1. Lesson 27 Admissions/Transfers/ Discharge

2. 11 Admitting, Transferring, and Discharging Handout 11-1: Quiz: You Are Moving! Your house has been sold, and you need to move in with your sister and her family for about six months or more. You need to work out some problems; perhaps you will even be staying with them permanently. You don’t know for sure. You will share a room with your niece. Your space is six feet wide by 12 feet long. There is a single bed, a chest of drawers, and a soft chair that you can use. There is also a screen available for your privacy. Decide what you will take with you. You can store anything you do not take, but you will not have access to any stored items until you move again.

3. 11 Admitting, Transferring, and Discharging Handout 11-1: Quiz: You Are Moving! (cont’d.) Think of space. All six items must fit into your small room, or in your half of the closet, which is a five foot by three foot space. Name six things you will take with you. (Seven outfits of clothing count as one item.) 1._________________________________________________ _________________________________________________ 2._________________________________________________ _________________________________________________ 3._________________________________________________ _________________________________________________ 4._________________________________________________ _________________________________________________ 5._________________________________________________ _________________________________________________ 6._________________________________________________ _________________________________________________

4. Admitting a New Resident to a Facility  Courtesy & Hospitality are VERY important  Admissions are time consuming, but a resident should not be made to feel like a burden or inconvenience  New residents often feel depressed, lonely, afraid, anxious, angry and confused about the admission  Be supportive and an active listener

5. Admitting a Resident Preadmission-prior to arrival  Prepare the room: call light working, chair and reading light present  Stock bedside cabinet with supplies  Check for cleanliness and orderliness  Contact housekeeping if necessary

6. Admitting a Resident  Identify roles of caregivers and introductions to the resident and family  Orient resident to his/her surroundings  Unpack belongings  Ensure comfort  Refer family and visitors to nurse regarding information pertaining to the resident  Personalize room or encourage family to bring in pictures, knickknacks, etc.  Complete Personal Inventory Record (PIR) ASAP, but at least within 24 hours of admission  Make genuine effort to create a trusting relationship with the resident and family by being available, concerned, and supportive

7. Transferring a Resident Hospitalization:  Follow the nurse’s instructions carefully if transfer is for emergency reasons  Assist emergency personnel, as needed  Reassure the resident Appointments:  Provide necessary care prior to departure (toileting, grooming, & appropriately dressed)

8. Discharge or Transfer within the facility  Reasons vary to why the person is being moved or getting discharged or transferred, but typically are planned at least a few days in advance  Often happy if he or she is going home  Often anxious if being discharged or transferred

9. Discharge  Respond to the directives given by nurse  Assist resident to gather belongings using the Personal Inventory Record (PIR) as a reference  Be sure family or resident sign the PIR to verify receipt of belongings  Assist the resident to the vehicle being used for transport  Return to former room, strip the bed, remove all supplies/equipment and notify housekeeping

10. Transfer within Facility  Get the nurse if the resident has questions or concerns about the transfer  Respond to directives given by nurse to prepare for transfer  Pack all belongings using PIR as reference  Transport resident to new room/location & unpack belongings  Make necessary introductions to the unit staff and roommate, if applicable  Assist caregiver on the new unit to promote residents comfort and allow for easier transition  Give report to the nurse and/or other caregivers  Return to previous room, strip the bed, remove all supplies/equipment and notify housekeeping

11. Review Questions 1. Describe the ways in which the CNA can help the new resident be more comfortable in his/her new environment. 1. What items should be listed on the resident’s personal inventory record at the time of admission? 1. True or False? Anger, fear, and sadness are common emotions expressed by residents at the time of admission.

12. Review Questions