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Ms. Aanal Christian
M.sc nursing
Definition
ADMISSION :
“Admission is the process by which a patient
enters a hospital or healthcare facility for
treatment, investigation, or care.”
Or
“Admission is the process of receiving a patient
into the hospital for medical, surgical or nursing
care.”
Indication
• Therapeutic aspect for treatment of any acute
or chronic disease
• For observation of the status of client
• For diagnostic need
• For surgical interventions
• On an emergency basis
• For conditions requiring expert care
Purpose of Admission:
• To provide medical and nursing care
• To diagnose and treat illness
• To observe the patient’s condition
• To perform surgery or special procedures
• To make the patient feel comfortable and secure
• To prevent complications
• To help the patient adjust to hospital environment
TYPES
In hospital practice, admission may also be classified
according to legal and administrative conditions:
1. Regular / Normal Admission
• Patient is admitted with doctor’s order.
• Follows hospital rules and procedures.
2. Emergency Admission
• Patient admitted immediately due to critical
condition.
• Formalities may be completed later.
3. Routine (Planned) Admission
• Patient is admitted in advance for planned treatment or
investigation.
• Date and time are decided earlier.
• Example: elective surgery, diagnostic tests.
4. Transfer Admission
• Patient is transferred from one ward to another
or from another hospital for specialized care.
• Example: from general ward to ICU.
5. Day-Care / Ambulatory Admission
• Patient is admitted for a short period (less than 24 hours)
for minor procedures.
• Example: minor surgery, chemotherapy.
STEPS OF ADMISSION PROCEDURE
Prepare a clean and neat admission room with all the
necessary items per the need of the patient.
Prepare an appropriate type of bed with adequate adjusted
height of the bed.
Welcome the patient and his or her family with warm
approach and check his or her identity to ensure that right
patient is admitted in unit.
Make the patient comfortable in bed and provide him or her
with hospital clothes and ensure adequate privacy.
Assess the vital signs, obtain brief initial nursing assement
and make an observation for significant clinical findings.
The laboratory samples also may be sent to physician's
prescription and prescribed hospital policy Orient the patient
and family with ward, ward routine supportive hospital
facilities, and hospitals policies
Record all the basic information in patient's record
and report the relevant information to physician or
immediate supervisor if needed.
Clearly mention admission date time, patient's details,
complaints of the clients, informed consent, where
valuables are given, any allergies, patient's mental
status, and progress after being intervened .
Record in admission register treatment book, report
book medico-legal case (MLC) register, update ward
census and nurse's notes.
SPECIAL CONSIDERATIONS DURING ADMISSION
• When the patient is admitted in critical condition.
• collect only the most important information.
• Arrange for trolley, wheel chair, and so on.
• if a sick patient is expected to be admitted.
• In case of unknown client, keep their clothing and ables
safely and label them.
• Inform the police departinent , Never leave the patient
alone in the casualty.
• A female client should never be
left alone with male attendant.
• All jewelry should be removed at
the time of admission Keep all
the valuables (white and yellow
metals) with labels and under
custody.
• MLCs should have the "MLC"
stamp and the notified MLC
number in the case's sheet.
• While admitting an infant
or a small child, provide
emotional support for both
the child and the parents.
• Speak slowly and clearly
when talking to the elderly
clients because of their
decreased hearing sense.
Role of Nurse in Admission:
• Prepare admission bed
• Welcome and identify the
patient
• Assess physical and
psychological condition
• Record vital signs
• Take nursing history
• Label patient belongings
• Explain ward rules and routines
• Complete admission records
ADMISSION PROCEDURE FOR PATIENT IN HOSPITAL.pptx