What Are Fundamental Nursing Skills and It's Concepts Flashcards

Means entering a health care agency for nursing care and medical or surgical treatment.

• Authorization from a physician that the person requires specialized care and treatment
• Collection of billing information by the admitting department of the health care agency
• Completion of the agency's admission data base by nursing personnel
• Documentation of the client's medical history and findings from physical examination
• Development of an initial nursing care plan
• Initial medical orders for treatment

Length of stay generally more than 24 hours

Length of stay less than 24 hours; possible return on a regular basis for continued care or treatment

Monitoring required; need for inpatient admission determined within 23 hours

Unplanned; emergency department bypassed

Scheduled in advance

Unplanned; stabilized in emergency department and transferred to nursing care unit

Before admission, a physician determines that a client's condition requires special tests, technical care, or treatment unavailable anywhere other than in a hospital or other health care agency.

In the admitting department, clerical personnel begin to gather information from the prospective client or his or her family. They initiate the medical record with data obtained at this time

When the admissions department informs the nursing unit that the client is about to arrive, nurses check the room to ensure it is clean and stocked with basic equipment for initial care (Box 11-1). They later provide personal care items such as soap, skin lotion, toothbrush, toothpaste, razor, paper tissues, and denture containers for clients who do not have them.

• Wash basin
• Soap dish
• Emesis basin
• Water carafe
• Bedpan and urinal

One of the most important steps in admission is to make the client feel welcome. On arrival, the admitting nurse greets the client warmly with a smile and handshake. He or she wears a name tag, introduces himself or herself, and also introduces clients sharing the room. Being treated courteously helps relax the client. A client who feels unexpected or unwanted is likely to have a poor, and lasting, first impression of the unit.

• The location of the nursing station, toilet, shower or bathing area, and lounge available to the client and visitors
• Where to store clothing and personal items
• How to call for nursing assistance from the bed and bathroom
• How to adjust the hospital bed
• How to regulate the room lights
• How to use the telephone and any policy about diverting incoming calls to the nursing station during the night
• How to operate the television
• The daily routine such as meal times
• When the doctor usually visits
• When surgery is scheduled
• When laboratory or diagnostic tests are performed

Helping a person become familiar with a new environment)