admitting transferring discharging

Question 1

Emergency admit

Answer 1

Not planned

Occur because of an injury, sudden change in condition, need for immediate treatment

Question 2

Some pt bring medications what do you do with them

Answer 2

• Document all of these and give to RN
• Sometimes patients will be able to keep certain meds at the bedside.
• Sometimes the meds are not available from pharmacy.

Question 3

In acute care the initial assessment is done by the

Answer 3

rN

Question 4

What is dehumanizations

Answer 4

• Process of depriving a person of personality, spirit, privacy and other human qualities.
• Handle procedures and questions with the utmost tact and respect.
• Emphasize the clients strengths rather than weakness.

Question 5

Discharge planning is

Answer 5

Process by which the client is prepared for continues care outside the healthcare facility.

Question 6

Discharge planning starts as soon as

Answer 6

The pt is admitted

Question 7

Discharge Against Medical Advice

Answer 7

• It is a patient right to leave.
• Nurse can’t detain a competent client who wishes to leave before being discharged.
• The health care team is responsible for making sure the patient is making an informed decision.
• The team can sometimes talk the patient into staying by answering questions, attending to complaints.
• Sometimes just presenting them with the AMA form, they and explaining it will change their mind.
• If they refuse to sign the form,
• You need to document that.

Question 8

AMA Form

Answer 8

• Certifies that they are leaving voluntarily.
• Acknowledges that they understand risks and consequences of leaving against medical advice.
• Releases physician and healthcare team from any liability.

Question 9

•DPOA for healthcare:

Answer 9

a person who legally may make medical decisions for the client.
•Allows for medical staff to perform invasive procedures or surgery on the client.

Question 10

•Informed consent:

Answer 10

voluntary permission granted by the client or the assigned DPOA.
•Only competent adults may sign the informed consent.
•If person is not competent, a guardian or DPOA for healthcare may sign for the client.

Question 11

Advance directives

Answer 11

• Provides an opportunity for clients to determine in advance their wishes regarding life sustaining treatment and other medical care so that their significant others will know what decisions clients desire.
• Three types:
• Living will
• DPOA for Healthcare
• Five wishes

Question 12

Routine admit

Answer 12

Planned – scheduled in advance
Example: knee replacement surgery
scheduled inductions