*REQUESTED* STEP BY STEP: How to admit patients into a Facility(SKilled nursing/nursing home)

Introduction

This tutorial provides a step-by-step guide on how to admit patients into a skilled nursing facility or long-term care facility. It covers essential elements such as DNR status, medication orders, dietary requirements, and more. Understanding this process is crucial for healthcare professionals to ensure a smooth transition for patients.

Step 1: Gather Necessary Documentation

Before admitting a patient, collect all required documentation to facilitate the admission process. This includes:

• Patient’s medical history: Ensure you have access to the patient's complete medical records.
• Physician’s orders: Obtain clear orders from the attending physician regarding treatment and care.
• Advance directives: Confirm if there are any advance directives, including Do Not Resuscitate (DNR) orders.

Step 2: Confirm DNR Status

Understanding the patient's DNR status is vital for providing appropriate care. Follow these steps:

• Review DNR documents: Check for any legal documents indicating the patient's wishes regarding resuscitation.
• Discuss with family: If possible, have a conversation with the patient's family to clarify their understanding of the DNR status and the patient's wishes.

Step 3: Review Physician’s Medication Orders

Ensuring the proper management of medications is critical for patient safety. Execute the following:

• Collect medication orders: Compile a list of all medications prescribed by the physician.
• Clarify any uncertainties: If there are unclear orders, consult with the physician for clarification.
• Set up medication administration: Prepare for medication administration according to the facility’s protocols.

Step 4: Establish Dietary Orders

Proper nutrition is essential for patient health. Take these steps to manage dietary needs:

• Assess dietary requirements: Review any dietary restrictions or preferences noted in the patient’s records.
• Communicate with dietary staff: Ensure that dietary staff are informed of the patient’s needs and preferences.
• Prepare a meal plan: Create an appropriate meal plan based on the patient’s dietary orders.

Step 5: Conduct a Comprehensive Assessment

Perform a thorough assessment of the patient upon admission. This includes:

• Physical examination: Check vital signs and perform a physical assessment.
• Functional assessment: Evaluate the patient’s ability to perform daily living activities.
• Psychosocial assessment: Understand the patient’s mental and emotional state to provide holistic care.

Step 6: Orient the Patient and Family

Effective communication with the patient and their family is crucial for a smooth transition. Implement the following:

• Explain the admission process: Walk the patient and family through the facility’s procedures and policies.
• Provide a tour of the facility: Show the patient their room and common areas.
• Introduce key staff members: Familiarize the patient and family with the healthcare team who will be involved in their care.

Conclusion

Admitting a patient into a skilled nursing facility involves careful planning and attention to detail. Key steps include gathering documentation, confirming DNR status, managing medications, establishing dietary needs, conducting assessments, and orienting the patient and family. Following these steps will help ensure a smooth admission process and enhance the quality of care for the patient. For further improvement, consider regular training and updates on policies to stay informed about best practices in patient admissions.