FON ADMISSON, TRANSFER AND DISCHARGE

Question 1

is a process of admitting a person to a hospital as an inpatient for medically necessary and appropriate care and treatment of an illness or injury.

Answer 1

ADMISSION

Question 2

Is the period between
the time of a participant’s entry into a
hospital as a patient and the time of discharge by the admitting Physician.

Answer 2

Hospital Admission

Question 3

Two Types of ADMISSION

Answer 3

-Elective
-Non-Elective

Question 4

Also known as the
planned admission

Answer 4

Elective

Question 5

It is when the client knows in advance that he will be entering a health care facility.

Answer 5

Elective

Question 6

Also known as
emergency admission

Answer 6

Non-Elective

Question 7

An admission to a health
care facility that has suddenly become necessary

Answer 7

Non-Elective

Question 8

GOALS OF ADMISSION

Answer 8

✓ Verify the client’s identity and
assess his clinical status
✓ Make the client as comfortable
as possible
✓ Introduce the patient to the
staff and roommates
✓ Orient the client to the environment
and routine activities.
✓ Provide supplies and special
materials needed for daily care

Question 9

Ancillary Deparments

Answer 9

-MRI Scan
-Radiology
-Laboratory
-Pharmacy

Question 10

Functions of Registration

Answer 10

✓ Schedules patients for arrival at hospital facility
✓ Collection of demographic information
✓ Collection of financial information for billing
✓ Prints face sheet to the patient chart
✓ Assigns patient’s room and bed they are to occupy
✓ Sends patient off to nursing station

Question 11

Admitting the patient in the EMERGENCY ROOM PREPARATION

Answer 11

1. Position the bed as the patient’s condition requires.
2. Prepare any emergency or special equipment as needed
   and make sure they are
   functioning.

Question 12

Admitting the patient in the EMERGENCY ROOM IMPLEMENTATION

Answer 12

3. Greet the patient and introduce yourself and other staff members
   present.
4. Confirm the patient’s identity using two patient identifiers.
5. Perform admission assessment. Take the Vital Signs, complete the
   Nursing Health History interview and perform Physical Assessment.
6. Fill-up the Admission Form and review the Doctor’s Order for admission
7. Provide Hospital ID Band for proper identification of patient.
8. Inform the patient of any tests that have been ordered and when
   they are scheduled.
9. Administer emergency medications, request laboratories ordered by the doctor and monitor the patient until transfer to the unit.
10. Document all the collected assessment data in the form, interventions implemented and the
    client’s response to the implemented interventions.
11. Call the Nursing Unit where the patient will be transferred and inform
    of the admission in the Nursing Unit.

Question 13

Admitting the patient in the NURSING UNIT PREPARATION

Answer 13

1. Obtain a gown and an admission pack.
2. Position the bed as the as the patient’s condition require.
3. Fold down the Top Linen.
4. Prepare any emergency or special equipment as needed
5. Adjust the room lights, temperature and
   ventilation.

Question 14

Admitting the patient in the NURSING UNIT IMPLEMENTATION

Answer 14

1. Greet the patient and introduce yourself and
   other staff members present.
2. Confirm the patient’s identity using two patient identifiers.
3. Escort the patient to his room and, if he is not in great distress, introduce him to his roommate.
4. Wash hands and help the patient change into a
   gown. Itemize all valuables.
5. Take the vital signs and perform problem
   focused-assessment.
6. Inform the patient of any tests that have been
   ordered and when they are scheduled.
7. If the patient brings medications from home,
   take an inventory and record the information in
   the nursing assessment form.
8. Show the ambulatory patient the bathroom and closet. Show the patient how to use the equipment in the room. Be sure to include the call system, bed controls, TV controls, telephone and lights.
9. Explain the routine at your health care facility .
   Mention when to expect meals, vital signs check
   and medications.
10. Find out the patient’s normal routine and ask him if there are preferences in terms of meal schedule, special diet and activities.
11. Review visiting hours and any restrictions.
12. Post patient care reminders at the patient’s bedside to notify coworkers
13. Before leaving the patient’s room, make sure he is comfortable and safe. Adjust the bed in low position, put side rails up and place the call bell within easy reach.
14. Document the client’s status during admission in the unit, include vital signs and any pertinent
    assessment data. Record any laboratory procedure performed, interventions implemented, and
    teachings given to the patient.

