Admit One: What You Must Know When Going to the Hospital—But No One Actually Tells You!
By Kati Kleber
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About this ebook
After reading this book, you'll feel less intimidated and more in control of your care. All the things that doctors and nurses assume you know when you're admitted—but no one has actually told you—are outlined here.
This thorough and insightful publication will help you learn:
The duties of each member of your health care team
How your team works together to provide you with the best care possible
How the various hospital units and patient equipment function
What to expect from your nurses and what they expect from you
The key questions you must ask and to whom you should direct them
And much more!
Read more from Kati Kleber
Anatomy of a Super Nurse: The Ultimate Guide to Becoming Nursey Rating: 5 out of 5 stars5/5What's Next?: The Smart Nurse's Guide to Your Dream Job Rating: 5 out of 5 stars5/5
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Admit One - Kati Kleber
American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.Nursingworld.org
American Nurses Association
The American Nurses Association (ANA) is the premier organization representing the interests of the nation’s 3.4 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. ANA is at the forefront of improving the quality of health care for all.
Copyright ©2016 American Nurses Association. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries, or to report unauthorized use, email copyright@ana.org.
Cataloging-in-Publication Data on file with the Library of Congress.
ISBN-13: 978-1-55810-657-4
SAN: 851-3481
1.0K
05/2016
First published: May 2016.
Author’s disclaimer
This book was written for informational purposes only. While many health care facilities throughout the country do have similar processes, they are not all identical and the information provided in this book is general and not absolute. If you have questions, comments, or concerns about your hospitalization, please direct them toward your health care and administrative teams at the facility where you are or will receive your care. This book was written from the perspective of a registered nurse to help patients understand the inner workings and some parts of the culture of a typical hospital. Please seek professional advisement if you have medical or legal concerns.
Contents
Author’s Introduction: Insider Info
How I Learned What I Write
How to Use This Book
Acknowledgments
Section 1
Before Your Stay: Meet Your Health Care team
The Nursing Team: Nurses and Others
The Nurses: General and Specialty Practitioners
Your Nurse’s Top Priority
Nursing Reports, Schedules, and Staffing
Report and Shift Change of Nurses
Responsibilities of Nurses
Nursing Interns and Students
Unlicensed Assistive Personnel
Unit Secretaries
Nurses and Nursing FAQs
The Medical Team: Doctors and Others
Attending Physicians
Consulting Physicians
Other Members of the Medical Team
More about Doctors
Physician FAQs
The Therapy Services Team
Physical Therapists
Occupational Therapists
Speech Therapists
Respiratory Therapists
Other Members of the Health Care Team
Pharmacists
Registered Dieticians
Chaplains
Licensed Social Workers
Case Managers, Care Coordinators
Families, Loved Ones, and Visitors
Section 2
Your Hospital Stay: Getting Admitted, Treated, and Discharged
Five Main Routes to Hospital Admission
Through the Emergency Department
Emergency Department FAQs
After Surgery
Through a Doctor’s Office
Through a Procedural Area
Inter-Facility Transfer
The Parts and Departments of a Hospital
The Emergency Department (ED)
Levels of Care
The Regular Nursing Floor
Step-Down Unit or Intermediate Unit
Critical Care, Intensive Care, or ICU (Intensive Care Unit)
Pre-Operative (Pre-Op)
Operating Room (OR)
Recovery Room or PACU (Post-Anesthesia Recovery Unit)
Procedural Areas
Other Areas for Tests and Scans
Some Assorted In-Hospital Essentials All Patients Need to Know
Equipment Most Likely to Encounter
Interventions and Essential Information
A Few Words about Food in the Hospital
Hospital Stay FAQs
Medications in the Hospital
Some Basic Hospital Processes: Communication, Transfers, Discharges
Communication
Transfers
Discharges
Section 3
My Personal Advice: A Nurse Speaks to You and Your Loved Ones
Promote a Healing Environment
Rest!
Establish a Spokesperson
Advocate for Yourself
Know Your Code Status
The Hardest Work that Nurses Do
Having the Conversation
Dealing with Information Overload
Coping as a Part of Healing
What the Health Care Team Needs from You
Section 4
During Your Stay: Your Information!
What Kinds of Information?
Important Questions to Ask as You Begin Your Stay
My Hospital Stay
Starting Your Stay
During Your Stay
Doctors Taking Care of Me and Their Specialty (Daily)
Nurses Taking Care of Me (Each Shift): Shift One
Nurses Taking Care of Me (Each Shift): Shift Two
Other Hospital Staff Taking Care of Me (Daily)
Going Home
Other Questions for My Health Care Team + Notes
Doctors Taking Care of Me and Their Specialty (Daily)
Nurses Taking Care of Me (Each Shift): Shift One
Nurses Taking Care of Me (Each Shift): Shift Two
Other Hospital Staff Taking Care of Me (Daily)
Other Questions for My Health Care Team + Notes
8334.jpgAuthor’s Introduction: Insider Info
Hello there! Let me take a moment to introduce myself. My name is Kati and I am a nationally certified registered critical care nurse in Charlotte, North Carolina.
I have been a nurse for six years. I worked in a cardiac step-down unit for two years and have been working in a neurosciences intensive care unit for the last four years. I have my Bachelor of Science in Nursing (BSN) and am a nationally certified critical care nurse. In addition to being a bedside nurse, I am also the author of the popular nursing blog, NurseEyeRoll.com, and two additional books entitled Becoming Nursey: From Code Blues to Code Browns, How to Care for Your Patients and Yourself (2014), and Now What??? The Smart Nurse’s Guide to Your Dream Job (2016).
As a nurse, I have noticed that there are quite a few things that we, as the health care team, assume you know. However, having experience as a patient myself, I have noticed that no one tells actually you these things along the way! Like many of you, I have also had family members and loved ones walk through the medical system who have come up with questions and confusion. The content in this book was compiled from my experiences to fill that gap.
What kinds of things am I talking about? I’m talking about the difference between a resident, a medical student, an attending physician, and a consulting physician. I’m talking about the difference between a physical therapist and an occupational therapist, or how physician’s schedules work. We’re getting down to the nitty-gritty here!
The fact that these questions are left unanswered, assuming that everyone is aware, has left me feeling like we could do a better job of informing our patients of what to expect. While it may be basic information to those of us working in the hospital day in and day out, we realize that it may not be so obvious to everyone else. The only reason it is basic information to the health care team is because we live and breathe it every day, and sometimes I think we forget that our patients do not. You have the right to not only know these things, but also to fully understand them to allow yourself and your loved ones to make the best decisions possible about your health.
How I Learned What I Write
The information contained in this book is from my personal experiences working with patients since 2007. I have worked in the capacity of a certified nurse’s assistant, nursing student, nursing intern, and finally as a registered nurse on various nursing units. I have worked in a nursing home and on critical care units. I’ve had experience as a nurse in many settings, from schools alongside the school nurse, to prisons, mental health facilities, and emergency departments, and worked intermediate units and nursing floors. While my experience has been mainly in large acute care hospitals, most of this information can also be applied to smaller community hospitals. However, please