Flashcards in Admissions, Transfers, and Discharge - ATI - Chapter 9 Deck (77)
Responsibilities of nurses include enuring continuity of care and information sharing throughout the processes of admission, transfers, and _____.
The admission assessment provides baseline data to use in the development of the _____.
nursing care plan
Comparisons with future assessments help monitor client status and response to ________.
Many clients experience anxiety, fear of the unknown, and loss of independence and ______ at the time of admission to the hospital or health care facility.
Children can experience _______ if parents are not present during the hospitalization. When nurses recognize client's concerns and provide respectful, culturally sensitive care, the clients' experiences will be more positive.
_____ planning is an interprofesional process that starts at admission.
Nurses conduct discharge planning with clients and _____ for optimal results.
Nurses establish the ability of clients to participate in the ____ assessment.
Clients in distress or who have ______ changes might need to have a family member provide necessary information.
Nurses begin establishing the therapeutic relationship with clients and _____ during the admission process.
Nurses promote _______ communication between providers.
Nurses use the nursing process as a guide to plan _____ and interventions for clients during discharge.
Nurses use standard hand-off communication tools, such as Introduction, Situation, Background, Assessment, Recommendation (ISBAR) to facilitate _____ and discharges.
Prior to arrival of the client, bring necessary _____ into the room. This should include appropriate documentation forms, equipment to measure vital signs, a pulse oximeter and hospital attire for the client.
Introduce yourself and identify your role.
Explain the roles of other care delivery staff.
If in a semiprivate room, introduce the client to his roommate.
Provide hospital attire and assist as necessary.
Position the client comfortably.
Apply the id bracelet and allergy band if needed.
Provide facility-specific brochures and info material
Provide info about advance directives.
Document the client's advance directives status in the medical record. Place a copy in the medical record if it is available.
During the admission process collect ____ data which would include vital signs, height, weight, and allergy status.
During the admission process collect _____ information about the patient.
During the admission process data collection the client's reason for seeking _______.
During the admission process collect data on the client's present illness and ______.
During the admission process collect data on the _______ which should include: current illness, current medications (prescription and OTC), prior illnesses, chronic disease, surgeries, previous hospitalizations, and other relevant data.
During the admission process collect data about the _______.
During the admission process do a _______ assessment and determine if the patient's use of alcohol, tobacco, drug, and caffiene use; recent weight gain/loss, use of nutritional or herbal supplements and dentures.
During the admission process assess the _______ of patient by looking at the current diet, any chewing or swallowing problems, recent weight gain/loss, use of nutritional or herbal supplements, and dentures.
During the admission process collect data on the _____ which includes religion, advance directives, and living wills.
spiritual health/quality of life concerns
During the admission process collect data on the _____ also known as the ROS.
During the admission process do a _____ assessment and find out about their history of falls, sensory deficits (vision, hearing), and use of assistive devices (walker, cane, crutches, wheelchair)
During the admission process, you also start the ____ process. You will need to know what family members are in the home, transportation for discharge, relevant phone numbers, medical equipment needs at home and home health care needs at home.
During the admission process _____ personal items.
Examples of personal items to inventory include clothing, jewelry, money, credit cards, _____ (eyeglasses, contacts, hearing aids, cane, dentures), medications, cell phones, and other technology devices and religious articles.