to know why they are being examined, choose their examiner, and choose to have family present during exams
True
position in which a person is flat on their back with knees flexed and slightly separated and their feet flat on the bed
dorsal recumbent
position in which a person is lying on his ABD w/ knees pulled up toward the ABD and with legs separated; arms are pulled up and flexed and the head is turned to one side
knee-chest
position in which a person is on their back w/ hips at the edge of the exam table; legs are flexed and feet are in padded stirrups
lithotomy
Describe the areas examined using each of the following positions: dorsal recumbent, knee-chest, and lithotomy
- dorsal recumbent: breasts, chest, ABD, and perineal area
- knee-chest: rectum or vagina
- lithotomy: vagina
