Admission, Discharge, Transfer & Referrals

Question 1

4 basic elements in patient admission

Answer 1

1. Authorization from physician
2. Collection of billing info
3. Documentation of patient medical history/ initial physical
4. Development of nursing care plan

Question 2

What are the 2 types of patient admissions?

Answer 2

1. Inpatient

2. Outpatient

Question 3

What are the 3 types of inpatient admissions?

Answer 3

1. Planned (non urgent )
2. Emergency admission
3. Direct admission

Question 4

Definition & example of planned non urgent admission

Answer 4

Length of stay greater than 24 hours, scheduled in advance/ Elective or required surgery & acute pneumonia

Question 5

Definition and example of emergency admission

Answer 5

Stabilized in emergency unit and transferred to nursing care unit/ major trauma

Question 6

Definition and example of direct admission

Answer 6

Emergency department bypassed/ Acute condition like prolonged vomiting or diarrhea

Question 7

What are the basic room supplies that the nurse provides the client with upon initial admission?

Answer 7

1. wash basin
2. soap dish
3. emesis basin
4. water container
5. bedpan/ urinal

Question 8

What are keys aspects of orientating the newly admitted client to their new surroundings?

Answer 8

1. Location of the nursing station, toilet, shower/bath
2. Where to store personal items
3. How to call for assistance from toilet and bed
4. How to adjust bed
5. How to regulate lights
6. Usage of telephone
7. When procedure is scheduled
8. When doctor visits

Question 9

What is the time deadline for the nurse to develop a nursing care plan for the newly admitted client?

Answer 9

24 hours after admission