MNAMosby’s Long Term Care Assistant Chapter 34Admitting, Transferring and Discharging

Admission

Official entry into a nursing center

Can cause anxiety and fear for residents and family

Discharge

Official departure from a nursing center

Family notified in advance

Rights are protected

Transfer

Moving to another health care setting or to a new room within the same facility.

Obtain help from a co-worker

OBRA Standards

Privacy and Confidentiality

Protect resident’s rights

Inform resident and family

Resident’s best interests are considered

Admitting Concerns

Fear of the unknown

Fear of mistreatment

Separation form family

Loss of independence

Leaving home and possessions behind

Needed Information

Activity level

Special equipment or supplies needed

Level of orientation

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!

Admitting the Resident

FIRST IMPRESSION

Greet by name

Introduce self

Be Professional

Treat with dignity and respect

Safety and Security

Meet needs

Describe good things about the center

Tour facility

Remember the center is now the resident’s HOME

Admission Procedure

Measure V/S

Measure Ht/Wt

Water Pitcher

Admission Procedure Complete a clothing and personal belonging list

Explain signal lite, bed controls

Introduce room mate

Admission Procedure Describing jewelry

Admission Procedure

Remember Side rails are seldom used and only with a doctor’s order

Admission Procedure

You may ask family members to leave if needed to ensure resident privacy

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

Measuring Ht

12 = 1

24 = 2

36 = 3

48 = 4

60 = 5

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!

Measuring Weight

35 36 37 38 39

50 100 150200

Measuring Weight

35 36 37 38 39

50 100 150200

Measuring Ht/Wt

Wt can be done with bed scales

Ht can be done in bed also

Follow manufacture’s directions for bed scales

Transfers

Moving rooms

Change in health

Roommate issue

Move to private or semi-private

May be upset.

Avoid “pat answers”

Discharges

Usually planned in advance

Help resident to pack belongings

Assist to car

Discharges

If a resident want to leave the facility w/o permission:

Tell the nurse

Review

You should complete the admission process as quickly as possible

True False

Review

Always raise the SR before leaving the room

True False

Review

You may ask family members to leave the room to ensure privacy.

True False

Review

You may provide discharge instructions to the resident and family.

True False

ReviewBefore you weigh the resident,

ask them to

____________________. Void

Review

Prn Tid

Stat W/C

Ht Wt

Qod Qid

As needed

immediately

height

Every other day

3X day

Wheel chair

Weight

4X day