UNZSRP067 General nursing studies 1

                                          Markéta Skalná



                                             Seminář 3

                                         Obsah Semináře 1

•    Ambulance conversation – what is a matter?

•    Patient admission in ambulance

•    Patient admition for hospitalization (to room)

•    Basic observations (obss)

•    Situations during hospitalization











Patient admission in hospital – hospitalization in the room

Communication with patient in basic observations

https://www.youtube.com/watch?v=bjOp_6-HvHM



Communication focus: giving instructions to a patient.

Listen to the conversation and tick ✓ the instructions you hear.



1 Can you stand on the scales, please? □

2 Can you open your mouth, please? □

3 Can you bend your leg, please? □

4 Can you turn your head to one side for me, please? □

5 Can you bend your arm, please? □

6 Can you roll up your sleeve, please? □

7 Can you put your arm out straight? □                                   Listening 06 6

8 Can you hold out your hand, please? □                                Next try in pairs

Situations during hospitalization

•     Examinations také place from 8 to 11 o clock

•     I will change your bed, it is necesarry. I will turn you o your side.

•     I change you into clean clothes. Raise your hands. Bathrobe. Replace/change laundry

•     I wash you on the bed, cut your nails, remove polish from nails before surgery, cream you

•     We need to position you to prevent bedsores. Keep legs up.

•     I will feed you. Can you feed yourself? Is it disgusting to you? You are allowed only tea.

•     Do you suffer from urine leakage/ pain while urinating. I will give you a bowl to the bed.

•     Doctor recommended bladder catheterisation/ insert catheter through urethra. Annoying.

•     We transfer you in the department..

•     Dont have a free bed elsewehere, Im sorry.

•     Tomorow you will be released to home care. Does anyone care of you?

•     Who will accompany you home? Discharge report. Take all you things with you. Here is

                                        Patient‘s admission

                                         Nikola kratinová

WHY?

•   Change in health

•   Deterioration of health

•   Acute case

•   An accident

•   Childbirth

•   Planned interventions





Reasons, why patients are receiving

Types of Admission

Planned admission

•     The client is ordered for an operation or examination

•     Commes on the recommendation of practitioner doctor or specialist

•     Admitted at the outpatient clinic or at the  central reception



Acute admission



•     Without recommedation from doctor

•     The client‘s health is in threat of life or has changed for the worse

•     Admitted at the urgent

What should the client with him?

•     Insurance card

•     Identity card

•     Doctor‘s recommendation

•     Results of laboratory examination

•     For children informed consent signed by a parent

Medical documentation

•    Medical documentation consists of daily record, informed consents, nursing documentation,
examination results, medical record and decourse

•    NURSING DOCUMENTATION-includes daily record, evaluation scales, temperature tables, pain
table, ressure ulcer evaluation, consciousness

•    DECOURSE-record of teh course of the diseases and treatment

FORms

•    Informed consent

•    Nursing anamnesis

•    Assessment of the general condition

•    Record in the register of hospitalized in the hospital

•    Wardrobe list and record of valuables storage

What is necessary for children?

•     Habits

•     Salutation

•     Favorite toy

•     Boarding

•     Hygiene

•     Visiting hours

•     Hospital rules