NCLEX-PN

Admission and Transfer - Receiving the Client ●​ Assessment and Planning : The LPN can collect the data for an assessment at the direction of an RN. The RN then reviews the data and forms the nursing plan of care. LPNs cannot complete the admission assessment and can only complete certain focused assessments, depending on the state and their scope. However, this does not mean that LPNs cannot assess a client. It does mean that charting the nursing assessment and formulating a care plan based on that assessment must be completed by the RN. This varies by state and facility. ●​ Orientation : Nurses orient both the client and their significant others to the healthcare setting, helping them become familiar with their surroundings and the available resources. ●​ Review of Client's Status : The LPN can perform a focus assessment to determine the client's health needs. ●​ Medication Reconciliation : Collects and verifies the client's complete medication history, including over-the-counter medication as well as herbal supplements; clarifies that the medications and dosages taken by the client are correct and enters the information into the client's record; notify provider of updated list; and Licensed prescriber reviews the medications list and reconciles. ●​ Providing Information : During admission, the LPN can provide essential information, such as HIPAA guidelines, client rights, and the complaint process. This ensures clients are aware of their rights and privacy protections. Admission and Transfer - Sending the Client ●​ Complete Information Transfer : When transferring a client to another unit or facility, the sending area must provide the receiving unit with comprehensive and up-to-date information about the client's condition, treatment plan, and specific needs. Discharge ●​ Communication and Collaboration : Nurses facilitate effective communication and collaboration between the sending and receiving parties during the discharge process. Discharge planning begins at the time of admission and is a collaborative effort. This ensures the client's discharge plan is appropriate and aligns with their medical requirements. Discharge teaching can be provided by the LPN; however, both the LPN and RN must sign the discharge paperwork. ●​ Medical Information Sharing : Crucial medical information is shared between the sending and receiving units to ensure a seamless transition and continuity of care after discharge. This includes medication details including herbal supplements, follow-up appointments, and any necessary instructions for the client's ongoing care.

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