1. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Textbook for Nursing Assistants Chapter 14: Admissions, Transfers, and Discharges

2. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Admissions

3. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Admission is – The official entry of a person into a health care setting – A time of orientation, for the new patient, resident, or client and for the health care team –Can be stressful for both person and family as they adjust to the emotional aspects of the change Admission

4. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins The Admissions Process –Orders are written by the doctor after diagnosis of the person –The admissions clerk or admissions nurse helps the person to complete an admission sheet –The person is escorted to his or her room –The nurse completes the nursing history –The nursing assistant is responsible for taking vital signs and helping the person to become oriented to the room Admission: Process

5. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Making a new patient or resident feel welcome – Prepare the person’s room before his or her arrival – Greet the person warmly and introduce yourself – Help the person settle into his or her new home – Practice good communication skills Welcoming the New Person

6. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Transfers

7. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins A transfer occurs whenever a patient or resident is moved within or between health care settings A transfer can be –From one room to another –From one unit to another –From one health care facility to another A transfer can be necessary due to changes in a person’s medical condition, either better or worse Transfer

8. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins The transfer must be safe Patient/resident person and belongings must be treated with respect and concern Transfer

9. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Discharges

10. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Discharge is the official release of the person from a health care facility to his or her home When a person leaves a health care setting without a doctor’s order, the person is said to leave against medical advice (AMA) Discharge

11. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Discharge planning is –Used by the members of the health care team to help prepare a patient or resident to leave the facility –The process that helps identify the needs of a person after his discharge, and makes arrangements for meeting these needs –Begun at the time of admission Discharge: Planning

12. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins The nursing assistant’s responsibilities during discharge: –Helping the person to gather and pack all of his or her personal items –Having the person ready to leave on time –Assisting the person out of the facility or helping him to carry his belongings Discharge: Your Responsibility

13. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins End of Presentation