admission and discharge planning and procedure.docx

ADMISSION OF THE PATIENT
Admission of a patient means allowing and facilitating a patient to stay in the
hospital unit or ward for observation, investigation and treatment of the disease
he/she is suffering from. Admission of a patient to the hospital may be for a
positive experience, like to have a planned surgery or treatment. In emergency
department the admission may be stressful for the patient because of the
unexpected event and may be one of the major life losses. Before the admission of
the patient to the hospital, the admission process needs to be completed.
Definitions of Hospital Admission
Admission is the process where patient needs admission in the hospital for
observation, investigation, treatment and care.
PURPOSES OF ADMISSION
Patients are admitted in the hospital for a variety f reasons, including scheduled
diagnostic tests, procedures or surgery; emergency medical treatment;
administration of medication or to stabilize or monitor n existing condition.

1. Observation: As per the criticality of a patient, one may need to keep in
round the clock supervision and hence need to admit e.g., the patient with
chest pain, palpitations.

2. Immediate care: In some cases, one may require Urgent medical
treatment like the patient with cardiac arrest, respiratory arrest and
accidental cases and therefore require admission.
3. Investigate: In certain cases, the diagnosis/ treatment may not be readily
available as per first examination of the patient and hence required to
perform certain medical test before a line of treatment can be extended to
that patient. For example, in case of carcinoma, a prior detection and
confirmation of the cancer is done through certain diagnostic test like
biopsy, histopathological studies and computed tomography (CT) scan
before giving any treatment.
4. Treatment: Once the diagnose is made, the patient require further
management and may require to be admitted.
5. Meet needs: There are certain patients who are not able to meet their
physical needs on their own such as terminally ill patients and patients
suffering with chronic diseases.
6. Ready for emergency :In some cases, there may arise a sudden exigency of
hospital care, hence such patients may require watchful monitoring of
medical experts and therefore such patients also need to be admitted to the
hospital.

Based on the Purpose of the Admission

The patient's admission to the hospital can be for diagnostic purpose as well as for
the therapeutic purpose.
1. Diagnostic admission: Admission is called diagnostic admission when the
patient has to undergo some procedure and require investigation like
biopsy.
2. Therapeutic admission: Therapeutic admission means patient has already
diagnosed with medical condition and now require medical care for the
improvement.
Based on the Length of the Hospital Stay
Based on the length of stay in the hospital admission can be for a short-term and
long-term.
1. Short-term admission: Admission is called short- term if the patient is
admitted for a 24-48 hours in the hospital.
2. Long-term admission: Long-terms admission is required when the patient
suffers from a disease condition and needs more than 48 hours to recover
from the disease condition,
Based on the Condition of the Patient
Based on the condition of the patient admission can be emergency or routine.
1.Emergency admission: Emergency admission Is required if the patient is
suffering from life-threatening condition and requires immediate treatment like
cardiac arrest, respiratory arrest, trauma, major blood loss, shock,
gastrointestinal bleeding and stroke, etc.
2.Routine admission: The patients who are suffering From any diseases
conditions like cholelithiasis and need to undergo any treatment and surgery.
Categories of the patient admitted in the hospital

While receiving the patient in the ward or in the intensive
care unit, the nurse has to check the categories of the
patient .
UNIT AND ITS PREPARATION
Introduction: The preparation of the unit is Important to receive the patient.
Admission to the hospital cause stress among patients. The importance should be

given to the emotional and financial factors. The patient needs to be kept in mind
while preparing the unit.
Meaning of unit: A unit or ward is defined as the Division of the hospital or a room
or hall in the hospital which has number of beds and shared by a number of
patients, who require similar care. There are different types of wards or units in the
hospital like medical and surgical wards.
Unit Preparation
1. Prepare the admission bed:
 Make sure bed is functioning properly.
 Ask the attendant to prepare the bed.
 While preparing the admission bed, ensure the linens and blanket are clean.
 Put draw sheets and make the simple unoccupied bed.
 Ensure that bed is in lower position.
2.Ensure equipment: Make sure all the equipment like cardiac monitor, oxygen
flow meter, suction machine are functioning properly as per the needs of the
patient. In case the equipment are not available in the unit, arrange them from the
other unit before receiving the patient.
3.Ensure patient privacy: Ensuring the privacy of the patient is an important point
that need to be keep in mind while receiving the patient. As the patient may be
anxious as he/she is in new place. Do not expose the patient unnecessarily.
4.Patient safety: Patient safety is important. Perform The initial assessment to
assess the risk factors like assess the risk of fall, risk of developing pressure sores,
pain assessment, etc. Risk assessment is important to increase the patient safety.
5.Financial burden: Identify the categories of patient Whether the patient is
entitled patient, third-party payer or paying patient. Assess the financial
constraints if any. Explain the estimated cost of the treatment to the patient or to
the family members.
6.Patient isolation: The suspected patient or the patient with mild symptoms may
require isolation like the patient with COVID-19 and tuberculosis patient. When
such patients are kept in isolation, they may feel anxiety. So, in order to make them

