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admission and discharge.pptx

1) Admission is the process where a patient enters the hospital for observation, investigation, treatment or care. The purposes of admission include welcoming the patient, providing immediate care, collecting health data, orienting the patient, and providing education. 2) Admissions can be classified as diagnostic, therapeutic, short-term, long-term, routine or emergency based on the purpose, length of stay, and patient condition. 3) When preparing for admission, nurses ensure the bed and equipment are ready, prioritize patient privacy, safety, and financial concerns, and coordinate with the healthcare team.

Health & Medicine◦
VIVEKANANDA COLLEGE OF NURSING HOSPITAL ADMISSION & DISCHARGE
HOSPITAL ADMISSION Admission is defined as the entry of a patient in the hospital for diagnostic or therapeutic purposes. OR Admission is the process where patient needs admission in the hospital for observation, investigation, treatment and care.
PURPOSES OF ADMISSION • To welcome the patient and to establish a therapeuctic relationship with patient and relatives. • To provide immediate care for patients with acute conditions and in emergency. • To collect baseline data of patients through observation, history and physical examination • To orient the patient to the hospital and to the services rendered by the hospital • To assist the patients for investigations to obtain correct medical diagnosis. • To provide comprehensive care to patients based on diagnosis • To collaborate with patients in planning care especially for chronic patients. • To provide health education to patient and family members. • To provide support and adequate information for continuing care at home.
TYPES OF HOSPITAL ADMISSION • Based on the Based on the Based on the purpose of the admission length of the hospital stay condition of the patient Therapeutic Diagnostic short-term Long term Routine Emergency Admission admission duration duration admission admission
Based on the purpose of the admission • Diagnostic admission- when the patient has to undergo some procedure and require investigation like biopsy. • Therapeuctic admission- it means patient has already diagnosed with medical condition and now require medical care for the improvement.
BASED ON THE LENGTH OF THE HOSPITAL STAY • Short-term admission- if the patient is admitted for a 24-48 hours in the hospital. • Long-term admission- when the patient suffer from a disease condition and need ore than 48 hours to recover from disease condition.
BASED ON THE CONDITION OF THE PATIENTS • Emergency admission- 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. • Routine admission- the patient who are suffering from any diseases conditions like cholelithiasis and need to undergo any treatment and surgery.
UNIT AND ITS PREPARATION 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.
UNIT PREPARATION • 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
Cont…… • 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. • Ensure patient privacy- ensuring the privacy of the patient is a important point that need to be keep in mind while reciving the patient. As the patiemt may be anxious as he/she is in new place. Do not expose the patient unnecessarily. • Patient safety:- patient safety is important. Perform the initial assessment to assess the risk factors like assess the irsk fail, risk of developing presuure sores, pain assessment etc. risk assessment is important to increase the patient safety. • Financial burden:- identify the categories of patient whethe the patient is entitled patient, thirs 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. •
CONT….. • Patient isolation:- the suspected patient or the patient with mild symptoms amy 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.
PROCEDURE OF ADMISSION OF A PATIENT • 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 identitiy 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 instruction given by the physician Provide the treatment as instructed.
CONT…… • Orientation to the patient and others The equipment /instruments: orient the ptient 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 bells 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 physiscian. Visitors timings: hospital policy regarding visiting shall be explained to the family members. Other healthcare team members: make patient orient to the other healthcare team members wjo 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 regulation of the hospital. The policies related smoking, visiting policies etc. need to be explained. Educate the patiemt about their rights.
• Care of patients valuables: make the list of the patients valuables in the patients valuable handover form. Patients valuable need to be handed over to the family members at the time of admission only. Handover the patients clothes to the family members. After handing over the handing over the patients valuables, get the signature of the family members on the patient valuables form.
ARTICLES REQUIRED FOR ADMISSION • Articles:- Patient label Patient identity bracelet Allergy identity bracelet if needed Hospital dress Thermometer BP apparatus Stethoscope Pulse oximeter Weight scale Toiletries Hygienic under pad or mackintosh