Exam 3: Chapter 12: Continuity of Care Flashcards
What is Continuity of Care?
Process by which health care providers give appropriate uninterrupted care and facilitate the patietns transition between different settings and levels of care
What is Care Transition?
A continuous process in which a patients care shifts from being provided in one setting of care to another
Care Coordination is whose responsibility?
The responsibility of all health care professionals and especially nurses
What is a Care Coordinator?
The care provivder who is responsible for identifying a patients health gols and coordinating services and providers to meet these goals
Vulnerable Populations?
People with disabilities or multiple chronic conditions
poeple with mental illnesses or substance abuse
Cultural racial and ethnic minorities
The rural and urban poor
Undocumented Immigrants
Establishing an Effective Nurse-Patient Relationship
Communicate with the patient as an individual
Take time to learn about the patient being admitted
Provide for family participate in all aspects of care
Admission to Ambulatory Care Setting
Patient recieves health care services but does not remain overnight. This includes physician offices, hospital outpatient services and same-day surgery centers
Admission to the Hospital
ID band is placed on wrist of patient
A nursing interview and physical assessment are conducted
A room is prepared for the patient
Preparing a room for a patient
Position and open the bed
Assemble necessary equipment and supplies
Assemble special equipment and supplies
Adjust the physical environemtn of the room
Transfer Within Hospital Setting
Move patietns personal belongs to a new room
Trasnfer patient chart, Kardex, care plan, and medications
Notify other hospital departmetns of the move
Give verbal report to the nurse in the new area
Information included in verbal report
Patient name and age Physicians and Admitting Diagnosis Surigcal Procedure Current Condition Allergies Necessary Data Nursing Care Priorities Existence of Advance Directives
ISBAEQ Method of Patient Hand Off
I - Introduction S - Situation B - Background A- Assessment R- Recommendation Q- Question and Answer
Transferring a Patient to a Long-Term Facility
Copy of medical record usually sent with patient
Detailed assessement and care plan is sent
Patients belongings, prescriptions,and appointment cards are sent to the facility
Nurse provides verbal report to new nurse
Essential Components of Discharge Planning
Assess strengths and limitations of the patient, family, or support person
Assess the environemnt
Implement and coordinate plan of care
Consider individual, family and community resources
Evaluate effectiveness of care
Leaving AMA
Patient is legally free to leave Careis risk for increased illness Patient must sign release form Informed of risks prior to signing form Patietns signature must be witnessed Form becomes part of medical record SOme insurances will not pay for the hospital visit