feel better, there is requirement of a personal touch in the care. Therefore the
attending staff needs to provide psychological support as well as emotional
support.
Visiting time needs to be charted outside the unit. The family members should be
instructed to wear appropriate personal protective equipment (PPE) while meeting
with patient.
There are some points that need to be considered like:
1.Dealing with hospitalization anxiety: Admission to the hospital can cause
anxiety among patients. So, it is important to maintain good rapport with the
patient. The following points will help to reduce the anxiety among patients:
 Be empathetic with client.
 Orient the client to the unit or the wards.
 Maintain good interpersonal relationship with the patient.
 Explain each and everything to the patient.
 Provide privacy to the patient.
 Respect the dignity of the patient.
 Allow the patient to ventilate his/her feelings and clear the doubts of the
patient.
2.Dealing with elderly and paediatric people: Elderly and paediatric population
are more vulnerable, so special attention needs to be given while receiving the
elderly and paediatric people. Orient the elderly people with the surroundings.
Allow one family member to be there with the paediatric patient.
PROCEDURE OF ADMISSION OF A PATIENT
The procedure of admission to the hospital involves the following steps:
Meet and receive the patient:
 Verify the patient data, by checking the record sheet, chart
 Introduce yourself and other members of health team on duty.
 Assist patient to the treatment area

 Ask the patient to change clothes into hospital gown if necessary
 Put the identity bracelet.
Perform examination and initial assessment:
 Conduct general head to foot examination.
 Check the height and weight of the patient.
 Assess the allergic history of patient.
 Send the investigation as prescribed by the physician.
 Do the initial assessment which includes pain assessment, risk of pressure
ulcer assessment and fall risk assessment.
Coordinate with healthcare team member:
 Coordinate with all healthcare team members like physician, physiotherapist
and dietician.
 Carry out the initial orders or instructions given by the physician.
 Provide the treatment as instructed
Orientation to the patient and others:
The equipment/instruments: Orient the patient to the instruments or equipment
available in the wards, Instruct the patient not to touch the equipment
unnecessarily.
Use of call system and telephone: Educate the patient regarding use of call bell
and telephone to call the attending staff in case of any need and in case of
emergency.
Treatment schedule: Explain the treatment schedule to the patient in detail.
Provide information regarding treatment by the Physician.
Visitor’s timings: Hospital policy regarding visiting shall be explained to the family
members.
Other healthcare team members: Make sure patient is oriented to the other
healthcare team members who are involved in the care of the patient, so that
patient may feel comfortable.

Policies, rules and regulations: Inform the Patient about the policy as well as
rules and regulations of the hospital. The policies related smoking, visiting policies,
etc. need to be explained. Educate the patients about their rights.
Care of patient’s valuables: Make the list of The patient’s valuables in the patient
valuable handover form. Patient’s valuables need to be handed over to the family
members at the time of the admission only. Handover the patient’s clothes to the
family members. After handing over the patient’s valuables, get the signature of
the family members on the patient valuable form. In case, if valuables are not
handed over to the family members, keep it in locker and handover them at the
time of discharge.

PROCEDURE OF RECEIVING A NEW PATIENT
The patients can be admitted from various hospital departments as described:
 Outpatient department (OPD): When patient visit to the OPD doctors may
advise the patient for admission to the ward.
 Emergency: The patient from the emergency can be admitted in the ward
for further management if required.
 Private clinics: Doctors or private practitioners can directly admit the
patients from their private clinics.
 Referral: Patients who are referred by the other health institutions or
doctors can be admitted as per the hospital guidelines.
 The hospital coordinator or duty manger will inform the head nurse of
unit regarding admission of the patient.
 The nurse who has been assigned for the patient will prepare the
needed equipment
 For receiving the patient, the room temperature should be between 20
to 22° Celsius and humidity between 40-60%.
 Nurse will make sure that all the equipment are functioning properly.
 Introduce yourself to the patient and welcome the patient when he/she
enters the room.
 Adjust the height of the bed as per the condition of the patient.
 Escort the patient to the bed.
 Arrange the help if patient arrives on stretcher for shifting.
 Identify the patient using at least two identifiers like patient name,
UHID No. (Unique hospital identification data) or MR No. (Medical
record number).

