Admissions, Transfers and Discharges

Summary

This video script offers a detailed overview of the admission, transfer, and discharge processes in healthcare settings, focusing on the role of CNAs. It emphasizes the importance of privacy, confidentiality, and respect for residents. The script explains the admission process, including verification of identity, paperwork, and preparation of rooms. It highlights the need for effective communication and a positive first impression. It also discusses the importance of assisting with transfers, ensuring belongings are properly managed, and supporting discharges, particularly when patients leave against medical advice or are ready to go home. The key takeaway is maintaining dignity and professionalism throughout these procedures.

Takeaways

• 😀 Privacy and confidentiality are essential when dealing with patient information. Always communicate in private settings to respect the patient's right to privacy.
• 😀 The admission process begins with verifying the patient's identity and insurance, followed by preparing the room with necessary equipment like vital sign tools and personal care items.
• 😀 CNAs are responsible for taking the patient's height, weight, and vital signs, including temperature, pulse, respiration, blood pressure, and sometimes oxygen saturation.
• 😀 When patients arrive, CNAs should greet them by name and title, introducing them to their roommate and ensuring a professional, respectful first impression.
• 😀 CNAs should always act professionally and respectfully, as they represent both the facility and the college where they are being trained.
• 😀 During admissions, CNAs help create a personal belongings list to track what the patient brings, ensuring items are returned when the patient leaves.
• 😀 CNAs play an important role in orienting the patient to their new environment, including showing them where the nurse's station, dining room, and call bell are.
• 😀 For transfers, CNAs assist in transporting patients, gathering their belongings, and helping introduce them to new staff or roommates. CNAs should always be comforting and reassuring.
• 😀 Discharges must be coordinated with the doctor’s order. CNAs ensure the patient is fully prepared for discharge, including gathering belongings and ensuring the patient is dressed and ready by the designated time.
• 😀 If a patient wants to leave against medical advice (AMA), CNAs should immediately notify the nurse so that the risks and consequences can be explained to the patient.
• 😀 CNAs should always use military time when documenting information to avoid confusion, ensuring clear and unambiguous communication regarding time.

Q & A

What is the role of a CNA in the admission, transfer, and discharge process?

The CNA's role is to ensure privacy and confidentiality, assist in the admission process by gathering necessary information, help prepare the room for the resident, take vital signs, and assist with the transfer or discharge by ensuring all belongings are packed and the person is comfortable.

Why is privacy and confidentiality important in the admission process?

Privacy and confidentiality are crucial because it is a patient's right to have their information kept private. CNAs must communicate sensitive information in private settings to avoid overhearing by others who don't need to know the information.

What happens during the admission process of a new resident?

During admission, the admitting office verifies the person's identity, gathers identifying information, and ensures the patient is assigned an ID bracelet or a picture for identity verification. The resident is then escorted to their room, where the CNA prepares the room and gathers the necessary supplies.

How does a CNA help prepare the room for a new resident?

A CNA prepares the room by setting up the necessary supplies, such as a bedpan, urinal, toothpaste, toothbrush, and bath basin. The CNA also measures the resident's height, weight, and vital signs before they arrive to ensure the room is ready.

What is the importance of introducing the new resident to their roommate?

Introducing the new resident to their roommate is essential for building comfort and familiarity. It helps reduce confusion and anxiety, making the resident feel more at home in their new environment.

Why is it important for a CNA to make a good first impression on a resident?

Making a good first impression is vital because it shapes the resident's perception of the facility. A positive and professional attitude can make the resident feel welcome and valued, while a negative impression can be difficult to overcome.

What types of information does a CNA typically gather during admission?

A CNA typically gathers height, weight, vital signs, pain level, and possibly a urine specimen. They may also help with collecting personal items and creating a list of belongings the resident plans to keep in the facility.

How do CNAs assist in the transfer of a resident to another room or facility?

CNAs assist by gathering the resident's belongings, ensuring they are transported by wheelchair, stretcher, or bed, and helping them adjust to the new room. They may also introduce the resident to new staff and roommates to ensure a smooth transition.

What is the process for discharging a resident from the facility?

The discharge process involves preparing the resident for departure by gathering their belongings, ensuring they are dressed, and verifying everything on the admission checklist. The CNA may assist in ensuring the discharge time is met and the resident is ready for transport.

What is the role of the CNA when a resident wants to leave against medical advice (AMA)?

The CNA should immediately notify the nurse if a resident wants to leave against medical advice. The nurse will then explain the potential risks of leaving and notify the physician, as residents who leave AMA may face risks to their health and changes to their insurance coverage.