Healthcare Admission, Transfer, and Discharge Procedures

Practice flashcards covering the vocabulary and procedures related to patient admission, the nursing process, discharge planning, and facility transfers.

Admission Emotions

Common feelings a patient may experience during admission such as fear, anxiety, or happiness.

Communication Policy

Never lie to the patient; always tell the truth and ask for help if you do not know an answer.

Culturally Sensitive Care

Care that involves using a nonbiased interpreter and watching patient nonverbal body language.

Health Barriers

Economics, education, geography, language, stereotypes, discrimination, prejudice, and misunderstanding.

Registration Department Process

The stage where a patient signs for permission to treat or bill and receives ID bands with identifiers like DOB and Name.

Consent for Minors

Must be signed by a legal guardian or Pow. of Eterny; a 15 yo. can sign for their own baby, but not themselves unless emancipated.

Admission Nursing Responsibilities

Includes an introduction, providing an admission kit, completing a personal belonging inventory, and performing the initial data collection assessment.

Subjective Data

What the patient tells you.

Objective Data

Data that you can see.

Discharge Planning

Figuring out a plan for when the patient leaves the facility.

Assessment (Nursing Process)

The step of gathering data.

Analyze (Nursing Process)

The step of taking information and figuring out what to do.

Intervention (Nursing Process)

Planning what to do to aid the patient and figuring out different routes of care.

Implement (Nursing Process)

The step of putting a plan into action.

Evaluate (Nursing Process)

The step of asking "did it work?"

Reassess (Nursing Process)

The step of trying something else next if the previous plan did not work.

Primary Goal of Discharge

To get the patient back to their highest level or best of normalcy.

AMA

Stands for "Against Medical Advice"; occurs when a patient discharges themselves because they do not want to be there.

Repeat Back Method

The best way to know if a patient understands treatment instructions.

Medication Reconciliation

The process of looking at old and new meds to ensure no duplications, correct dosages, and intentional changes.

Discharge Form Requirements

Includes return follow-up time, medical list with side effects, diet/activity restrictions, and signs/symptoms indicating physician notification.

Transfer Within Facility

A department to department move requiring a physician's order, explanation of the reason, reconciled meds, and a transfer summary form.

Transfer to Another Facility

A move usually by ambulance requiring a physician's order, arranged transportation, and a consent release form.