Fundamental Concepts And Skills For Nursing 4Th Edition

Front 1

What does MSW stand for?

Back 1

Master's degree in social work

Front 2

Define deductible

Back 2

Amount per calendar year a patient pays before insurance begins to pay.

Front 3

Explain what the discharge planner does or is?

Back 3

The RN or social worker who coordinates home care after hospitalization when the patient needs it.

Front 4

What does managed care mean?

Back 4

A system of health care that was designed to lower the costs of health care.

Front 5

What is the role of the admitting department?

Back 5

Make sure admissions criteria is met, verify personal & ins info. Make sure proper auth on file. Sometimes responsible for setting up payment plans for ded & copays. If an ER admit or visit may fall on the ER clerical staff.

Front 6

What takes place on day of admission?

Back 6

Patient arrive at hospital 1-2 hrs early.

Front 7

What all would you need to cover when orienting a patient to the unit?

Back 7

location of call bell and its operations, location of bathroom & its call bell, how to work tv phone, visiting hours, meal times or if necessary explain NPO, advise of chaplain, social worker and other services available, answer any questions they have.

Front 8

When patient is transferred to another facility what information should be included?

Back 8

Primary and secondary diagnosis-current orders, medications with dosage, route, frequency and last dose given-physicians names and phone numbers-brief synopsis of the hospital stay.

Front 9

What does ISBAR-R stand for?

Back 9

Introduction-Situation-Background
Assessment-Recommendations-Readback

Front 10

Name information to be sent home with the patient in their discharge summary?

Back 10

restrictions-rest and activity directions-dietary instructions-wound care-medications and when to take them-symptoms & signs of problems to report to the doctor-name and phone number of the physician.

Front 11

When a patient dies the nurse must?

Back 11

Immediately notify the physician. After the death nurse prepares the body for the family viewing and then the body is given postmortem care.

Front 12

If a patient brings valuables to the hospital, they should be?

Back 12

sent home with family, or put in a valuables envelop, listed and sealed and put in a hospital safe.

Front 13

The initial nursing assessment is the responsibility of the __________, but the __________ assists with the data collection.

Back 13

RN/LVN
LPN

Front 14

What a patient has allergies they are noted where?

Back 14

on front of chart, on admissions assessment, or MAR, on a patient armband per agency policy.

Front 15

When a patient is transferred to another unit or facility, the __________ must issue the order; it is important to also notify the __________ __________ and the __________

Back 15

physician
business office
family

Front 16

A key safety issue for transfer of a patient that is stated as a National Patient Safety Goal is __________ __________ __________.

Back 16

Communication between caregivers.

Front 17

Accuracy of transcribed orders is the legal responsibility of the ?

Back 17

Nurse who signs off on the order

Front 18

Home health services may include skilled nursing such as?

Back 18

wound care, diabetic care and teaching, iv medication administration.

Front 19

Common home health services include?

Back 19

Physical therapy, occupational therapy, speech therapy, respiratory care, personal care.

Front 20

What is an AMA form?

Back 20

Against Medical Advise form, it is used for patients who want to leave prior to discharge.

Front 21

What does the nurse need to do if a patient wishes to leave against medical advice?

Back 21

Listen to what patient is saying, answer questions, offer to ask physician or supervising nurse to talk to patient; ask patient to sign AMA form.

Front 22

Ways you may be able to assist a significant other when a patient has died?

Back 22

Sit with the bereaved, listen and offer quiet comfort. Offer to call priest, rabbi or religious leader. Provide privacy for grieving. Tell the person you are sorry for loss of loved one.

Front 23

Reasons an autopsy may have to be done?

Back 23

Death from unknown causes.
Death at hands of another.
Patient has not been under dr. care within a specific time range.

Front 24

Plan of care is done by who and what is a Plan of Care?

Back 24

Plan of care done by nurse w/input from all health care team. The basis of plan is nursing process-5 steps-assessment, nursing dx, planning, implementation & eval & the plan of care includes nursing dx (process which the data sorted & analyzed so specific health prob are id.

Front 25

Initial Nursing assessment is also called?

Back 25

Data Collection

Front 26

Generally the __________ __________ prepares the chart, transcribes the orders, prepares laboratory slips, x-ray request and consent forms. It is the __________ responsibility to make sure it is all transcribed correctly.

Back 26

Unit secretary
nurses

Front 27

What are the assessment categories?

Back 27

Level of consciousness, vital signs, ability to communicate, vision and hearing, condition of skin, prosthetic and assistive devices, other health problems or concerns.

Front 28

When a patient dies what needs to be documented in the nurses notes?

Back 28

The time life signs ceased, the time of death was pronounced, and the person making the official pronouncement.

Front 29

Differentiate between routine admission and emergency admission.

Back 29

Routine admission would be for a scheduled procedure something that was planned in most cases. Emergency admission would be due to sudden illness, a wreck, or serious injury.