Orientation of the patient
 Explain the room facility to the patient like use of the
bed, bathroom and other facilities such as use of shower,
availability of hot and cold water. Use of patient bell and

emergency call bell in the room and washrooms. Use of
television remote control, telephone and extension
number if available.
 Educate the patient regarding hospital policy like ‘Do not
Smoke’ and visitor policy.
 Orient the patient regarding their right, treating doctor,
time to consult with doctor, nurse in charge.
 Tell the patient about the expected length of hospital
stay.
 Complete the process of the admission and change the
status of the bed from vacant to occupied.
 Provide hospital clothes to the patient, perform initial
assessment of the patient which includes vital signs
monitoring, assessment of consciousness level,
assessment of pain score, pressure ulcer risk
assessment, chief complaints of the patient, history of
allergy, measurement of height and weight and general
examination.
 Perform detailed physical examination of the patient.
 Check the medications that patient has brought from the
home to the hospital. Keep record of the medication and
label it as patient’s own medications.
 Check the order of the doctor for treatment or for the
medications that need to be given immediately.
 Send initial investigations as prescribed by physician.

 Inform to the doctor on duty that patient has arrived.
 Inform to the dietician regarding patient admission.
 Tell the patient about any scheduled procedure or
treatment.
 Document the patient’s condition and nursing action that
has been taken.
ADMISSION OF A PATIENT IN THE INTENSIVE CARE UNIT
OR EMERGENCY DEPARTMENT
In the emergency or in the ICU, every single second is vital for
the patient. Quick and prompt treatment can save the
patient’s life. Nurse has a significant role in the care of the
patient during this vital time.
Procedure of admission of a patient in the ICU and
emergency department involves:
I.Keep the articles ready like
 Cardiac monitor
 Defibrillator
 Ventilator
 ECG machine
 Intubation trolley which includes endotracheal tubes of
various sizes, airways, laryngoscope, stylet, adhesive
tape, ECG electrodes, suction catheters, T-piece, catheter
mount, humidifier and moisture exchanger (HME) filter,
etc.

 Crash cart which involves all the emergency medications,
intravenous cannulas, intravenous fluids, lines like
arterial line and central line.
 Pressure bag
 Suction apparatus and oxygen source.
1. Ensure that all the equipment are functioning properly.
2. Keep the patient’s file ready which includes vital
monitoring chart or ICU flow sheet, consent form,
progress sheet, nurses progress notes, care plan and
valuable form.
3. Perform initial assessment. Observe the condition of the
patient and observe the patient clothes for any sign of
damage which provide clue about the injury.
4. Reassure the patient and explain what is being done.
5. Shift the patient to the ICU or emergency bed.
6. Provide privacy to the patient.
7. Put identity bracelet to the patient.
8. Review the allergic history and put allergy identity
bracelet if required.
9. Assist or make the patient to wear hospital clothes.
Provide privacy to the patient. Avoid unnecessary
exposure.
10. Make a list of the valuables and handover them to
the primary caregiver and take a witness sign.

11. Perform thorough physical examination. Document
the patient’s condition in appropriate form.
12. Connect the cardiac monitor to the patient.
13. Access an IV line and start maintaining intake
output.
14. Provide recovery position (left lateral) to the patient.
15. If unconscious keep the mackintosh towel under the
face to collect secretions.
TRANSFER OF THE PATIENT FROM ONE UNIT TO OTHER
Transfer of a patient from one unit to the other unit of the
hospital will be according to the need and type of care that
the patient required. Transfer of the patient can be from one
ward to another ward, ICU to ward or ward to ICU.
Procedure of Transfer of the Patient
 Explain to the patient that he/she is going to be
transferred to the other unit of the hospital.
 Explain the purpose of transfer to the patient and family
members.
 Inform to the unit or ward where the patient has to be
transferred.

