Admission Transfer and Discharge Flashcards
The official entry of person in a health care facility
Admission
In here, patient is the primary source of information
Admission
Where do you get information when patient is unconscious?
Family
Enumerate the first responsibility of a nurse in admission
Reviewing the physicians order
What will you do when you check the physician’s order in admission?
Identify the reason for admission and plans for medical care.
Identify the second responsibility of the nurse in admission
Meeting the person’s immediate needs
What should we do to know the person’s immediate needs?
Brief General Assessment
Tell the third responsibility of a nurse in admission
Providing information and orientation
What should the nurse say in the introduction and orientation in admission?
- Greet
- Explain what will happen during the process
- Explain all the things that will be used
- Explain what your patient should do and wear
Enumerate the 4th responsibility of a nurse in admission
Performing a baseline assessment
What is included in the baseline assessment?
- TPR
- Lab values
- Height and weight
- Nursing history
What does nursing history include?
allergies, current medication, perception of chief complaint
Identify the 5th responsibility of a nurse in admission
Caring for personal property
What is the 6th responsibility of a nurse in admission?
Documentation
What will you document in the admission phase?
- The Admission Process
2. Baseline reference
It is done when patient’s health deteriorates or environment is interfering with the patient’s resting time.
Transfer
First responsibility of a nurse in transfer phase
Obtaining order from a physician to transfer
What should the nurse do in the transfer phase in case of emergency?
Transfer immediately then get physician’s order later
2nd responsibility of nurse in transfer phase?
Notifying appropriate persons
Who are included in the appropriate persons to be notified
Nursing Supervisor
Admitting Department Personnel
Patient’s Family
Unit or Facility that will receive the Patient
What is the 3rd responsibility of the nurse in transfer phase?
Interacting with the patient
What is done in the interaction part of the transfer phase?
Inform the patient about the transfer plans
Spend time if patient is anxious about transfer
The 4th responsibility of a nurse in transfer phase
Caring for personal property
Identify the 5th responsibility of the nurse during transfer phase
Completing and duplicating records, assessment data, and care plan