Admission to the hospital allows patients to receive observation, investigations, and treatment. Patients may be admitted routinely for planned care, in an emergency, or transferred between wards. The outpatient department provides diagnosis and treatment without requiring admission. New patients are received and registered before a medical examination and tests. Patients may then be discharged home or admitted to the inpatient ward for further care.

2. Admission of a person is allowing a
client to stay in the hospital for
observation, investigations and treatment
of disease he is suffering from.of disease he is suffering from.
Admission of a person is allowing a
client to stay in the hospital for
observation, investigations and treatment
of disease he is suffering from.of disease he is suffering from.

3. To observe and evaluate the patients
condition
To perform primary diagnostic
procedures
To plan an operation for patientTo plan an operation for patient
To make the patient and relatives
comfortable and facilitate their
adjustment to the hospital environment
To provide necessary medical and
nursing care to the patient.
To observe and evaluate the patients
To perform primary diagnostic
To plan an operation for patientTo plan an operation for patient
To make the patient and relatives
comfortable and facilitate their
adjustment to the hospital environment
To provide necessary medical and
nursing care to the patient.

4. Emergency
Admission
Routine
admissionAdmission admissionadmission
Transfer
from one
ward toadmission ward to
another

5. . Emergency Admission :
Clients are admitted in
acute conditions requiring
immediate treatment.immediate treatment.
Ex: Client with heart attack,
accidents, poisoning etc
. Emergency Admission :
Clients are admitted in
acute conditions requiring
Client with heart attack,

6. . Routine Admission :
Clients are admitted for investigations
and planned treatments and surgeriesand planned treatments and surgeries
Ex: Client with Hypertension
Diabetes, Bronchitis etc.
are admitted for investigations
and planned treatments and surgeries.and planned treatments and surgeries.
Hypertension,

7. . Transfer from one ward to anotherTransfer from one ward to another

8. The doctor in-charge will write the transfer order in
the client’s chart
The sister in charge should inform the sister in
of the new wardof the new ward
Clients chart should be completed and made up to date
The clients record with x’rays , ECG, lab reports and
the medicine cards should be sent with the patient
The belongings of the patient should be checked and
handed over to the sister
charge will write the transfer order in
sister in charge should inform the sister in-charge
chart should be completed and made up to date
, ECG, lab reports and
the medicine cards should be sent with the patient
belongings of the patient should be checked and

9. The client and his relatives should be told about the
purpose of the transfer to prevent anxiety
The client should be introduced to the sister in
of the new ward and vice versa
Arrangement for the diet should be made with theArrangement for the diet should be made with the
dietician
The procedure in the new ward will be similar to the
admission procedure
client and his relatives should be told about the
purpose of the transfer to prevent anxiety
client should be introduced to the sister in -charge
for the diet should be made with thefor the diet should be made with the
procedure in the new ward will be similar to the

10. O.P.D (Out patient department)O.P.D (Out patient department)

11. An outpatient department
clinic is the part of a hospital designed for
the treatment of outpatients, people with
health problems who visit the hospital forhealth problems who visit the hospital for
diagnosis or treatment, but do not at this
time require a bed or to be admitted for
overnight care.
outpatient department or outpatient
clinic is the part of a hospital designed for
the treatment of outpatients, people with
health problems who visit the hospital forhealth problems who visit the hospital for
diagnosis or treatment, but do not at this
time require a bed or to be admitted for

12. . Receiving the client :
The person in admitting department
should greet and make patient feelshould greet and make patient feel
comfortable.
In emergency condition no time
should be waste to initiate the
treatment.
The person in admitting department
should greet and make patient feelshould greet and make patient feel
In emergency condition no time
should be waste to initiate the

13. Recording of Social and Medical data:Recording of Social and Medical data:

14. ocial data:
Name,
Age,
Sex,
Medical data:
i.
ii.
iii.Sex,
Education,
Address,
Occupation,
. Religion,
. Income etc.
iii.
iv.
v.
vi.
Medical data:
Diagnosis,
Provisional Diagnosis,
Duration of Illness,Duration of Illness,
Name of Doctor
Previous medical history
Family history of any
illness

