Question | Answer |
What are some of the things done at admitting department? | 1) Collect personal info & insurance data for billing
2) Place ID bracelet
3) Patient's Bill of Rights |
In what types of situation does admission personnel go into patient's room to gather data? | If ED admission or facility transfer |
Bill of Rights | 1) The right to obtain info about illness or injury
2) Right to refuse medication or treatment
3) Right to receive considerate & respectful care
4) Right to privacy
5) Right to expect reasonable continuity of care |
Hospital floor duties | 1) Prepare patient's room
2) Admission packet (water pitcher, basin, soap, lotion, tissue box)
3) Equipment (monitor, gown, bp cuff, suction, oxygen)
4) Welcome & orient pt
5) Safeguard valuables
6) Assist pt into gown
7) Nursing Admissions Databas |
Safeguarding Valuables | >Items sent home (ie jewelry)
>Label patient's items (walker, dentures)
>medical or electrical devices brought from home |
Assist patient into gown | 1) Place ID band
2) Place allergy band |
Nursing Admissions Database/Intake forms | >Vital signs, height, weight
>Allergies
>Reason for admission
>ADLs and IADLs
>Use of adaptive devices
>Nutrition, Elimination, Pain, Spiritual, Psychological, Abuse, Advanced Directives
>Patient belonging |
What goes with pt during transfer within hospital? | >Patient's chart, belongings, nurse report |
Nurse report | Name, age, physician(s), admitting diagnosis, current condition, allergies, medications, special equipment |
discharge planning | a plan to ensure that patient's needs are consistently met |
Discharge Process | 1) Authorization
2) Discharge instructions (signed)
3) Discharging patient
4) Nurse Documentation
5) Business aspects |
Nursing Documentation | includes status (ie dressing change) & motive departure (via wheelchair, ambulated on own?) |
AMA | Alert patient to risks of leaving AMA, notify primary care provider, complete form if possible (signature & witness) |