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A comprehensive overview of discharge planning in healthcare, emphasizing the importance of effective care coordination and communication among healthcare professionals, clients, and families. It outlines key roles and responsibilities during the discharge process, including the admitting office, admitting nurse, and healthcare team collaboration. The document also explores different leadership styles and their impact on discharge planning, highlighting the importance of transformational leadership in achieving optimal patient outcomes.
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EXCHANGE OF INFORMATION - ANSWERThe key to successful care coordination is an exchange of information among the client, family/caregivers, and interprofessional team CARE TRANSITION - ANSWERContinuous process Client's care shifts from being provided in one setting to another Poorly managed transitions = poor client outcomes Acute care (ADMISSIONS) - ANSWERDirect admission Emergency department Ambulatory care (ADMISSIONS) - ANSWEROutpatient surgery Clinics/Medical offices ADMITTING OFFICE - ANSWERBegin the chart/medical record Provide ID number/barcode Consents Obtain insurance information ADMITTING NURSE - ANSWERBring necessary equipment into the room Introduce yourself and identify your role & roles of other staff Verify identification bracelet Provide hospital gown Orient client to the hospital room, review hospital policies Verify advanced directives (MOLST form); document in health record Inventory personal items Complete & document admission assessment (history & physical) COLLABORATION OF THE HEALTHCARE TEAM - ANSWER1.A team is a collection of individuals working effectively together to achieve a common goal
2.Effective teams are characterized by trust, respect, and collaboration TRANSFER TO REHAB/EXTENDED CARE FACILITY - ANSWERNotify the client and family of the discharge plan A copy of the medical record and care plan, is sent to the facility The RN gives a telephone SBAR report to the receiving nurse--- document the name of the RN you gave report to, date & time Client's belongings, prescriptions, and appointment cards, MOLST forms are sent to the facility w the client UNIT TRANSFERS - ANSWERConfirm that the receiving unit is expecting the client and that the room/bed is available Give RN to RN SBAR transfer report- document the name of the RN you gave report to, date & time Confirm mode of transportation Make sure client is dressed appropriately Account for all the client's belongings/valuables Explain transfer to patient and family Transfer chart, care plan, and medications RN needs to accompany client if transferring to a higher level of care SBAR - ANSWERS(situation)- Client's name, age, admitting diagnosis, Physicians name B(background- Pertinent medical/surgical history Allergies, medications, treatments Advanced directives (code status) A(assessment)-Current condition/assessments Pertinent lab/diagnostic test results R(recommendation)- Nursing care priorities/plan of care RN RESPONSIBILITIES - ANSWERStabilization of client Accepting physician Transfer order
AUTOCRATIC LEADER - ANSWER"Authoritarian" Directive Controlling Demanding Micromanagement Leader gives orders and makes decisions for the group DEMOCRATIC LEADER - ANSWERParticipative/shared leadership Important plans and decisions made w the group Promotes teamwork/collaboration Increases motivation and creativity of the team TRANSACTIONAL LEADER - ANSWERTask and reward system Maintaining control by rewarding good behavior and punishing bad behavior Team members agree to a satisfactory salary and working conditions in exchange for commitment and compliance to their leader TRANSFORMATIONAL LEADER - ANSWERCharismatic, passionate Promote commitment to the organization Honest and open communication Provides a sense of direction to the team Inspire and motivate others to achieve their vision MAGNET - ANSWERTransformational leadership is a key component of organizations that achieve magnet status