15. Medical Examination
A detailed social and medical history of
the client is taken by physician and
recorded.
Patient’s temperature, BP, Pulse,Patient’s temperature, BP, Pulse,
respiration etc are recorded.
The necessary investigations such as x
lab test are done to diagnose the disease
and prescribe treatment.
Medical Examination :
A detailed social and medical history of
the client is taken by physician and
Patient’s temperature, BP, Pulse,Patient’s temperature, BP, Pulse,
The necessary investigations such as x-ray,
lab test are done to diagnose the disease

16. Record personal details
Check vital signs
Observe general conditionObserve general condition
Direct the patient to medical
record department to get case sheet
prepared
Observe general conditionObserve general condition
Direct the patient to medical
record department to get case sheet

17. Inform the concerned ward nurse if patient is
going to be admitted
Carryout the stated orders and emergency
investigations
Take the patient along with case sheet and handTake the patient along with case sheet and hand
over to ward nurse
Inform the concerned ward nurse if patient is
Carryout the stated orders and emergency
Take the patient along with case sheet and handTake the patient along with case sheet and hand

18. .P.D (Inpatient Department):.P.D (Inpatient Department):

19. The clients who are suffering from mild
ailments are sent home with necessary
treatment. Others are admitted to hospitaltreatment. Others are admitted to hospital
for further investigations and treatment
The clients who are suffering from mild
ailments are sent home with necessary
treatment. Others are admitted to hospitaltreatment. Others are admitted to hospital
for further investigations and treatment.

20. eparation of Equipment
Patient Bed
Linen
Patient Locker
Patient Chart
Adequate Light
Clock
Ventilation
Wheelchair/Stretcher
Charts
i. Doctors Orders
ii. General History Sheet
iii. Nurses Record
iv. TPR Chart
v. Progress Record
vi. Intake Output Record
vii. Investigation Record

21. Transporting the client from O.P.D to
I.P.D
Clients who are not very ill and are allowed to
walk are escorted to ward by a nurse or
attendant.attendant.
Wheel chairs should be available for those who
are too sick, weak or not able to walk.
Clients who are brought to hospital on
ambulance should be carried to their respective
wards on stretchers.
Transporting the client from O.P.D to
Clients who are not very ill and are allowed to
walk are escorted to ward by a nurse or
Wheel chairs should be available for those who
are too sick, weak or not able to walk.
Clients who are brought to hospital on
ambulance should be carried to their respective

22. Reception of the client by ward sister
The ward sister or the nurse admitting the client should
introduce herself and greet the client and his relatives with
friendliness. Her behavior should be such that she gains the
confidence and cooperation of the client.confidence and cooperation of the client.
If the client is very sick she should put him on bed
immediately.
Reception of the client by ward sister
The ward sister or the nurse admitting the client should
introduce herself and greet the client and his relatives with
friendliness. Her behavior should be such that she gains the
confidence and cooperation of the client.confidence and cooperation of the client.
If the client is very sick she should put him on bed

23. The client who is not very ill is allowed to move
about and can be given orientation in the ward.
Introduce the other clients to him and vice versa
and also with nursing personnel in the ward.and also with nursing personnel in the ward.
Orient the client to whole ward, duty room,
toilet rooms and unit prepared for the client.
The client who is not very ill is allowed to move
about and can be given orientation in the ward.
Introduce the other clients to him and vice versa
and also with nursing personnel in the ward.and also with nursing personnel in the ward.
Orient the client to whole ward, duty room,
toilet rooms and unit prepared for the client.