 Inform to the receiving nurse.
 Receiving nurse must also be informed regarding
patient’s condition and the equipment that the patient
needs, so that it can be arranged.
 Identify the method of transfer like wheelchair, stretcher
and bed.
 Make sure all the documents are updated before shifting
the patient.
 Inform the patient arrival to the unit.
 Transport the patient. Help the patient as well as assist
the patient in transfer to the bed. Match the patient
identification details with the record sheets and
accompany the patient to the area of shifting.
 Handover all the documents as well as patient valuables
to the receiving nurse.
MEDICOLEGAL ISSUES IN ADMISSION OF THE PATIENT
Definition of Medico legal Cases (MLC)
Medico legal cases can also be defined as the cases where
legal implication may impose for attending physician. The
attending physician after taking complete history and
performing full examination will suggest that there are some

investigations which are required by the law enforcement
agencies, e.g., rape or abuse case.
In simple terms, it can also be defined as the cases which
require medical treatment but at the same time needs to be
informed to the law enforcing authorities. Medicolegal cases
can be outpatient medicolegal cases and inpatient
medicolegal cases.
Cases considered medicolegal:
 Accidental death
 Accident cases
 Injuries
 Poisoning
 Unnatural events under suspicious circumstances
 Violence
 Bullet injury
 Drowning
Medico legal Issue during Admission of the Patient
Medico legal cases forms a major part of the emergencies
brought to the casualty department of the hospital. Reporting
of medico legal cases is an integral aspect for the prevention
of medico legal issues in future. Medico legal issues arises
when an individual claims that trauma caused him/her in the
intention to harm.

There are various medicolegal issues:
Assault: Assault is defined as the intentional act that cause
another person to fear that he/she is about to suffer physical
harm.
Injuries: Injuries means any damage to any part of the body
caused by violence. Injuries can cause harm to the mind,
reputation and property of the person.
Disclosure of the information: This is the one of the
Major elements in both medical and ethical aspects of
informed consent. It seems to be very simple to disclose
information about patient’s condition, the methods of
treatment and alternative for the treatment. However, this
does not always happen. There is obligation to present
sufficient information so that the patient would be able to
make the informed decision.
Medical negligence: Medical negligence means The improper
or unskilled treatment of a patient by a medical practitioner.

This includes negligence in taking care from a nurse,
physician, surgeon, pharmacist or any other medical
practitioner. Medical negligence leads to ‘medical
malpractices’ where the victims suffer some sort of injury
from the treatment given by a doctor or any other medical
practitioner or healthcare professional.
Some examples of medical negligence are as follows:
 Administration of medicines in improper manner.
 Not giving medical advice properly.
 Leaving any foreign object in the body of the patient
such as a sponge or bandage, etc. after the surgery.
These all issues need to be taken care while receiving the
patient. A detailed physical examination of the patient is
required. The nurse should be more vigilant.
Role of Nurse in Admission of Medicolegal Cases
 Inform immediately to the medical officer. The medical
officer will inform to the police regarding the patient.

 Nurse has to make sure patient’s death within 24 hours
of admission must be reported to the police by the
medical officer.
 All the communication should be in the written form.
 Detailed history, physical examination findings, general
examination findings, level of consciousness and vital
parameters record should be there.
 In case any reports, X-ray films or images given to the
patient, a written proof should be taken for that.
 When it is decided that the case is MLC, record it on the
patient’s file with red ink on the right-hand side top
corner.
 Do not give any statement about patient’s condition to
police, magistrate or media.
 Only a doctor is authorized to give information
ROLE OF NURSE IN ADMISSION OF THE PATIENT
Nurse has the following role in the admission of patient. It
includes:
Preparation of Unit or Room
The first role of the nurse is to prepare the unit or to the room
which includes:

 Keep the bed ready. Linens and blanket should be clean.
Prepare admission bed. Admission bed discussed in unit
9.
 Position the bed. For ambulatory patient the position of
bed should be normal. For patient on stretcher, bed
should be in the lowest position.
 Inform the housekeeping staff to make the room and
washroom ready for use.
Entry of the Patient
When received the patient, enter the patient’s information
which includes identification data, date of admission. In the
admission register as well in the computer system diagnosis
and medical record number.
Availability of the Equipment
 Make sure that all the articles and equipment art
available needed by the patient.
 Assemble all the necessary articles and supplies e.g.,
hospital gown, bed bath articles, etc.
 Assemble special equipment and supplies like oxygen
cylinder, cardiac monitor, etc.
 Make sure that equipment are functioning properly.
Orientation of the Patient

 Orient the patient to the surrounding environment.
 Educate the patient regarding use of the call bell in the
hospital.
 Make every effort to be friendly and courteous with the
patient.
 Orient patient and relatives to the hospital policies and
protocols. Related to lodging boarding facilities for
relatives and visitor’s facilities.
 Educate the patient about the fire safety measures and
emergency exit plans in the hospital.
 Inform the patient about the attending physicians’ as
well as to the other healthcare team members involves in
the care.
Meeting Needs of the Patient
 Recognize the various needs of the patient and meet
them without delay.
 Nurse should find out likes and dislikes of the patient
and include patient in the plan of care.
Care of Patient’s Valuables and Clothes
 Handover the patient’s valuables to the family members
at the time of admission.

