MNA M osby ’ s Long Term Care Assistant Chapter 34 Admitting, 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                 

Measuring Weight                 

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 TrueFalse

Review Always raise the SR before leaving the room TrueFalse

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

Review You may provide discharge instructions to the resident and family. TrueFalse

Review Before you weigh the resident, ask them to ____________________. Void

Review PrnTid StatW/C HtWt QodQid As needed immediately height Every other day 3X day Wheel chair Weight 4X day