24. Explain hospital policies, procedures, routines
to the client and relatives.
Explain to client the time for meal servings,
doctor’s visit, visiting time, prayer hours.doctor’s visit, visiting time, prayer hours.
Make arrangements for paying hospital bills.
Issue diet pass or stay pass to the relatives.
Explain hospital policies, procedures, routines
Explain to client the time for meal servings,
doctor’s visit, visiting time, prayer hours.doctor’s visit, visiting time, prayer hours.
Make arrangements for paying hospital bills.
Issue diet pass or stay pass to the relatives.

25. Preliminary Observation of client:
The first few moments with client, facial expressions will
note his emotional reactions and presence of pain, fatigue.
Any discoloration of skin such as jaundice, cyanosis, facial
ralysis should be noted. Further observations can be made
hile giving care to the client.
Preliminary Observation of client:
The first few moments with client, facial expressions will
note his emotional reactions and presence of pain, fatigue.
Any discoloration of skin such as jaundice, cyanosis, facial
ralysis should be noted. Further observations can be made

26. Helping the client to occupy his
d:
A closed bed is converted to open bed
admission of client.admission of client.
His temperature, pulse and respirations
re recorded at the time of admission
nd later on at regular intervals.
Helping the client to occupy his
A closed bed is converted to open bed
His temperature, pulse and respirations
re recorded at the time of admission

27. Check the doctor’s orders that are to be carried
out immediately.
Record in the inpatient chart, date and time of
admission, condition of patient and observations
made on the client.made on the client.
Give time to patient to change his dress with
hospital dress. Give assistance if client is not
able to.
If the client have to bath on admission,
bathroom should be given.
Check the doctor’s orders that are to be carried
Record in the inpatient chart, date and time of
admission, condition of patient and observations
Give time to patient to change his dress with
hospital dress. Give assistance if client is not
If the client have to bath on admission,

28. Bed bath should be given to a client not fit
for bathroom bath.
Bed bath gives opportunity to the nurse to
examine client carefully.
Never leave a seriously ill client alone in the
private room without any help.
If any tests are ordered by doctor, the nurse
must make arrangements to carry out.
Bed bath should be given to a client not fit
Bed bath gives opportunity to the nurse to
Never leave a seriously ill client alone in the
If any tests are ordered by doctor, the nurse
must make arrangements to carry out.

29. Care of valuables and clothing :
If patient is wearing hospital dress, patient’s
lothing should be handed over to relatives.
In case of absence of relatives, clothing isIn case of absence of relatives, clothing is
umbered, labelled and kept in store until such
me it is handed over to relatives.
Encourage the client to send jwelery
ther valuables such as watch to home with
elatives. Make him understand if he keeps
omething with himself, it is on his own risk.
Care of valuables and clothing :
If patient is wearing hospital dress, patient’s
lothing should be handed over to relatives.
In case of absence of relatives, clothing isIn case of absence of relatives, clothing is
umbered, labelled and kept in store until such
me it is handed over to relatives.
jwelery, money and
ther valuables such as watch to home with
elatives. Make him understand if he keeps
omething with himself, it is on his own risk.

30. Arrange patient’s unit.
Greet the patient and orient to
ward, other patients, patient’s
room, equipments.room, equipments.
If patient is very ill, inform to
doctor immediately.
Tell rules and regulations to patient.
Greet the patient and orient to
ward, other patients, patient’s
If patient is very ill, inform to
Tell rules and regulations to patient.

31. Complete patient’s admission
charts.
Take temperature, blood pressure,
respiration, pulse of the patient.respiration, pulse of the patient.
Carry out required investigations.
Follow physician orders, administer
prescribed medicine.
Complete patient’s admission
Take temperature, blood pressure,
respiration, pulse of the patient.respiration, pulse of the patient.
Carry out required investigations.
physician orders, administer

32. Enquire from patient if he is allergic to any medicines,
apply allergy band and inform to physician
0. Give instructions to patient to take care of belongings
and valuables.and valuables.
1. If any operation is planned take consent from patient.
Enquire from patient if he is allergic to any medicines,
apply allergy band and inform to physician
0. Give instructions to patient to take care of belongings
1. If any operation is planned take consent from patient.