Admission, Transfer, and Discharge

Flashcards created to help review key concepts from the chapter on Admission, Transfer, and Discharge in nursing care.

What is a direct admission to the hospital?

A direct admission occurs when a patient is admitted directly from the physician’s office.

Why is it important for nurses to approach patient admission positively?

A positive approach helps establish rapport and a trusting relationship with the patient.

What feelings might patients experience upon admission?

Patients may experience fear, anxiety, loss of control, and loss of identity.

How should culturally savvy communication be conducted?

Always address patients formally, avoid slang, and use simple, common English.

What should be done if there is a language barrier during patient admission?

Provide an interpreter if necessary and avoid using relatives unless requested.

What is initiated during the admitting process?

The patient’s chart is initiated, including demographic data and authority to treat.

What age can emancipated minors legally sign for treatment in most states?

Emancipated minors can usually sign for treatment at age 18.

What should a nurse collect during patient admission?

The nurse should collect both objective and subjective data, including patient history and vital signs.

What is the primary goal of hospital discharge?

To keep the patient’s hospital stay as short as possible without endangering their health.

What are the steps involved in the discharge process?

Check healthcare provider’s order, reconcile medications, provide discharge instructions, assist with personal belongings, and document the patient's condition.

What does discharge planning involve?

Teaching about the patient’s illness, dietary needs, medication use, and adaptation methods for daily living.

What is a Leaving AMA form?

A form signed when a patient decides to leave the hospital against medical advice.

What must be reconciled during medication administration upon discharge?

Ensure no duplications, correct dosages, and that all previous medications are accounted for.

Why is it important to provide a written list of medications to the patient upon discharge?

To ensure the patient knows how to take their medications and what side effects to watch for.

What documentation is required on a discharge form?

Follow-up appointment details, medication instructions, dietary modifications, and signs of worsening conditions.

What should be done when transferring a patient within the facility?

Obtain physician’s order, explain the reason for transfer, reconcile medication, and document the time of transfer.

What is the importance of a phone report during patient transfer?

It communicates the patient’s condition to the receiving unit to ensure continuity of care.

What needs to be noted when transferring a patient to another facility?

Document any valuables that are leaving with the patient and obtain consent to release medical information.

What is included in the transfer summary form?

A transfer summary form includes the patient's condition and necessary medical information for the receiving facility.

How should the nurse assist the patient upon discharge?

By helping them gather personal belongings and ensuring they understand discharge instructions.