Hospital Admission and Discharge Procedures
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Hospital Admission and Discharge Procedures
- 1. ANILKUMAR BR LECTURER MEDICAL SURGICAL NURSING
- 3. Admission to the hospital Unit and it’s preparation admission bed Admission procedure Special consideration Medico-legal issues Role and responsibilities of the nurse
- 4. Discharge from the hospital Types : Planned, LAMA, Abscond, Referrals and Transfers Discharge planning Discharge procedure
- 5. Continue.. • Discharge procedure • Special considerations • Medico-legal issues • Role and responsibilities of the nurse • Care of the unit after discharge
- 6. ADMISSION
- 7. Admission is defined as allowing a patient to stay in hospital for observation, investigation, treatment and care.
- 8. Admission is the entry of a patient into a hospital /ward for therapeutic /diagnostic purposes.
- 9. Types of admission 1) Emergency admission 2) Routine admission
- 10. Emergency admission : in this, patients are admitted in acute conditions requiring immediate treatment. Examples. Patient with RTA, Poisoning, burns and cardiac or respiratory emergency.
- 11. Routine admission : in this, patients are admitted for investigation, diagnostic and medical or surgical treatment. Treatment is given according to patients problem. Examples patient with hypertension, diabetes mellitus etc.
- 12. UNIT AND IT’S PREPARATION Unit: It is a place where the patient is kept during hospital stay. The admitting department notifies the unit prior to the patients arrival so that room /bed can be prepared.
- 13. Unit‘s and it’s preparation Prepare the treatment table Ensure all the equipment are completed Check ventilation Ensure patient privacy
- 14. SPECIAL CONSDIRATION Admission cause undue stress (emotional factors as well as financial capability must given utmost importance) Be observant consider the individual patient needs Provide an individual admission procedure show may efficiency and concerns
- 15. Admission procedure Meet and receive the patient - Verify the patient data, by checking the record sheet, chart - Introduce immediate personal - Assist patient to the treatment area - Ask the patient to change clothes into hospital gown if necessary
- 16. Perform examination and evaluation procedure. Perform examination and evaluation procedure establish base line valves like vital signs, do history taking, physical examination etc. Coordinate with the physician and carry out initial orders Give the treatment and instructions as need
- 17. Orientation to the patient and others The equipments /instruments Use of call system and telephone Treatment schedule Vistors timings Other health care team members Policy and rules and regulations Care of patients valuable etc
- 18. Role and responsibilities of nurse in admission procedure : Nurse should deal every effort to be friendly and courteous with the patient and family members Make proper observation of patients condition
- 19. Continue Orient patient and relatives regarding hospital polices Deal with patient carefully who is suffering from communicable disease or illness. Isolate if necessary Patients valuables and clothes should be handed over to relatives with proper recording.