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NUA 120 - Admissions, transfers, and Didcharges > NUA 120 - Chart Pack Practice Questions > Flashcards

NUA 120 - Chart Pack Practice Questions Flashcards

1
Q

what are the 4 primary responsibilities of a NUA?

A
  1. processing doctors orders
  2. admitting, transferring and discharging patients
  3. answering and making phone calls
  4. miscellaneous duties eg. filing reports, maintaining charts
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2
Q

what is included in processing doctors orders

A
  1. kardexing
  2. symbolizing
  3. entering orders in the computer
  4. MAR
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3
Q

what percentage does a NUA spend time processing doctors orders ?

A

60%

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4
Q

what types of admitting is included in NUA responsibilities ?

A
  1. emergency admissions

2. admissions from other health care facilities

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5
Q

what types of transfers do NUA’s do?

A
  1. in/out

2. intra-ward

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6
Q

what types of discharges do NUA’s do?

A
  1. home
  2. AMA
  3. to other facilities
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7
Q

what percentage of time do NUA’s spend on admitting, transferring and discharging patients?

A

10%

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8
Q

what is included in the responsibilities of answering and making telephone calls? (5)

A
  1. answering the phone
  2. paging doctors for medical staff
  3. calling family members for patients
  4. making appointments for patients
  5. calling other wards to follow up on tests
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9
Q

what are some miscellaneous duties a NUA’s have to do?

A
  1. making chart packs
  2. filing reports
  3. maintaining charts: adding blank printed pages
  4. stocking supply room
  5. stocking supplies at nursing stations
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10
Q

what are ways to be effective and efficient in a NUA position?

A
  1. good handwriting skills
  2. ability to work accurately with detailed information
  3. ability to communicate verbally with hospital staff in an effective manner
  4. ability to recognize and adapt to your work priorities
  5. ability to be organized and keep everything in order
  6. excellent manner and professional towards others
  7. good listening skills
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11
Q

what is a community care hospital ?

A

urgent care centre

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12
Q

what type of hospital is accessible by the public?

A

community care hospital

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13
Q

what is acute care hospital ?

A

secondary health care

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14
Q

what is secondary health care?

A

where a patient receives active but short-term treatment for a severe injury.

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15
Q

what is tertiary care?

A

it is a specialized consultative heath care

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16
Q

how do patients get to tertiary care?

A

on referral from a primary or secondary health professional

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17
Q

what is the admitting departments main purposes ?

A
  1. keep an up to date census of all empty beds/full beds
  2. print the admission/separation record
  3. print an I.D. bracelet, print 4-5 labels and an ADR
  4. assign new hospital number to the patient if he/she has never been to the hospital
  5. register every patient that comes to the hospital
  6. admit, transfer and discharge all inpatients
  7. admit all new born babies to the hospital and assign a PHN for the baby
  8. to record, update all personal information of a patient
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18
Q

what hours are admitting open?

A

24/7

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19
Q

what records will be prepared by the admitting clerk, upon the arrival of an elective admission?

A
  1. admission separation record
  2. patient identification wristband
  3. patient labels
  4. ADR (allergy/adverse drug record)
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20
Q

what is the first form that is completed for a new patient at the hospital?

A

admission/separation record

21
Q

what is the ATD form good for?

A

quick 24 hour reference to see what empty beds and what new admissions or transfers are coming

22
Q

what does the ATD form record?

A
  1. admissions
  2. transfers
  3. discharges
23
Q

what is an elective admission?

A

admission that is arranged by the doctor with the hospital

24
Q

a patient scheduled for an elective admission may require what type of unit?

A
  1. surgical nursing unit
  2. psych unit
  3. maternity unit
25
Q

what is on the O.R. slate sheet?

A

doctors surgeries scheduled for the following day

26
Q

who’s responsibility is it to choose rooms for patients?

A

charge nurse

27
Q

what admission documents will you receive from the patient when they arrive on your ward?

A
  1. admission/separation sheet
  2. wristband
  3. 4-5 labels
  4. ADR
28
Q

what forms will the admitting clerk process for an emergency admission?

A
  1. admission/separation sheet
  2. wristband (new band)
  3. 4-5 labels
  4. ADR
29
Q

what forms will the patient arrive on the ward with?

A
  1. PCR (patient care record - filed in miscellaneous)
  2. emergency nursing assessment form (filed in clinical record)
  3. patient progress notes
  4. lab reports
  5. history sheet (filed in clinical records)
  6. doctor’s order sheets
  7. copy of the emergency admission forms (filed in miscellaneous)
  8. Old chart
  9. 4-5 patient labels
  10. ADR
  11. Pharmanet or BPMH (filed in doctors orders)
30
Q

when a bed is ready, how does the patient get transferred?

A

by a porter

31
Q

what are the steps if you get an emergency admission?

A
  1. process patient same as an elective admission
  2. record the name of the patient in the A.T.D. book on the computer
  3. assemble the chart
  4. advise the RN of the patient and the arrival time
32
Q

Can the NUA take a report over the phone?

A

No

33
Q

What are 2 types of specialized hospitals?

A
  1. Vancouver Hospital (Burn Unit and Spinal cord injury unit)
  2. St. Pauls (Cardiac Service)
34
Q

what must the hospital supervisor do before transferring a patient

A

call the nursing unit with information on the patient

35
Q

Where can you put labels with the patients name?

A
  1. patient name label for spine of the chart
  2. lab specimens - urine/stool
  3. patient food or belongings
36
Q

what is food and nutrition services department main purpose?

A

to prepare and serve food to patients and hospital employees

37
Q

who is responsible for processing diet orders?

A

NUA

38
Q

if a change is made to the meal plan close to mealtime what can you do?

A

changes can be telephones to the dietary department

39
Q

are the cut-off times for ordering diets?

A

yes

40
Q

what are the hours of the food and nutrition department ?

A

630 am - 630 pm

41
Q

what information do you give the food and nutrition department regarding that patient?

A
  1. ward
  2. room #
  3. bed #
  4. patients last name
  5. patients diet or diet changes
42
Q

what else does the food and nutrition department do?

A
  1. delivers meals and snacks to patients
  2. tops up ward stock in the kitchen
  3. run the cafeteria
43
Q

What is the major function of the Environmental/Housekeeping department?

A

maintain a clean and sanitary environment to prevent the spread of infection

44
Q

what hours are the housekeepers on the floor?

A

7 am - 7 pm

45
Q

what are some conditions that require prompt attention?

A
  1. a medication has been spilled
  2. halls are wet and slippery
  3. food/drink spill
46
Q

does housekeeping clean body fluids ?

A

No

47
Q

how does the NUA communicate with housekeeping ?

A
  1. telephone
  2. pager
  3. face to face
  4. vocera
48
Q

why are patients placed on isolation?

A

to prevent the spread of disease

NUA 120 - Admissions, transfers, and Didcharges (4 decks)

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