This document discusses hospital admission and discharge procedures. It covers the admission process including preparing the unit, admission types (emergency vs routine), admission procedures, and the nurse's role. Discharge topics include types (planned, LAMA, transfers), planning, procedures, considerations, and post-discharge unit care. Admission involves allowing a patient to stay for treatment/care. The nurse's responsibilities are to receive patients courteously, assess their condition, orient them to hospital policies and equipment, and coordinate initial care orders with physicians.

1. ANILKUMAR BR
LECTURER
MEDICAL SURGICAL NURSING

2. HOSPITAL
ADMISSION AND
DISCHARGE

3.  Admission to the hospital
 Unit and it’s preparation admission
bed
 Admission procedure
 Special consideration
 Medico-legal issues
 Role and responsibilities of the nurse

4.  Discharge from the hospital
 Types : Planned, LAMA, Abscond,
Referrals and Transfers
 Discharge planning
 Discharge procedure

5. Continue..
• Discharge procedure
• Special considerations
• Medico-legal issues
• Role and responsibilities of the nurse
• Care of the unit after discharge

6. ADMISSION

7.  Admission is defined as allowing a
patient to stay in hospital for
observation, investigation, treatment
and care.

8.  Admission is the entry of a patient into a
hospital /ward for therapeutic /diagnostic
purposes.

9. Types of admission
1) Emergency admission
2) Routine admission

10.  Emergency admission : in this, patients
are admitted in acute conditions requiring
immediate treatment. Examples. Patient
with RTA, Poisoning, burns and cardiac
or respiratory emergency.

11. 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.

12. 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.

13. Unit‘s and it’s preparation
 Prepare the treatment table
 Ensure all the equipment are completed
 Check ventilation
 Ensure patient privacy

14. 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

15. 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

16. 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

17. Orientation to the patient and others
 The equipments /instruments
 Use of call system and telephone
 Treatment schedule
 Vistors timings
 Other health care team members
 Policy and rules and regulations
 Care of patients valuable etc

18. 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

19. Continue
 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.