 The aids which are needed by the patient like hearing
aids, eye glasses and dentures need to be checked and
informed to the family members as well as to the patient.
Treatment
 Record patient’s medicines in inpatient medication
record.
 Carry out the instructions as prescribed by the physician.
In the ICU and ward, the initial assessment form should be
completed within the 1 hour of admission while in the
emergency it should be completed within 30 minutes of
admission of the patient.
DISCHARGE OF THE PATIENT
Hospital discharge corresponds the point at which inpatient
hospital care ends, with ongoing care transferred to other
primary, community or domestic environments. Indicating
this, hospital discharge is not an end point, but rather one of
multiple transitions within the patient’s health care journey.
DEFINITION OF DISCHARGE
Discharge of a patient means departure of a patient from the
hospital. It is also known as dismissal of patient from the
hospital.

PURPOSES OF DISCHARGE
 To ensure continuity of care.
 For a safe and effective return of all the patient’s clothing
and valuables.
 Help the patient to adjust effectively with the change
from the hospital to home environment.
 To make sure that the patient has information about
his/her condition, follow-up visits or referral to other
healthcare agencies.
TYPES OF DISCHARGE
Planned Discharge
Planned discharge means patient has completed the initial
and actual management of disease in the hospital.

Now patient does not need the direct supervision. Planned
discharge is done when the patient’s condition stabilize and
patient is ready to go to home. The decision of planned
discharge is taken by the attending physician or the
consultant.
Leave against Medical Request (LAMA)
This is also known as discharge against medical advice
(DAMA).
 In case of LAMA, doctor clearly explained the patient and
family members that taking the patient from the hospital
may impose risk to the life of the patient, but still patient
or patient's family want to take the patient to some other
hospital or to the home.
 In case of LAMA patient or patient's relative will sign a
declaration form saying that the risks and consequences
of taking the patient from the hospital were informed to
the patient or family.
 Discharge summary will be provided by the hospital.
Parole
Parole is used in psychiatric hospitals. The patient can be sent
to home for 2-3 or 4 days by the approval of psychiatrist in
charge. If patient does not return after the parole, the
discharge process should be done according to the hospital
protocol and policy.

Medico legal Issue in Discharge
Abscond
It means patient has gone from the hospital without Doctor's
or the staff's knowledge. In case of abscond, hospital does not
know that the patient has left. There are certain absconding
factors that need to be considered like:
 Verbalizing wish to abscond
 Suicidal tendency
 Previously absconded patient
 Not from locality
 Not willing to engage or to cooperate with staff
 Intoxication agitated/angry/distressed
 Frustration in delay to assessment
 Psychotic symptoms
 Brought to emergency department against own wishes
 Lack of insight
 Has external commitments/stressors, delirium/dementia
 Patient/family lack insight into condition.
 Alcohol or drug dependence.
Measures to Prevent the Abscond
 Keep the patient in a location from where patie can be
observed.
 Perform early clinical assessment if they are potential risk
to themselves.

 Allocating a member of staff to observe the patien and
try to engage with him.
 If a patient wishes to leave, identify why the patier wants
to leave and try to address their concerns
Referral
Referral means shift the patient to other units or to the
hospital for further management.
Discharge on Request
In this type of discharge, treatment is not complete but by
taking the patient out of hospital, there is no immediate
danger to the life of the patient.
DISCHARGE PLANNING
The patient, the patient’s family members, medical staff,
nursing staff, social worker, dietician all wort together to
coordinate the discharge. The doctor plans the discharge with
the patient and leaves a written order on the patient’s chart.
The discharge planning should be ideal. Involve the patient
and the family members in the discharge planning of the

patient. The pneumonic that used describe the discharge
planning is IDEAL.
The key points of involving the patient and the family The
IDEAL discharge planning approach focus on members in
discharge process .
PROCEDURE OF DISCHARGE

