ATI Fundamentals Retake

What do nurses use when preparing change-of-shift report? - Standard handoff communication tools, such as Introduction, Situation, Background, Assessment, Recommendation (ISBAR) to facilitate transfers and discharges. When should discharge planning begin? - On admission with every patient. Discharge documentation should include - Type of discharge, date & time of discharge, who went with the client & transportation, where the client went, summary of clients current condition at discharge, description of any unresolved difficulties and disposition of valuables, medications brought from home & prescriptions. Documentation & abbreviations and symbols - Being accurate & concise is an important element of documentation. Only abbreviations & symbols approved by The Joint Commission and the facility are acceptable. A nurse is discussing the HIPPA privacy rule with nurses during new employee orientation. Which of the following information should the nurse include? - Family members should provide a code prior to receiving client health information, communication of a client can occur at the nurse's station, a client can request a hard copy of their records and a nurses may photocopy a client's medical record for transfer to another facility. A nurse is receiving a providers prescription for morphine by telephone for a client who is reporting moderate to severe pain. What are the appropriate nursing actions? - Repeat the details of the prescription back to the provider, have another nurse listen to the telephone prescription and obtain the providers signature on the prescription within 24 hours. A problem is an ethical dilemma when - I. A review of scientific data is not enough to solve it II. It involves a conflict between two moral imperatives III. The answer will have a profound effect on the situation and the client