Scribd
Upload
353 views

Admitting and Discharging Patients.

This document discusses the admission and discharge of patients from a hospital. It defines admission as when a patient receives treatment and care in a hospital or at home. There are two main types of admission: emergency for acute conditions and routine for planned treatment. When admitting a patient, the unit is notified and prepared with equipment and privacy. Patients are oriented to hospital procedures. Discharge planning includes preparing the patient and family, with teaching on medications, diet, follow up care and transport. Proper documentation of discharge and belongings is also important.

Uploaded by

FatimaIvanCeniza
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
353 views

Admitting and Discharging Patients.

This document discusses the admission and discharge of patients from a hospital. It defines admission as when a patient receives treatment and care in a hospital or at home. There are two main types of admission: emergency for acute conditions and routine for planned treatment. When admitting a patient, the unit is notified and prepared with equipment and privacy. Patients are oriented to hospital procedures. Discharge planning includes preparing the patient and family, with teaching on medications, diet, follow up care and transport. Proper documentation of discharge and belongings is also important.

Uploaded by

FatimaIvanCeniza
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 15

Fatima Ivan S.

Ceniza
BSN 1B
Admitting Patients

Definition:
A patient who undergoes a hospital's
admission process to receive treatment
and/or care. This treatment and/or care
is provided over a period of time and
can occur in hospital and/or in the
person's home (for hospital-in-the-home
patients).
Types of Admission
1) Emergency admission
- in this, patients are admitted in acute conditions
requiring immediate treatment. Examples. Patient with
RTA, Poisoning, burns and cardiac or respiratory
emergency.

2) 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


1. Prepare the treatment table
2. Ensure all the equipment are completed
3. Check ventilation
4. 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

The Admission requirements:


Authorization of the physician.
Collection of information by the admitting department.
Completion of the agency's admission database by nursing 13 personnel.
Documentation of medical history and findings from physical 15 examination.
Development of an initial nursing care plan.
Initial medical orders for treatment.
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 equipment's /instruments
Use of call system and telephone
Treatment schedule
Visitors 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
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.
Discharging Patient

Definition
“Discharge of patient from the hospital means,
reliving a person from hospital setting, who
admitted as an inpatient in that hospital".
TYPES OF DISCHARGE

1. PLANNED DISCHARGE:- Patient completes the initial,


actual management in the hospital and now he or she need
not to be under direct supervision of that hospital.
2. DAMA/LAMA: Discharge/Leave Against Medical Advice
3. TRANSFER: Transfer to other unit or hospital
4. ABSCOND: Abscond from Hospital
5. REFFERAL : Referred for further management
DISCHARGE PLANNING /PREPARATION
1.Discharge preparation : Nurse is responsible for ensuring that
the patient is to be discharged.

• Discharge from the hospital should never come unexpectedly to


patients and his /her family members • His /her discharge should
be planned from the time of his admission and he should be
informed sufficiently early of the day he or she can leave the
hospital.
• Any discharge instructions reviewed with the patient must also
be put in a written form for the patient to take home.
• They need to be specific, written in terms the patient can
understand, thorough, and legible.
• Make sure family members are notified of pending discharge /
for transportation.
PHYSICAL CONSIDERATION
* Physical interventions for the inpatient with
impaired activity include direct physical care
related to patients health problems for example,
Rehabilitation of the client.

PATIENT AND FAMILY TEACHING


• Patient and family teaching is vital important
in discharge planning.
• It will be planned before patient going to
discharge from the hospital.
• Nurse’s will have responsible and major role
in patients teaching.
TOPICS INCLUDED FOR PRE DISCHARGE TEACHING
• Medications and drugs
• Diet
• Wound care
• Using equipment's
• Taking medications.
• Exercise programs.
• Physical therapy
• Changing dressings / bandages.
• Injections or respiratory treatments.
• Any home health care.
• When to follow up with the doctor.
DOCUMENTATION OF DISCHARGE

• Chart the date and time of discharge.


• How patient left the facility.
• Any special instructions given to the patient.
• Make a notation that the patient’s personal
belongings were sent with the patient.
DISCHARGE PROCEDURE
• No patient should be discharged without the doctors
written orders.
• Instructions regarding further care, medications,
treatment, follow up etc.
• Before the patient leaves the hospital, the nurse should
make confirm whether he has paid all the hospital bill.
• Patients and family teaching regarding medications, diet
and self – care.
• Handover the patient belongings
References:
https://www.slideshare.net/AnilKumarGowda/discharge-from-hospital-in-nursing
https://www.slideshare.net/AnilKumarGowda/admission-procedure-in-nursing

You might also like