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ADMISSION
(ENTERING A HEALTH CARE AGENCY FOR NURSING CARE AND
MEDICAL/SURGICAL TREATMENT)
INVOLVES:
A.
B.
C.
D.
E.
PATIENT IS ESCORTED
NURSING RESPONSIBILITES
PREPARE ROOM
IDENTIFY SELF
ORIENT PATIENT
GATHER INFO
PREPARE ROOM
PROVIDE PERSONAL CARE ITEMS
SUCTION
OXYGEN
IV POLE
IDENTIFY SELF
MAKES PT FEEL SECURE
MAKES PT FEEL WELCOME
ALLEVIATES ANXIETY/FEAR
ORIENT PATIENT
LOCATION OF NURSES STATION
CLOTHES STORAGE
CALL LIGHT
BED CONTROLS
LIGHT SWITCHES
TELEPHONE POLICY
TV CONTROLS
MEAL TIMES
SAFETY MEASURES SUCH AS BEDRAILS
VISITING HOURS
WHAT TESTS ARE SCHEDULED
DIET
ROOM BOUNDARIES
SCHEDULED SURGERY TIME
TIMES FOR DOCTORS VISITS
GATHER INFORMATION
THE NURSE WILL GATHER INFO ABOUT:
MEDICAL ORDERS
TREATMENT
LABORATORY TEST
TESTS
DIET
ACTIVITY
PHYSICAL ASSESSMENT WITHIN 24HRS.
TYPES OF ADMISSION
INPATIENT
OUTPATIENT
INPATIENT STAY
LONGER THAN 24HRS
PLANNED:
NO IMMEDIATE THREAT
PLANNED ELECTIVE SURGERY, TESTS
PATIENT IS PREPARED
EMERGENCY:
UNPLANNED
STABILIZE IN EMERGENCY ROOM (CHEST PAIN, TRAUMA)
DIRECT ADMISSION:
UNPLANNED
BYPASS EMERGENCY (VOMITING, DIARRHEA)
OUTPATIENT STAY
LESS THAN 24 HRS
OBSERVATIONAL:
HEAD INJURY
PREMATURE LABOR
UNSTABLE VITAL SIGNS
VALUABLES
PATIENT COMFORT
ANXIETY
LONELINESS
DECREASED PRIVACY
LOSS OF IDENTITY
ANXIETY
APPEARANCE
Exhibits Separation Anxiety.
Sad.
Worried.
Restless.
Reduced Appetite.
Insomnia.
HOW TO HELP
Acknowledge feelings.
Provide explanations and instructions before performing procedures.
Inquire about stress due to children/pets/spouse at home.
Reassure. Separation Anxiety can cause the elderly to be confused and disoriented.
LONELINESS
Make frequent contact with your patient.
Orient your client.
Allow liberal visitation.
DECREASED PRIVACY
Pull curtain and close door.
Knock.
Identify room boundaries, esp. if sharing room.
Be careful of exposing patient.
Patient feels uncomfortable because of unkempt appearance, so announce visitors.
LOSS OF IDENTITY
Call patient by name they prefer.
Allow patient to wear own gown.
Display pictures.
Give them some choices. (bathing, eating, etc.)
DISCHARGE
METHOD (ACRONYM)
M-MEDS
E-ENVIRONMENT
T-TREATMENT
H-HEALTH TEACHING
O-OUTPATIENT REFERRAL
D-DIET
AMA (Against Medical Advice)
TRANSFER
REFERENCES: