PN4004 Questions with Correct Answers
10 steps to Discharge Planning
1. Start planning on admission.
2. Identify simple vs complex needs.
3. Clinical management plan within 24 hrs.
4. Coordinate discharge/transfer.
5. Set discharge date within 48 hrs.
6. Review care plan daily.
7. Involve patient/family.
8. Plan 7-day discharges.
9. Use discharge checklist 48 hrs before.
10. Make daily discharge decisions.
When does discharge planning occur?
Pre-Admission examples
Visit surgeon/anesthesiologist, pre-op education, physical exams, labs, medical history
Interdisciplinary Team members
Nurse, physician, pharmacist, social worker, PT/OT, dietitian, etc
Issues with pt. discharge
Patient refusal, self-discharge, complex discharge planning.
Preventative Screenings
Detect disease early → prevent progression, reduce cost, death and disability
- Screening tests
, - Counselling
- Immunizations
- Meds that prevent disease
EWS Early Warning Score
Tool to identify clinical deterioration early.
Assesses: Vitals, LOC
Nurses role: Document
Primary Objective
Detection of screening in its early stages to treat it & deter its progression.
Secondary Objective
Reduce cost of disease management by avoiding costly interventions required at later stages
Primary, secondary, tertiary prevention methods (examples and case studies)
Primary: immunizations, lifestyle education.
Secondary: screening, early detection (EWS, Pap tests, mammograms).
Tertiary: rehab, complication prevention.
Immunization
Immunizations may be deferred if acutely ill (Canadian Immunization Guide).
Nurse responsibility: assess timing, educate patient/family, document.
Nurse's Role in Screening Programs
- ADPIE: Assessment, planning, implementation, evaluation.
- Advocate for accessible community resources.
10 steps to Discharge Planning
1. Start planning on admission.
2. Identify simple vs complex needs.
3. Clinical management plan within 24 hrs.
4. Coordinate discharge/transfer.
5. Set discharge date within 48 hrs.
6. Review care plan daily.
7. Involve patient/family.
8. Plan 7-day discharges.
9. Use discharge checklist 48 hrs before.
10. Make daily discharge decisions.
When does discharge planning occur?
Pre-Admission examples
Visit surgeon/anesthesiologist, pre-op education, physical exams, labs, medical history
Interdisciplinary Team members
Nurse, physician, pharmacist, social worker, PT/OT, dietitian, etc
Issues with pt. discharge
Patient refusal, self-discharge, complex discharge planning.
Preventative Screenings
Detect disease early → prevent progression, reduce cost, death and disability
- Screening tests
, - Counselling
- Immunizations
- Meds that prevent disease
EWS Early Warning Score
Tool to identify clinical deterioration early.
Assesses: Vitals, LOC
Nurses role: Document
Primary Objective
Detection of screening in its early stages to treat it & deter its progression.
Secondary Objective
Reduce cost of disease management by avoiding costly interventions required at later stages
Primary, secondary, tertiary prevention methods (examples and case studies)
Primary: immunizations, lifestyle education.
Secondary: screening, early detection (EWS, Pap tests, mammograms).
Tertiary: rehab, complication prevention.
Immunization
Immunizations may be deferred if acutely ill (Canadian Immunization Guide).
Nurse responsibility: assess timing, educate patient/family, document.
Nurse's Role in Screening Programs
- ADPIE: Assessment, planning, implementation, evaluation.
- Advocate for accessible community resources.
