Admissions, Transfers, and Discharge - ATI - Chapter 9 Flashcards Preview

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1
Q

Responsibilities of nurses include enuring continuity of care and information sharing throughout the processes of admission, transfers, and _____.

A

discharge

2
Q

The admission assessment provides baseline data to use in the development of the _____.

A

nursing care plan

3
Q

Comparisons with future assessments help monitor client status and response to ________.

A

treatment

4
Q

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.

A

self-identity

5
Q

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.

A

separation anxiety

6
Q

_____ planning is an interprofesional process that starts at admission.

A

discharge

7
Q

Nurses conduct discharge planning with clients and _____ for optimal results.

A

families

8
Q

Nurses establish the ability of clients to participate in the ____ assessment.

A

admission

9
Q

Clients in distress or who have ______ changes might need to have a family member provide necessary information.

A

mental status

10
Q

Nurses begin establishing the therapeutic relationship with clients and _____ during the admission process.

A

families

11
Q

Nurses promote _______ communication between providers.

A

professional

12
Q

Nurses use the nursing process as a guide to plan _____ and interventions for clients during discharge.

A

teaching

13
Q

Nurses use standard hand-off communication tools, such as Introduction, Situation, Background, Assessment, Recommendation (ISBAR) to facilitate _____ and discharges.

A

transfers

14
Q

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.

A

equipment

15
Q

Admission Procedure:

A

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.

16
Q

During the admission process collect ____ data which would include vital signs, height, weight, and allergy status.

A

baseline data

17
Q

During the admission process collect _____ information about the patient.

A

biographical

18
Q

During the admission process data collection the client’s reason for seeking _______.

A

health care

19
Q

During the admission process collect data on the client’s present illness and ______.

A

symptoms

20
Q

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.

A

health

21
Q

During the admission process collect data about the _______.

A

family history

22
Q

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.

A

psychosocial

23
Q

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.

A

nutrition

24
Q

During the admission process collect data on the _____ which includes religion, advance directives, and living wills.

A

spiritual health/quality of life concerns

25
Q

During the admission process collect data on the _____ also known as the ROS.

A

systems

26
Q

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)

A

safety

27
Q

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.

A

discharge

28
Q

During the admission process _____ personal items.

A

inventory

29
Q

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.

A

assistive devices

30
Q

During the admission process you should discourage keeping valuable at the _____ .

A

bedside

31
Q

During the admission process you should document communication with client related to items left within the room, and valuables locked in the ______.

A

facility’s safe

32
Q

______ the client and family to the room and the facility.

A

orient

33
Q

During the client and family’s orientation to the facility share the following information.

A
Call light operation
Electric bed operation
Telephone services/television controls
overhead lighting operation
smoking policy
restroom locations
waiting areas
meal times
usual time for providers' visits
dining/vending services
visiting policies
34
Q

If the _____ changed (i.e. health status improved so a client no longer needs intensive care) it is an indication for transfer and/or discharge.

A

level of care

35
Q

______ is required to provide necessary care (i.e. transfer form medical unit to surgical suite) is an indication for transfer and/or discharge.

A

Another setting

36
Q

If the facility does not ____the type of care a client now requires (i.e. after the acute phase of a stroke, the client requires care in a skilled facility) is an indication for transfer and/or discharge.

A

offer

37
Q

The client no longer needs _____ care and is ready to return home is an indication for transfer and/or discharge.

A

inpatient

38
Q

_____ planning should begin on admission for every patient.

A

discharge

39
Q

In discharge planning assess whether the client will be able to ____ too his previous residence.

A

return

40
Q

In discharge planning determine whether the client needs or has someone to assist him at ____.

A

home

41
Q

In discharge planning make a referral too the social worker to arrange for _____.

A

community services

42
Q

In discharge planning communicate _____ and needs to community service providers.

A

health status

43
Q

In discharge planning the provider documents that the client may be discharged. However, a client who is legally competent has the right to _____ the facility at any time. The nurse notifies the client’s provider, has the client sign the proper forms if possible, and provides discharge instructions.

A

leave

44
Q

You should involve the client and family as much as possible in the _____.

A

discharge planning

45
Q

______ is when the nurse discusses the discharge instructions with the client and provides a printed copy.

A

discharge education

46
Q

When nurses are giving discharge education they should verify _____ of the instructions by the client.

A

instructions

47
Q

Identifying ____ concerns at home is a part of the standards for discharge education.

