Admission, Transfer, and Discharge

kylerigonan's version from 2015-12-17 09:27


Question Answer
Admissionentry of a patient into the health care facilitiy
Against Medical Advice (AMA)when a patient leaves a health care facility without a health care provider's order for discharge
Continuity of carecontinuing of established patient care from one setting to another
discharge planningthe systematic process of planning for patient care after discharge from a hospital or health care facility
disorientationmental confusion characterized by inadequate or incorrect perception place, time, and identity.
empathyability to recognize and to some extent share the emotions and state of mind of another and to understand the meaning and significance of that person's behavior
health care facilityany agency that provides health care
home health agencyan organization that provides health care in the home
separation anxietyfears and apprehension caused by separation from familiar surroundings and significant people
third-party payersentities [people or elements] other than the giver or receiver of service responsible for payment
transfermoving a patient from one unit to another [intra-agency transfer] or moving a patient from one health care facility to another [interagency transfer].
why is the first contact with nurses and health care workers important when admitted to the hospitalopportunity to lessen anxiety and fears and initiate a positive attitude regarding the care to be received
admission procedure generally beings in theadmitting department. The admission department representative is responsible for obtaining vital information from the the patient.
The patient's usually contains thepatient's full name and date of birth.
When a patient is unconscious on admission to the facility. Who identifies?Delayed until a family member or legal guardian is present
What must the patient sign upon admissionpatient signs a consent form that gives permission for general treatment to be given
Why does a patient sign a consent form upon admissionGives permission for general treatment to be given.
Who requires all hospitals and other health care facilities to present a Patient's Bill of Rights to the patient or the patient's legal guardianTJC, Medicare, and Medicaid Services
What is the Patient Self-Determination Act of 1991presented on admission that addresses the patient's right to refuse or accept medical treatment and information regarding advance directives
HIPAA acknowledgement to patientAll patients must be given and sign a document that verifies receipt of information regarding HIPAA
A patient who arrives on a stretcher needs the bedin a high position
A patient who arrives by wheelchair or walking needs the bedin a low position
A formal teaching plan does not begin untilassessment is completed and a care plan is developed
If you've taught patient something while there, before leaving make sure theydemonstrate the skills taught to you
Who requires each hospitalized patient to have an admission assessment prepared by a RN within 24 hours of admissionTJC. Admission requirements for long-term care facilities are directed by each state's governing agency
To begin the transfer process, there must be an ________ by the ________order; health care provider
COBRA and EMTALAthey instituted that a INTERAGENCY transfer requires documentation from the accepting facility and health care provider and a signed consent from the patient indicating an understanding of the risks and benefits
Failure to follow COBRA and EMTALA proceeds may result inmonetary fines to both facilities
Social worker is often in charge ofdischarge planning for the long-term care resident
Large hospitals have dischargeplanners or coordinators
Which ideas/beliefs from the Japanese culture are accurate?Japanese culture believes that coming in contact with blood and skin disease, and improper care of the body including lack of sleep are some of the causes of illness
what documentation demonstrates that the nurse understand the discharge process? a) summary of patient's stay b) method of discharge c) a summary of personnel who cared for the patientB
Admitting Department is responsible for obtain important information from the patient such asdemographic info, insurance info, identifying info(SS#), and emergency contacts
If patient requests for information about advance directives thenfacility must refer the patient to the appropriate resources
ALL PATIENTS must be given and sign a document that verifiesreceipt of information regarding HIPAA
The day before a planned admission, a representative from the admitting officecalls the patient at home and gathers all the information needed to begin the records. Info regarding time of arrival, items to bring or leave at home.
The day patient arrivesthe records and ID band need to be verified with patient for accuracy
People brought to the emergency department of a hospital are sometimes admitted directly to a patient care room. Who's is the representativeA family member, usually the next of kid or the patient's health care representative, provides the admitting office with the necessary information
Once the patient is established in the room the nurse obtains thehealth history and the initial nursing assessment
what is the health historygenerally includes the reason for admission; signs and symptoms the patient is experiencing past illnesses, surgical procedures, and hospitalizations; medications (including PRNs), allergies, eating habits; urinary and bowel patterns; sleep routine; and activity and exercise habits and routines, language spoken, significant others, home situation, interests, abilities, activities of daily living and occupation
what included in the initial assessmentlevel of consciousness, vital signs, height, weight, and a review of body systems.
discharge summary is part of the discharge plan. Discharge summary includespatient's learning needs, how well they have been met, the patient teaching completed, short-term and long-term goals of care, referrals made, and coordinated care plan to be implemented after discharge