need help filling out LTC admission forms! - page 2
by Grannyof6, ASN, RN | 3,534 Views | 11 Comments
I'm an LPN who worked for many years at an MR/DD respite business. I never had to fill out admission or insurance forms for admission. But I've recently signed up with an agency that is sending me to LTC facilities where... Read More
- 0Dec 31, '12 by Nascar nurse, ASN, RNOP - it's nearly impossible to give you much advice because typically the required paperwork is different in all facilities. A couple of pointers that I always try to give new nurses are:
1. Make sure you've got all the pages of the transfer sheet. Our local hospital is infamous for sending page 1 of 4, page 2 of 4 and page 3 of 4. Of course things like ABT, coumadin or insulin is found of the page 4 of 4 that never made it to the facility.
2. At least scan the H&P from the hospital so you know why the resident was in the hospital to begin with. Amazes me when the nurse fails to document a surgical wound to the hip and when asked seems perplexed that the resident HAD hip surgery.
3. Critical thinking skills - If they have coumadin, make sure you have a PT/INR follow up order. If they have a wound, make sure there is a treatment order in place. If they are receiving insulin make sure they have accuchecks in place. Make sure there is something to address whatever it was that sent them to you to begin with (ABT for urosepsis, therapy orders, etc)
4. Get a code status ASAP. Nothing worse than a code within the first 24 hours and no one has bothered to ask what resident, family desire was!
5. Do a complete head to toe. This includes removing all dressings (unless there is an order to specifically not remove them). Measure and describe every area you see. This prevents any wounds being discovered later and then having to be included as an in-house wound rather than an admission wound.
6. Don't forget to fax orders to pharmacy as soon as you get them ready
7. Don't spend more time worrying about the task than the time it actually takes to get the task done. After hearing several of the nurses recently moan and groan that I just didn't understand how long the whole paper work task took I told them I would just do the next admission paperwork myself. Grabbed the transfer papers at the desk and stood and did the orders (yes, I had plenty of interruptions too). It is simply a matter of copying line by line, checking each line off as I go (so I don't inadvertently skip a line), taking a second look to make sure I got all those extras like I mentioned above included, faxing the pharmacy and moving on to the head to toe. It just didn't take as long as they kept trying to tell me it did. Some of them spend the first 20 minutes complaining about the length of time and I was nearly done in 20 minutes.
Hope some of this helps.