CHAPTER 21 : 1 ADMITTING, TRANSFERIRING, AND DISCHARGING PATIENTS

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1 CHAPTER 21 : 1 ADMITTING, TRANSFERIRING, AND DISCHARGING PATIENTS ASSIGNMENT SHEET Grade Name INTRODUCTION: This assignment will help you review the main facts about admitting, transferring, and discharging patients. INSTRUCTIONS: Read the information on Admitting, Transferring, and Discharging Patients. In the space provided, print the word(s) that best completes the statement or answers the question. l. Admission to a health care facility can cause and for many patients/residents and their families. 2. Identify three (3) ways a health care assistant can create a positive first impression and alleviate a patient's fears and anxiety. 3. If a patient is unable to answer questions for an admission form, who can you ask for the information? 4. List at least three (3) rules to follow while handling a patient's valuables. 5. List at least six (6) topics that should be explained while orientating a patient to the health care facility. 6. What are two (2) main reasons for transferring a patient? 7. List two (2) items that must be transferred with the patient. 8. What is required before a patient/resident can be discharged from a health care facility? 9. When you enter Mr. O'Shea's room, he is packing his suitcase and states that he is leaving and going horne. What should you do? 10. Why do health care agencies use forms or checklists for admissions, transfers, and discharges? 11. Interview a "patient" (your lab partner or another adult) who is entering the hospital for knee surgery. Complete the following admission form..~ 2009 Delmar, Cengage Learning. 419

2 PATIENT PREFERS TO BE ADDRESSED AS: MODE OF TRANSPORTATION: 0 Ambulatory OOther Smoker: YO N 0 0 Wheelchair FROM: 0 E.R. 0 E.C.F. OHome 0 M.D.'s Office 0 Stretcher COMMUNICATES IN ENGLISH: DWell OMinimal 0 NotAtAII 0 Other Language (Specify) 0 INTERPRETER (Name Person) 0 None Home Telephone No. ( ) Work Telephone No. ( ) ORIENTATION TO ENVIRONMENT: 0 Armband Checked 0 Call Light 0 Bed Control 0 Phone 0 TV Control 0 Side Rail Policy 0 Bath Room 0 Visitation Policy 0 Personal Property Policy 0 Smoking Policy PERSONAL BELONGINGS: (Check and Describe) 0 Clothing 0 Jewelry 0 Money 0 Walker 0 Wheelchair 0 Cane 0 Other DENTURES: CONTACT LENSES: GLASSES: OY ON HEARING AID: 0 Y ON 0 Upper 0 Partial 0 Hard 0 LT 0 RT PROSTHESIS: OY ON 0 Lower 0 None 0 Soft (Describe) DISPOSITION OF VALUABLES: IN CASE OF EMERGENCY NOTIFY: 0 Patient Given To: Name: 0 Home Relationship: Relationship: 0 Placed in Safe Home Telephone No. ( ) (Claim No.) Work Telephone No. ( ) VITAL SIGNS: ALLERGIES: TEMP: 0 Oral 0 Rectal 0 Axillary Medications: 0 None Known Food: 0 None Known PULSE: Radial 0 Apical Respiratory 0 Penicillin 0 Tape 0 Other (List) (Shellfish, Eggs, Milk, etc.) Rate 0 Sulfa ORT 0 Iodine B/P: 0 LT 0 Standing 0 Sitting 0 Lying 0 Aspirin HEIGHT: WEIGHT: 0 Bedside 0 Morphine 0 Standing 0 Demerol I (Prescription MEDICATIONS: Non-Prescription) Dose/Frequency Last Dose (Date/Time) DISPOSITION OF MEDICATIONS: 1. 0 None Brought to Hospital 2. 0 Sent Home 3. With 4. 0 To Pharmacy: (List) ADMITTING DIAGNOSIS: NURSE'S SIGNATURE: RN/LVN Date Time I Delmar, Cengage Learning.

