Podcast
Questions and Answers
Who notifies the nurse that the client is ready for assessment?
Who notifies the nurse that the client is ready for assessment?
Where do the nurse and the client go to start assessments?
Where do the nurse and the client go to start assessments?
Where should the nurse enter medication and allergy information?
Where should the nurse enter medication and allergy information?
How should medications be written on medicine bottles?
How should medications be written on medicine bottles?
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In what situation should AIMS Dyskinesia be assessed?
In what situation should AIMS Dyskinesia be assessed?
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When is the admission type changed from Outpatient to URC?
When is the admission type changed from Outpatient to URC?
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Which tab should you choose in the URC drop down to access the Client Data Center?
Which tab should you choose in the URC drop down to access the Client Data Center?
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Where can you find the Provider Information form?
Where can you find the Provider Information form?
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What should you do if the client's admission type is not switched for a higher level of care?
What should you do if the client's admission type is not switched for a higher level of care?
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Where should you click to access Microsoft Teams?
Where should you click to access Microsoft Teams?
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What should you do if there is a shift change while with a client?
What should you do if there is a shift change while with a client?
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Where should the client's personal belongings be given to?
Where should the client's personal belongings be given to?
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What should be done with the paper form used for searching the client?
What should be done with the paper form used for searching the client?
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Where can you find the Admit/Discharge medication form?
Where can you find the Admit/Discharge medication form?
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What should be done if there is a shift change while with a client?
What should be done if there is a shift change while with a client?
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Study Notes
Nurse Workflow
- Nurse is notified by the Therapist that the client is ready for Nurse Assessment
- Nurse and client go to Triage to start assessments
- GoHealth Admission Order includes Physician's Medication Orders with:
- Medication name
- Dosage
- Reason for taking
Nurse Assessment
- In Intake Comments, the nurse provides a brief nursing assessment, including:
- Client's age and ability to answer questions
- Vital signs (VS) and whether they are within normal limits (WNL)
- Lung sounds and heart rate
- Skin issues (scars, cuts, etc.)
- Client's appearance and demeanor
Medication and Allergies
- Medications and allergies are entered into Rcopia (if needed)
- Nurse accesses Rcopia through the Medical tab and Nurses Assessment
- Specific details are required, including:
- Brand name or generic name written on the medicine bottle
- No abbreviations
AIMS Dyskinesia
- Only completed if the client is experiencing psychosis or has medications with side effects related to Tardive Dyskinesia
Client Admission Type
- Admission type is changed from Outpatient to URC if the client is going to be discharged to inpatient
- Clients discharged to higher level of care need to see the Provider
- Clients discharged to lower level of care may see the Provider if requested by the client or school
- Otherwise, clients discharged to lower level of care do not need to see the Provider
- The Nurse and Life Skills Coach contact the on-call Doctor/Med.Provider for assessment
- The chart is turned green if the chart has been moved from outpatient to URC (inpatient/residential)
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Test your knowledge of the nurse workflow with this quiz!