A

safety

48
Q

Reviewing symptoms of potential _____ and when to contact emergency care or the provider is a part of the standards for discharge education.

A

complications

49
Q

Providing the _____ of the provider is a part of the standards for discharge education.

A

phone number

50
Q

Providing the names and phone number of ______ that give care at the client’s residence is a part of the standards for discharge education.

A

community resources

51
Q

Step by step instructions for performing continuing _____, such as dressing changes is a part of the standards for discharge education.

A

treatments

52
Q

______ restrictions and guidelines, including those that pertain to medication administration is a part of the standards for discharge education.

A

dietary

53
Q

The amount and frequency of _____ to perform to support continued independence at home is a part of the standards for discharge education.

A

therapies

54
Q

Directions how to take medications, potential interactions, and ____ adherence is important is a part of the standards for discharge education.

A

why

55
Q

________ at the bedside and from dresser drawers and closets (flowers, books, clothing, personal care items) should be transferred/discharged with the client.

A

Personal belongings

56
Q

_____ from the safe (if leaving the facility) should be transferred/discharged with the client.

A

valuables

57
Q

______ (especially that belong to the client or that cannot be returned to the pharmacy for credit) should be transferred/discharged with the client.

A

medications

58
Q

______ devices should be transferred/discharged with the client.

A

assistive

59
Q

_______ or a transfer form should be transferred/discharged with the client.

A

medical records

60
Q

A responsibility of the nurse on the day and time of transfer is to confirm that the receiving facility or unit is _____ the client and that the room or bed is available when transferring/discharging a client.

A

expecting

61
Q

A responsibility of the nurse is to communicate the ____ the client will transfer to the receiving facility or unit when transferring/discharging a client.

A

time

62
Q

A responsibility of the nurse is to complete the _______ (medial records, transfer forms) when transferring/discharging a client.

A

documentation

63
Q

A responsibility of the nurse is to give a ____ transfer report in person or via telephone when transferring/discharging a client.

A

verbal

64
Q

A responsibility of the nurse is to confirm the ______ the client will use to complete the transfer or discharge (care, wheelchair, ambulance) when transferring/discharging a client.

A

mode of transportation

65
Q

A responsibility of the nurse is to make sure the client is dressed _____ if going outside of the facility when transferring/discharging a client.

A

appropriately

66
Q

A responsibility of the nurse is to account for all of the client’s _____ when transferring/discharging a client.

A

valuables

67
Q

A responsibility of the nurse is to have any _____ ready when receiving a transferred client.

A

specialized equipment

68
Q

A responsibility of the nurse if appropriate, inform the client’s _____ of the impending admission or transfer when receiving a transferred client.

A

roommate

69
Q

A responsibility of the nurse is to ____ other health care team members of the client’s arrival and needs when receiving a transferred client.

A

inform

70
Q

A responsibility of the nurse is to meet with the client and family on arrival to complete the _____ and orient the client and family to the new facility or unit when receiving a transferred client.

A

admission process

71
Q

A responsibility of the nurse is to assess how the client _____ the transfer when receiving a transferred client.

A

tolerates

72
Q

A responsibility of the nurse review _______ when receiving a transferred client.

A

transfer documentation

73
Q

A responsibility of the nurse is to implement appropriate nursing interventions in a ______ when receiving a transferred client.

A

timely manner

74
Q

Transfer documentation includes

A

medical diagnosis and care providers
demographic info
overview of health status, plan of care, and recent progress
alterations that can precipitate and immediate concern
notification of assessments or care essential within the next few hours
most recent vital signs and medications, including PRN
allergies
diet and acitivity orders
specific equipment or adaptive devices (oxygen, suction, wheelchair)
advance directives and emergency code status
family involvement in the care and health care proxy, if applicable

75
Q

Discharge documentation includes

A

Types of discharge (provider prescription or against Medical advise (AMA)
Date and time of discharge, who went with the client, and Transportation (wheelchair to car, gurney to ambulance)
Where the client went (home, long-term care, etc)
Summary of the client’s condition at discharge (steady gait, ambulating independently, in no apparent distress)
Description of any unresolved difficulties and procedures for follow up
Disposition of valuables, meds brought form home, and prescriptions

76
Q

Discharge instructions should include documentation of _____ of instructions by the client.

A

understanding

77
Q

Discharge instructions

A

written instructions in the client’s language
diet at home
step by step instructions for procedures at home
precautions to take when performing procedures or administering meds
signs and symptoms of complications to report
names and numbers of providers and community services to contact
plans for follow up care and therapies.