Clinical Nursing Skills and Techniques
1. Chapter 2: Admitting, Transfer, Discharge
2. When admitting a patient that does not speak english, can the family
members interpret for the patient.: No, use a professional translator.
3. When admitting a patient and the patient is hard of hearing what should
you do?: Arrange for a speech and language pathologist. Family members may
assist though.
4. When admitting a patient, when do you obtain the patients health
history?: As soon as possible
5. When admitting a patient, how do you assess the patients ability to
understand and implement health information?: As a health literacy question
like "How confident are you filling out medical forms yourself?
6. When admitting a patient, the patient ask you to check her skin
tomorrow because she's tired. What should do?: Check at admission. It is a
priority. Use the
Braden scale for skin breakdown
7. When admitting a patient, the patient says he has multiple allergies.
What should you do?: Provide and allergy arm band with allergies written it.
8. When is medication reconciliation done?: Within 24 hours of admission.
During transitions of care (handoffs). Transfers and Discharges. NOT BETWEEN
SHIFTS
9. When does the discharge process start?: From admission
10. List the two primary reasons a doctor would write an order for a patient
to be transferred to another room or nursing unit: a) change in the status of
acuity ( for nursing care)
b) the need for an isolation room
11. Who signs the discharge form?: The nurse and the patient
12. What is needed to begin the transfer process?: An order from the dr
13. Who has the authority to write the actual discharge order?: the dr
14. Who has authority to transcribe the orders?: the unit secretary
15. Who arranges transportation for a discharge?: It could be the nurse or
someone else
16. When transferring a patient, who should you collaborate with?:
Healthcare providers and interdisciplinary team. The medical director is not
necessary.
17. Highly reliable hand-offs incorporate what 3 elements: 1. Face to face, two
way communication
1. Chapter 2: Admitting, Transfer, Discharge
2. When admitting a patient that does not speak english, can the family
members interpret for the patient.: No, use a professional translator.
3. When admitting a patient and the patient is hard of hearing what should
you do?: Arrange for a speech and language pathologist. Family members may
assist though.
4. When admitting a patient, when do you obtain the patients health
history?: As soon as possible
5. When admitting a patient, how do you assess the patients ability to
understand and implement health information?: As a health literacy question
like "How confident are you filling out medical forms yourself?
6. When admitting a patient, the patient ask you to check her skin
tomorrow because she's tired. What should do?: Check at admission. It is a
priority. Use the
Braden scale for skin breakdown
7. When admitting a patient, the patient says he has multiple allergies.
What should you do?: Provide and allergy arm band with allergies written it.
8. When is medication reconciliation done?: Within 24 hours of admission.
During transitions of care (handoffs). Transfers and Discharges. NOT BETWEEN
SHIFTS
9. When does the discharge process start?: From admission
10. List the two primary reasons a doctor would write an order for a patient
to be transferred to another room or nursing unit: a) change in the status of
acuity ( for nursing care)
b) the need for an isolation room
11. Who signs the discharge form?: The nurse and the patient
12. What is needed to begin the transfer process?: An order from the dr
13. Who has the authority to write the actual discharge order?: the dr
14. Who has authority to transcribe the orders?: the unit secretary
15. Who arranges transportation for a discharge?: It could be the nurse or
someone else
16. When transferring a patient, who should you collaborate with?:
Healthcare providers and interdisciplinary team. The medical director is not
necessary.
17. Highly reliable hand-offs incorporate what 3 elements: 1. Face to face, two
way communication
