final exam Flashcards
Routine admit
planned
scheduled in advance
Example: knee replacement surgery
scheduled inductions
Emergency admit
Not planned
Occur because of an injury, sudden change in condition, need for immediate treatment
Nursing assessment
Vital signs, height and weight
Medications and allergies
ID for the patient and explaining pt. verification
Instruction on collecting urine for measurement etc.
Bathing and walking assistance
Dehumization
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.
Discharge Planning
Process by which the client is prepared for continues care outside the healthcare facility.
Arranged by discharge planner (LPN or RN)
Discharge planning starts as soon as the patient is admitted.
Discharge must be ordered by the physician
The plan takes TEAMWORK.
Teamwork is often planned out in meetings
Physicians office should receive the discharge plan and instructions
discharge components
Follow up care Equipment needed: Walker, Wheelchair, Oxygen etc. Special Diet Medications: New, Same or D/C Special procedures Family willingness Referrals Special instructions Documentation of what was taught and what was understood
Physicians office should Know
Time frame of follow up care 1 week, 2 weeks, etc. Diagnosis or reason for hospital stay Change in medications Procedures or follow up tests ordered. Any dietary restrictions Dressing changes, Referrals for home care, hospice care etc. Special instructions
advance directive
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
six c’s
Clear Coherent Concise Correct (accurate statements) Courteous Confident
effective communication
Choose the correct medium
Understand the reason for the communication
Outline what you want to accomplished
Outline the benefits of a response
Create credibility and acknowledge respect for the person receiving the communication
how do you send mail with letter of termination
certified
if you make a mistake/error in documentation how do you correct it
single line intial and date
Advantages of the EHR
Can flag the patient for recall Files retrieved more quickly Takes up less space Analysis reporting is easier Charts are not misplaced
Cost vs savings
Improves diagnosis coding and procedure coding
Reduces labor – staff does not have to pull chart and re-file it
Lowers malpractice premiums
Storage space dramatically reduced
Supplies reduced – charts, labels, etc.
How long do you keep a record for
7 years in Michigan – Statute of Limitations
5 years after the patient dies
Usually the chart is moved to a “deceased” area
what is profession
Is an act of declaring belief, faith, or opinion requiring special knowledge or training.
Professional standing can not take place without training, practice administration and recognition by qualified state approved agencies and governing bodies.
Professionalism can be thought of a distinctive way of providing a service that has its own science of reasoning and practice.
what is occupation
provides a product or service.
what is the shorter version of profession
service has science of reasoning, formal training, certification, or license.
relationship stops when the pt hasn’t been seen in
three years
3 most important factors in health care are
Cost
Quality
Access
frazzled employee
“An employee who argues with a demanding patient not only upsets the patient more, but also becomes just as tense and out of control. An employee must be able to adapt to various situations that arise in a medical office” (Andress, 2009, p. 40).
types of ambulatory health care
Private clinics Urgent care centers Rural Health Services Ambulatory Surgery Centers Dialysis centers Infusion Therapy School Health Services Retail Clinics Emergency Dept.
role of LPN in ambulatory health care
In Ambulatory care settings nurses have the opportunity to use many different skills learned.
In addition to routine client care, nurses in ambulatory settings perform many other duties not usually performed by nurses in acute-care setting.
LPN’s who work in ambulatory care centers provide direct assistance to Physicians or other types of Providers
telephone triage is defined as
Defined as: an interactive process between the nurse and the patient that occurs over the phone and involves identifying the nature and urgency of client healthcare needs and determines the appropriate disposition (rutenberg & Greenberg, 2012)
