Chapter 9-Admissions, Transfers, Discharges Flashcards
1
Q
Prior to client arrival
A
Bring all necessary equipment into the room including documentation forms, equipment for vital signs, pulse oximeter, hospital attire.
2
Q
When client arrives
A
- introduce yourself/role
- explain roles of other staff
- introduce to roommate
- orient to room (including bathroom)
- give hospital attire
- make client comfortable
- apply identification bracelet, allergy band
- give reading material (brochures)
- advanced directives (document/put in chart)
3
Q
Assess/Collect Data when client arrives
A
- Baseline data
- Biographical Info
- Reason for seeking healthcare
- Health history
- Family history
- Psychosocial assessment
- Nutrition
- Spiritual Health/Quality of Life
- Review of systems
- Safety Assessment
- D/C info
4
Q
Inventory of personal items when client arrives
A
Document anything left in room (jewelry, money, glasses, hearing aids, dentures)
Discourage keeping valuables at hospital
5
Q
Reasons for transfer/discharge
A
- different level of care required (getting better or worse)
- facility doesn’t offer care needed
- client is ready to return home
6
Q
Discharge Planning
A
- begins at admission
- can they return to previous location?
- is there someone to assist them?
- assess residence for adaptations/equipment
- make referral to social worker for community services
- provider documents discharge or client can leave AMA
- involve client and family as much as possible
7
Q
Discharge Education
A
- use clear concise language
- any complications who to contact
- contact info for provider
- community resources contact info
- step by step instructions for continued care (dressing changes)
- dietary and medication instructions
- any therapies to continue
- why adherence is important for client
8
Q
Equipment that must go with client at discharge
A
- any personal belongings
- valuables from safe
- any medications client brought with them
- assistive devices
- medical records/transfer form
9
Q
Procedure for transferring/discharging
A
- confirm facility is expecting client/room and bed available
- communicate time client will be going
- complete any documentation (medical records/transfer form)
- verbal report via telephone
- confirm mode of transportation
- make sure client is dressed appropriately
- account for all valuables
10
Q
Procedure for receiving transferred client
A
- equipment ready
- inform clients roommate
- inform other team members
- meet with client/family when they arrive
- assess how client tolerates transfer
- review documentation
- implement nursing interventions in a timely manner
