mna m osby ’ s long term care assistant chapter 34 admitting, transferring and discharging
TRANSCRIPT
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MNAMosby’s Long Term Care Assistant Chapter 34Admitting, Transferring and Discharging
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Admission
Official entry into a nursing center
Can cause anxiety and fear for residents and family
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Discharge
Official departure from a nursing center
Family notified in advance
Rights are protected
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Transfer
Moving to another health care setting or to a new room within the same facility.
Obtain help from a co-worker
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OBRA Standards
Privacy and Confidentiality
Protect resident’s rights
Inform resident and family
Resident’s best interests are considered
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Admitting Concerns
Fear of the unknown
Fear of mistreatment
Separation form family
Loss of independence
Leaving home and possessions behind
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Needed Information
Activity level
Special equipment or supplies needed
Level of orientation
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Admissions
Dementia
May need extra help
Confusion, agitation are common
Family is fearful or guilty
Resident will want to leave
Help to feel safe and welcome!
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Admitting the Resident
FIRST IMPRESSION
Greet by name
Introduce self
Be Professional
Treat with dignity and respect
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Safety and Security
Meet needs
Describe good things about the center
Tour facility
Remember the center is now the resident’s HOME
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Admission Procedure
Measure V/S
Measure Ht/Wt
Water Pitcher
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Admission Procedure Complete a clothing and personal belonging list
Explain signal lite, bed controls
Introduce room mate
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Admission Procedure Describing jewelry
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Admission Procedure
Remember Side rails are seldom used and only with a doctor’s order
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Admission Procedure
You may ask family members to leave if needed to ensure resident privacy
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Measuring Ht/Wt
Measured on admission
Then daily,weekly or monthly
Same clothes each time, usually gown or PJs
Void first
Weigh same time
Privacy
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Measuring Ht
12 = 1
24 = 2
36 = 3
48 = 4
60 = 5
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Measuring Ht
52 =
34 =
65 =
74 =
68 =
62 =
70 =
4 4
2 10
5 5
6 2
5 8
5 2 5 10
GOOD
JOB!
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Measuring Weight
35 36 37 38 39
50 100 150200
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Measuring Weight
35 36 37 38 39
50 100 150200
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Measuring Ht/Wt
Wt can be done with bed scales
Ht can be done in bed also
Follow manufacture’s directions for bed scales
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Transfers
Moving rooms
Change in health
Roommate issue
Move to private or semi-private
May be upset.
Avoid “pat answers”
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Discharges
Usually planned in advance
Help resident to pack belongings
Assist to car
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Discharges
If a resident want to leave the facility w/o permission:
Tell the nurse
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Review
You should complete the admission process as quickly as possible
True False
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Review
Always raise the SR before leaving the room
True False
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Review
You may ask family members to leave the room to ensure privacy.
True False
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Review
You may provide discharge instructions to the resident and family.
True False
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ReviewBefore you weigh the resident,
ask them to
____________________. Void
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Review
Prn Tid
Stat W/C
Ht Wt
Qod Qid
As needed
immediately
height
Every other day
3X day
Wheel chair
Weight
4X day