ANILKUMAR BRLECTURER MEDICAL SURGICAL NURSING

HOSPITAL ADMISSION AND DISCHARGE

Admission to the hospital Unit and it’s preparation admission

bed Admission procedure Special consideration Medico-legal issues Role and responsibilities of the nurse

Discharge from the hospital Types : Planned, LAMA, Abscond,

Referrals and Transfers Discharge planning Discharge procedure

Continue.. • Discharge procedure • Special considerations • Medico-legal issues • Role and responsibilities of the nurse • Care of the unit after discharge

ADMISSION

Admission is defined as allowing a patient to stay in hospital for observation, investigation, treatment and care.

Admission is the entry of a patient into a hospital /ward for therapeutic /diagnostic purposes.

Types of admission 1) Emergency admission 2) Routine admission

Emergency admission : in this, patients are admitted in acute conditions requiring immediate treatment. Examples. Patient with RTA, Poisoning, burns and cardiac or respiratory emergency.

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.

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.

Unit‘s and it’s preparation

Prepare the treatment table Ensure all the equipment are

completed Check ventilation Ensure patient privacy

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

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

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

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

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

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.