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CNA · Basic Nursing Skills · 5 min read

Admission, Discharge, Surgical and Postmortem Care

In this lesson you will
  • Identify the nurse aide's responsibilities during resident admission, room transfer, and discharge.
  • Describe the nursing assistant's role in preoperative preparation and postoperative care.
  • Explain how to provide respectful, dignified postmortem care within the nurse aide scope of practice.

Admission and Room Transfer Procedures

A smooth admission sets a welcoming tone for a resident's stay. The nurse aide prepares the resident room before arrival by ensuring clean linens, supplies, and admission equipment are ready. When the resident arrives, the aide warmly welcomes the new resident and family and introduces themselves. The aide then demonstrates how to use the call light system and places it within the resident's reach to ensure immediate safety.

Orientation helps ease anxiety in a new setting. The nurse aide orients the resident to the room, bathroom, dining area, and facility routine. As directed by the nurse, the nurse aide measures and records admission vital signs, height, and weight. While assisting with admission care, the aide notes visible redness or skin breaks and promptly reports them to the nurse. The aide also observes and reports how the resident moves, responds, and behaves.

Managing personal possessions is another vital admission duty. The nurse aide assists the resident with unpacking and completing a personal belongings inventory. To prevent loss, the aide ensures personal items such as dentures, glasses, and clothing are properly labeled with the resident's name.

When a resident must change rooms, similar care is required. The nurse aide assists with transferring a resident to a new room by gathering and safely packing all personal belongings. Before completing the transfer, the aide checks the resident's belongings against the personal inventory list. The aide helps transport the resident using a wheelchair or stretcher as directed by the nurse and according to facility policy. Finally, the aide helps orient the transferred resident to the new room and staff, introducing roommates when appropriate and with their consent.

Exam tip. On your certification exam, remember that nurse aides observe and report rather than assess. If you notice a red spot or skin tear during admission unpacking, record your observation and promptly report it to the nurse instead of trying to diagnose or treat it yourself.

Common mistakes

  • Lifting or peeling back a surgical dressing to inspect an incision instead of observing only the outside of the dressing for visible drainage.
  • Removing catheters, intravenous lines, or drainage tubes during postmortem care instead of leaving them in place for the nurse.
  • Adjusting the pressure or cycle settings on a sequential compression device instead of applying the sleeves without altering settings.
  • Failing to inventory belongings at admission or to check them against the current inventory during transfer or discharge, as directed and according to facility policy.

Key points

  • During admission, the nurse aide readies the room, welcomes the resident, demonstrates the call light, completes the belongings inventory, and takes vital signs, height, and weight as directed.
  • When transferring or discharging a resident, the aide checks belongings against the inventory list, assists with transport, and documents discharge time and transport mode.
  • Preoperative care includes following the nurse's instructions for a resident who is NPO, reporting any food or fluid intake to the nurse, assisting with hygiene, securing valuables, and preparing a surgical bed as directed.
  • Postoperative care involves frequent vital signs, monitoring fluid intake and output, observing dressing exteriors without lifting them, and supporting recovery with stocking application, turning, coughing, and spirometer use.
  • Postmortem care begins only when directed by the nurse, treating the body with dignity, leaving all tubes in place, positioning the body on its back, and supporting grieving family members.

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Original lesson written for CNA practice · updated October 15, 2026. Exam names are trademarks of their owners; tests.global is not affiliated with them.