Question 15

Nursing Problems Associated with ADMISSION

Answer 15

-Anxiety
-Powerlessness
-Situational Low Self-Esteem

Question 16

is a process of discharging a patient from
one unit or agency and admitting him or her to
another unit or agency without going home.

Answer 16

Transfer

Question 17

2 Types of TRANSFER

Answer 17

-Unit Transfer
-Hospital Transfer

Question 18

transfer to another
unit within the
hospital

Answer 18

Unit Transfer

Question 19

transfer from one
hospital to another
hospital

Answer 19

Hospital Transfer

Question 20

Procedure for TRANSFER PREP

Answer 20

1. Review the Doctor’s Order or obtain a transfer order
2. Inform the unit/ hospital about the transfer
3. Explain the transfer to the patient and his family.
4. Prepare the patient for the transfer, assess the
   patient’s condition.
5. Prepare the patient’s materials for the transfer,
   make sure that all the patient’s belongings are
   transported together with the patient
6. Prepare all the medications and supplies of the
   patient.
7. Notify all appropriate departments of the
   transfer such as pharmacy, dietary and the unit
   where the patient will be transferred.
8. Inform the nursing staff of the receiving unit
   about the patient’s condition, drug regimen, diet
   and review the patient’s nursing care plan for
   continuity of care.
9. Review the new orders with the receiving unit.
   10.Transport the patient together with the
   medications/ materials at the new unit/ hospital.
10. Introduce the patient to the nursing staff of the
    receiving unit and take the
    patient to his room.
11. Conduct the endorsement with the Nurse on
    Duty at the receiving unit/hospital

Question 21

What department does the patient need when requiring an ambulance

Answer 21

social services department

Question 22

is a process of ending hospital care needs with ongoing care transferred
to a community or domestic environment.

Answer 22

DISCHARGE

Question 23

Materials Needed during Discharge

Answer 23

-Wheelchair
-Discharge Instruction Sheet
-DIschagre Summary Sheet

Question 24

IMPLEMENTATION OF DISCHARGE

Answer 24

1. Check the doctor’s order for discharge.
2. Confirm the patient’s identity using two
   patient identifiers according to hospital
   policy.
3. Inform the patient’s family of the time and
   date of discharge as soon as it is known
4. Review the patient’s discharge care plan with
   the patient and his family.
5. List the prescribed drugs on the patient
   instruction sheet along with the dosage,
   prescribed time schedule and for how many days
   the client will take the medication.
6. Review procedures the patient or his family
   will perform at home . If necessary, demonstrate
   the procedures, provide written instructions and
   check performance with a return demonstration.
7. List dietary and activity instructions, if
   applicable, on the patient instruction sheet and
   review the reasons with the patient.
8. Inform the patient of the follow-up appointment
   either at the Doctor’s office or at the out-patient department.
9. Provide necessary instructions for care at home.
10. Remove Intravenous Fluid and assess the
    patient’s vital signs and collect any other pertinent information.
11. Help the patient get dressed if necessary.
12. Check the room for misplaced belongings then help the patient into the wheelchair and help escort him to the exit of the unit.
13. After the patient has left the area, strip the bed linens and notify the housekeeping staff that the room is ready for cleaning and disinfection.
14. Document the date and time of discharge,
    instructions and teachings given to the patient, family members present during the discharge instructions were given and the client’s condition
    during discharge.
15. After the patient has left the area, strip the bed linens and notify the housekeeping staff that the room is ready for cleaning and disinfection.
16. Document the date and time of discharge,
    instructions and teachings given to the patient, family members present during the discharge instructions were given and the client’s condition
    during discharge.