Discharge Planning for Certified Emergency Nursing (CEN)
Included In This Lesson
Outline
Discharge Planning
Discharge instructions:
- Provide written discharge instructions; avoid use of medical abbreviations
- Review discharge instructions with patient and caregivers
- Answer questions, clarify unclear items, explain medical terms and directions
- Request that physician return to clarify patient education or information needs
- Involve family and significant others in interaction
- Explain rationale for prescribed medication (e.g., drug actions, side effects) – offer specific instruction with medication (e.g., “Do not drive while taking this medication”)
- Refer to specific community resources
Teaching Effectiveness:
- Results in positive behavior/attitude changes
- Ask patient to restate in own words (or mime/demonstrate)
- Test understanding of learning
- Better learning if related to something familiar
- Return demonstration
- Follow-up phone call
- Specific language – signs of infection
- Focus on behavior, avoid absolute words
- Positive feedback
Barriers:
- Lack of privacy, time, rapport, nurse knowledge
- Distractions, cognitive impairment
- Unable to secure community follow-up
- Physiological barriers – pain, age, critical illness, medication, cognition, sight/hearing deficits
- Psychological barriers – trust, anxiety, denial, depression, psychosis
- Sociocultural – language, ethnic background, education, literacy
- Motivation
Compliance:
- Patient has right to choose whether to follow nurse’s advice
- Compliance with teaching depends – Recall ability, Comprehension, Desire to comply, Ability to perform, Health care literacy
Follow-up Arrangements:
- Follow-up appointment with primary care provider or specialist (e.g., orthopaedic surgeon, obstetrician, diabetic nurse educator)
- Clinic appointment
- Return visit to the emergency department or hospital
- Home health care/visiting nurse/community paramedicine program
- Social service or case management referral
- Psychiatric facility or outpatient psychiatric program
- Substance abuse/alcohol detoxification centers
- Condition-specific patient and caregiver support groups
Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Emergency Nurses Association. (2017) Emergency Nursing Core Curriculum, 7th Edition. PA: Saunders
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System