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Activity 1 - Admission History and  Nursing Assessment

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Activity 1 - Measuring height and weight

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prepare waters, preparing admission folder

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prepare waters, preparing admission folder

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Introduce self
Show surrounding to patient
Check patient sticker
Patient document

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-make sure the toiletries towel are well prepaid

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-make sure bed is ready
-give flask water if thier needed
-standby towel and gown
-admission kit from BO

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transfer patient it can be nursing home facilities

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transfer patient it can be nursing home facilities

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With staf nurse will introduce their role and PCA also will explain thier function take care of patient.

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The point at which a person begins an episode of care.. admission is the process vital providing safe and adequate care .. relationships starts the patient and admissions..

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- when the pt call bell, go to the room immediately and assist them/ call the sn incharge to assist the pt

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presents information the organized and friendly manner
introduction of yourself
explain your role functions
escort patient
documentation

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complete all documents before do admission

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1. Introduction of yourself and fellow colleagues.
2. Explain your role and function in the care of the patient.
3. Escort patient and family to room and introduce them to roommate if in semiprivate room.
4. Documentation

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Prepare document for discharge/transfer
Inform patient and family about transfer
Check patient belongings

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IPSG
visiting hour
caretaker staying

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explain your role and bring patient to their room for documentation

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Greet patient
Check sticker patient
Ask patient if have any allergic
(medication or food )

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1. Admission data
2. Personal health history
3. Communication and socioeconomic status 4. Admission assessment
5. Other information and assessments
6. Patient education and discharge plan

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transfer the patient go to the ward
make sure patient get the medication before discharge

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Personal health history
Prepare Admission assessment
Patient education and discharge plan form

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1. To calculate BMI
2. For calcuation of certain medication

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inform patient and family member first
patient agree or not
prepare all things
make sure confirm first from another department
check documentation

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TCA once discharge from ward
Tidy things before going home
help to tidy if need to transfer out any ward
eat medication when going home
follow up call if pt got any problem

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transfer :
- patient transferring from clinic, other hospital or emergency department to another medical service that they need.

discharge ;
- doctor check either patient was still sick or being healthy after being in ward. the discharge process might take longer time due to insurance and pharmacy issue.

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A transfer is when a patient moves from one area of the hospital to another for example, from ward to a the other ward. Discharge happens when a patient leaves the hospital because they are transferring to another type of care such as going home or moving into a hospice.

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- Prepare documents transfer/discharge
-Tell patient and family why to transfer to other ward

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If patient admission from ed , usually ed staff already record the weight and height.

If admission from FO, staff will write in form  assist by staff nurse

Important to record if there is any procedure to follow up

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for my shift,
I’ll greeting the patient and introduce myself first while other staff nurse are busy. I put the call bell around them and tell them to press the red button if you need anything. Give the remote tv to make sure that the patient never get boring while waiting the staff nurse in charge to do their role.

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Allergic medication
Family history
Any procedure during admission

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-bring patient measure height & weight
-if patient not comfort ,bring the measure in their room

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Assessment is a component of nursing practice, required for planning and provision of patient and family centered care.
• Admission data
• Personal health history
• Communication and socioeconomic status
• Admission assessment
•Other information and assessments
• Patient education and discharge plan

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- admissions data
- personal health history

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all patient who was admitted to your department or ward must have their weight and height taken.

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-put callbell nearer
-press if needed

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to calculate BMI and for calculations of certain medications

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prepare set ( hot water , water and cup ) . towels and gown .. make sure bed is ready

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attend the callbell immediately..