Test IV Admissions/ Discharge
Terms
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Admissions/Discharge stuff here
Whos takes the origional responsibliity of admitting someone into a health care faciltiy? - Maureen emphasised several time its the RN that does the origional assessment. The LPN will take it from there.
- what are some things that the RN has to get ready for the pt's stay at the hospital?
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inventory of belongsings
health assessment
physical assessment
learn their allergies
their orientation
find out their lifestyle choices
religious preference
if they smoke
their orientation
acknowldege and advance directives - there are tasks for the incoming people like ...
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lab work
paperwork ID bands
identification information
origional MD orders
etc - when does the process for discharge start?
- the day the client enters the hospital their discharge is being planned. This means ramps, community help, resources for the person all set up b/c stays are usually just 3 days
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The way a person comes into a hospital depends how or the way they are going to get admitted.
If the came in thru the emergency room, there is ... -
an admiting process different than when they walk in.
This means we wouldn't ask a pt trivial questions when they are in pain - Of the admission/discharge process, what is most important?
- the discharge is the most important. Discharge is about teaching, teaching, teaching. A million things to teach the pt and family
- how many groups are involved in discharging someone from the hospital?
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many. Ex:
dieticians
doctors
each skill sees the pt from a different perspective - what is the laundry list of stuff that has to get done on discharge?
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referrals made
prescriptions and info collected
follow up care plans
pack up all items
physical transportation by wheelchair out - who does the discharge?
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the RN does the discharge
a pt can't just walk out the hospital. MD has to right the order for that -
Admission/Discharge Homework
why is it important to get a thorough pt history on admission? - history guides the nurse thru a complete assessment of previous assessments, diagnosis, problems
- what should a nurse do for someone that is just getting admitted into the hospital?
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find out their allergies
inventory of their stuff
do a health assessment
orientation
take their meds to the pharmacy
acknowledge any advanced directives
religous preference
did they smoke? - who is responsible for the orginonal assessment?
- the RN is
- what are some tasks that need to be don during admission process?
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indentifying information
identifying band and paperwork
lab work, lab studies - the admission orders depend on the condition of the patient and how they arrived at the hospital, ex. emergency room or walked in. so what
- so the hospital doesn't hassle people in a lot of pain with trivial questions like insurance questions
- when does planning for a patient's discharge begin?
- the day they arrive at the hospital, they are already being processed to leave
- what would a student want to review about a patient before doing anything for them newly admitted to the hospital?
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do they have orders allowing them to eat or drink fluids
it they get to ambulate at all
any stat orders pending
any lab work to be done b/f they eat - how does a pt leave the hospital?
- in a wheelchair
- how many groups of people are concerned with a patient leaving the hospital?
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dietician
doctors
lots of people who see the pt in a different way - what are some nurse responsiblities concerning the discharge of a patient?
- teaching
- what are some discharge responsibilities of the hospital/community for the patient?
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referrals are made, community support systems
prescriptions and info about meds
pack their stuff up
the transportatin of pt - discharge instructions are a big deal. who does this
- the RN does the discharge instructions. The MD initiates these orders and are signed by him and patient both.
- what would the nurse be writing about at the very last for the pt?
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last BM
last labs
a great way to communicate.