Admission Transfer and Discharge Flashcards
The official entry of person in a health care facility
Admission
In here, patient is the primary source of information
Admission
Where do you get information when patient is unconscious?
Family
Enumerate the first responsibility of a nurse in admission
Reviewing the physicians order
What will you do when you check the physician’s order in admission?
Identify the reason for admission and plans for medical care.
Identify the second responsibility of the nurse in admission
Meeting the person’s immediate needs
What should we do to know the person’s immediate needs?
Brief General Assessment
Tell the third responsibility of a nurse in admission
Providing information and orientation
What should the nurse say in the introduction and orientation in admission?
- Greet
- Explain what will happen during the process
- Explain all the things that will be used
- Explain what your patient should do and wear
Enumerate the 4th responsibility of a nurse in admission
Performing a baseline assessment
What is included in the baseline assessment?
- TPR
- Lab values
- Height and weight
- Nursing history
What does nursing history include?
allergies, current medication, perception of chief complaint
Identify the 5th responsibility of a nurse in admission
Caring for personal property
What is the 6th responsibility of a nurse in admission?
Documentation
What will you document in the admission phase?
- The Admission Process
2. Baseline reference