3 C H A P T E R 21 : 1 A Evaluation Sheet Name Date Evaluated by DIRECTIONS: Practice admitting the patient according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Admitting the Patient Peer Check Final Check* Comments Possible Yes No Yes No Earned** 1. Checks orders or obtains authorization 3 2. Washes hands 3 3. Assembles equipment and supplies 3 4. Prepares room for admission: Opens bed 2 Unpacks admission kit 2 Places supplies/ equipment in bedside stand 2 5. Greets and identifies patient 4 6. Introduces self and other patient 4 7. Asks family/visitors to wait in lounge/lobby 4 8. Closes door and screens unit 4 9. Assists patient into gown/pajamas Positions patient comfortably in bed/ chair Completes admission form/ checklist Measures and records vital signs Weighs and measures patient Completes personal inventory list: 2 Lists personal items 2 Obtains proper signatures 2 Hangs up clothes and puts items away Completes valuables list: 2 Obtains proper signatures 2 Places valuables in safe Obtains routine urine specimen if required Orientates patient to facility Fills water pitcher if allowed Positions patient in correct alignment Delmar, Cengage Learning. 421

4 21:1A (cont.) Admitting the Patient Possible Peer Check Final Check* Yes No Yes No Earned** Comments 20. Elevates siderail if indicated and lowers bed before leaving patient Places call signal and supplies in patient's reach Replaces equipment and leaves area neat and clean Washes hands Allows family/visitors to return to unit Records or reports required information 4 Totals 100 Final Check: Instructor or authorized person evaluates. Earned: possible times each "yes" check Delmar, Cengage Learning.

5 C H A P T E R 21 : 1 B Evaluation Sheet Name Date Evaluated by DIRECTIONS: Practice transferring the patient according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Transferring the Patient Possible Peer Check Final Check* Yes No Yes No Earned** Comments l. Checks orders or obtains authorization 3 2. Determines following information: New room number or unit 3 Unit is ready for transfer 3 Method of transport 3 3. Assembles equipment and supplies 3 4. Knocks on door and pauses before entering 3 5. Introduces self, identifies patient, and explains procedure 4 6. Washes hands 3 7. Collects clothing and personal items 4 Checks items on personal inventory list 4 Puts items in bag or on cart 4 8. Places equipment to be transferred on cart 4 9. Checks valuables to be transferred Transfers patient to wheelchair or stretcher Transports patient and belongings to new unit/room Introduces patient to new staff members Orientates patient if required Checks belongings with new staff member Puts away clothing and personal items Positions patient comfortably and in correct alignment before leaving Elevates siderails if indicated and lowers bed to lowest level Places call signal and supplies in patient's reach Replaces equipment and leaves area neat and clean Washes hands Completes transfer list Returns to previous room/ unit and cleans unit as required Washes hands Records or reports required information 4 Totals 100 Final Check: Instructor or authorized person evaluates. Earned: possible times each "yes" check Delmar, Cengage Learning. 423

6 C H A P T E R 21 : 1 C Evaluation Sheet Name Date Evaluated by DIRECTIONS: Practice discharging the patient according to the criteria listed. When you are ready for your final check, give this sheet to your instructor. PROFICIENT Discharging the Patient Possible Peer Check Final Check* Yes No Yes No Earned** Comments l. Checks orders or obtains authorization 3 2. Determines time of discharge 3 3. Assembles equipment and supplies 3 4. Knocks on door and pauses before entering 3 5. Introduces self, identifies patient, and explains procedure 3 6. Closes door and screens unit 3 7. Washes hands 3 8. Assists patient with dressing 4 9. Assembles patient's belongings 4 Checks items against personal inventory list 4 Obtains proper signatures Assembles equipment given to patient Checks that patient has received discharge instructions Obtains valuables from safe 4 Checks valuables with list 4 Obtains proper signatures Completes discharge checklist Places items on cart or gives to relative Transfers patient to wheelchair nansports patient to business office and/ or car Assists patient into car Places belongings in car Says good-bye to patient Returns to unit and cleans as required Washes hands Records or reports required information 4 Totals 100 Final Check: Instructor or authorized person evaluates. ** Earned: possible times each "yes" check Delmar, Cengage Learning.