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Standard handoff communication tools, such as
What do nurses use when
Introduction, Situation, Background, Assessment,
preparing change-of-shift
Recommendation (ISBAR) to facilitate transfers and
report?
discharges.
When should discharge On admission with every patient.
planning begin?
Type of discharge, date & time of discharge, who went
with the client & transportation, where the client went,
Discharge documentation summary of clients current condition at discharge,
should include description of any unresolved difficulties and
disposition of valuables, medications brought from
home & prescriptions.
Being accurate & concise is an important element of
Documentation & documentation. Only abbreviations & symbols
abbreviations and symbols approved by The Joint Commission and the facility are
acceptable.
, A nurse is discussing the Family members should provide a code prior to
HIPPA privacy rule with receiving client health information, communication of
nurses during new a client can occur at the nurse's station, a client can
employee orientation. request a hard copy of their records and a nurses may
Which of the following photocopy a client's medical record for transfer to
information should the another facility.
nurse include?
A nurse is receiving a Repeat the details of the prescription back to the
providers prescription for provider, have another nurse listen to the telephone
morphine by telephone prescription and obtain the providers signature on the
for a client who is prescription within 24 hours.
reporting moderate to
severe pain. What are the
appropriate nursing
actions?
I. A review of scientific data is not enough to solve it
A problem is an ethical II. It involves a conflict between two moral imperatives
dilemma when III. The answer will have a profound effect on the
situation and the client
involve more than one choice and stem from
Ethical dilemmas are
differences in the values and beliefs of decision
problems that
makers
the right to makes one's own personal decisions, even
Autonomy when those decisions might not be in the that person's
best interest.
Beneifience positive actions to help others (do good)
Fidelity agreement to keep promises
Justice fairness in care delivery and use of resources
Nonmaleficence avoidance of harm or injury (do no harm)
clothing, jewelry, money, credit cards, assistive
Admission inventory of devices, medications, cell phones and other
personal items include technology devices, and religious articles... Nurses
should discourage keeping valuables at the bedside.