Discharge is a planned procedure and it is coordinated with
the healthcare team members, patient as well as with the
family members. As the date for discharge of The patient is
decided, all the patients are assessed to valuate their progress
daily. Planning for discharge will consider the patient’s
psychological, medical, social and educational requirements.
Procedure of the discharge involves:
 Review doctor’s order for discharge. It should be in the
written form. The treating consultant will confirm the
discharge.
 Preparation of the cumulative hospital charges for the
patient.
 The nurse will return the extra medications to the
pharmacy.
 Final cumulative billing sheet of the patient sent to the
cashier.
 Preparation and processing of the final bill.
 Patient settles the bill and receive payment slip.

 Patient or family members goes to the respective wards
and collect the discharge summary or physician
prescription.
 Patient comes to the nurse’s unit where physician or staff
nurse explains the medication and follow-up date.
 In follow-up, advice the patient, for regular follow-up as
advised by the physician.
 Remove the lines and tubings if patient have.
 Cut off the identity bracelet.
 Ask the patient to change the hospital dress and wear
his/her own dress.
 Transfer the patient to hospital lobby in a wheelchair.
 Document the return process of the patient in progress
notes.
 Inform the housekeeping to clean the room.
 Check all the documents of the patient and send to the
medical record department.
 Change the status of the inpatient room.
 After inpatient room is cleaned, the nurse will change the
room status and the room to be ready for the next
patient arrival.
 In the situation, when there is delay in the discharge
process, due to unavoidable circumstances such as
patient waiting for the family members, to pick up or

arranging insurance, etc., the patient will be transferred
to the transit room that is holding area.
ROLE OF NURSE IN DISCHARGE
Role of the nurse in an MLC during discharge:
 When a patient has to be discharged, inform the police
on duty in the hospital and to the Chief Medical Officer
(CMO).
 Discharge only after the clearance.
 If the MLC patient absconds, inform the nursing
supervisor on shift and CMO immediately and the
treating doctor.
 No MLC patient can leave the hospital with LAMA.
 The care given to the patient should be documented
timely, accurate and duly sign the nurses' notes.
 Records related to the treatment of the patient has to be
stored safely and should be handed over to the
authorized person as designated by the hospital
authority.
 In case of death of an MLC, the body is not to be handed
over to the relatives. Label the body properly and sent to
the mortuary.
 CMO and/or police officer should be informed
simultaneously.

SPECIAL CONSIDERATION DURING DISCHARGE OF
MEDICOLEGAL CASE
 Whenever a medicolegal case is about to discharged, the
same should be informed to the nearest police station at
the earliest.
 While discharging or referring the patient, care should be
taken to see that the person receives the discharge
card/referral, letter, complete with the summary of
admission, the treatment given in the hospital and also
the directions to the patient to be followed when
discharged.
 In case an individual admitted as a medicolegal case
expires or absconds, inform the police immediately. Send
the body to the hospital mortuary for preservation, till
the legal formalities are completed and the police release
the body to the lawful heirs.
NURSING RESPONSIBILITY IN DISCHARGE OF THE PATIENT
 Provide health education to the patient. Health education
should be provided related to:
 Diet
 Medications
 Exercise
 Hygiene

 Follow-up
 Ensure that there is written order for discharge of a
patient.
 Take care of all the belongings like money and clothing
and other important valuables of the patient should be
return back to him/her.
 The nurse should make sure that all the property of the
hospital given to the patient should be there including
linen and everything which is given to the patient.
 Ensure that the patient has paid all the expenses and
bills.
 Safely transfer of the patient from the ward to the lobby
or to the waiting hall with the chair or with the stretcher.
 Make sure that the discharge summary is completed.
 Document the patient discharge.
CARE OF THE UNIT AFTER PATIENT DISCHARGE
 When the patient is discharged from the hospital, inform
the housekeeping staff to clean the room make ready it
for the next patient arrival.
 Instruct the housekeeping staff to clean the furniture
and windows.

 Send the linens and blanket for the laundry.
 The articles which are used by the patient should be sent
to the utility room for cleaning, sterilization and
disinfection.
 Discard the unwanted objects or materials.
 Mattresses need to be disinfected.
 In case the room is used by the patient suffering from
communicable diseases then it should be fumigated.
 Prepare the unit for next patient as per hospital policy.

admission and discharge planning and procedure.docx

admission and discharge planning and procedure.docx

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admission and discharge planning and procedure.docx