Admitting, Transferring, and Discharging Patients.
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Transcript of Admitting, Transferring, and Discharging Patients.
Admission Anxiety…Admission Anxiety…Admission can Admission can
cause anxiety and cause anxiety and fearfear
Transferring from Transferring from one room to the one room to the next is an next is an example… the example… the patient has to patient has to adjust to the new adjust to the new environmentenvironment
Health Care WorkersHealth Care Workers
It is very important that the a health It is very important that the a health care worker makes a good first care worker makes a good first impression and makes the patient feel impression and makes the patient feel “at home”“at home”
Some Examples…Some Examples…
Being courteous, supportive, kind, and Being courteous, supportive, kind, and giving clear instructions on how to giving clear instructions on how to follow proceduresfollow procedures
Health Care Workers…Health Care Workers…
Do not rush when admitting, Do not rush when admitting, transferring, or discharging a patient.transferring, or discharging a patient.
Allow the individual to ask questionsAllow the individual to ask questions
(if you do not know the answer ask a (if you do not know the answer ask a supervisor.)supervisor.)
Admission, Transfer, or Admission, Transfer, or Discharge Forms…Discharge Forms…
Facilities have a specific form for each Facilities have a specific form for each formform
Forms list the procedures that must be Forms list the procedures that must be performed and will vary slightly from performed and will vary slightly from facility to facilityfacility to facility
Information must be complete and Information must be complete and accurate accurate
If patient does not know answer If patient does not know answer to a question, a relative of the to a question, a relative of the person responsible for patient person responsible for patient may provide information.may provide information.
Questions regarding Questions regarding medications or allergies are medications or allergies are answered by the nurseanswered by the nurse
Admitting…Admitting…
Certain procedures have to be Certain procedures have to be followed…followed…
Vital signs, height and weight Vital signs, height and weight measurements, and collection of a measurements, and collection of a routine urine specimenroutine urine specimen
Use good technique while performing Use good technique while performing these proceduresthese procedures
List patient’s possessions… clothing, List patient’s possessions… clothing, valuables, and personal itemsvaluables, and personal items
Family members may take clothing Family members may take clothing items homeitems home
List must be checked by both health List must be checked by both health care worker and patientcare worker and patient
At the time of transfer or discharge, At the time of transfer or discharge, list must be checked to make sure list must be checked to make sure that patient has all belongingsthat patient has all belongings
If family does not If family does not take clothing take clothing home, it should home, it should be put in safe be put in safe placeplace
Money is counted, Money is counted, recorded, and recorded, and kept in walletkept in wallet
Equipment…Equipment…
Patient and Faculty should be oriented Patient and Faculty should be oriented with instructions on how to operate with instructions on how to operate equipment such asequipment such asHow to operate the call signal, bed How to operate the call signal, bed
controls, television remote, and other controls, television remote, and other equipment providedequipment provided
Also visiting hours, location of lounges, Also visiting hours, location of lounges, smoking regulations and other services smoking regulations and other services should be explainedshould be explained
Transfers…Transfers…
Done for variety of reasons…Done for variety of reasons…
changechange in patient’s condition, or in patient’s condition, or patient’s requestpatient’s request
Agency policy must be followed and Agency policy must be followed and the reason should be explained to the reason should be explained to the patient and family.the patient and family.
The new room or The new room or unit must be ready unit must be ready to receive the to receive the patient (clothing patient (clothing and personal items and personal items must be must be transferred with transferred with patient)patient)
An organized An organized transfer helps transfer helps prevent fear and prevent fear and anxietyanxiety