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admission procedure in nursing

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.

Health & Medicine◦
ANILKUMAR BR LECTURER MEDICAL SURGICAL NURSING
HOSPITAL ADMISSION AND DISCHARGE
 Admission to the hospital  Unit and it’s preparation admission bed  Admission procedure  Special consideration  Medico-legal issues  Role and responsibilities of the nurse
 Discharge from the hospital  Types : Planned, LAMA, Abscond, Referrals and Transfers  Discharge planning  Discharge procedure
Continue.. • Discharge procedure • Special considerations • Medico-legal issues • Role and responsibilities of the nurse • Care of the unit after discharge
ADMISSION
 Admission is defined as allowing a patient to stay in hospital for observation, investigation, treatment and care.
 Admission is the entry of a patient into a hospital /ward for therapeutic /diagnostic purposes.
Types of admission 1) Emergency admission 2) Routine admission
 Emergency admission : in this, patients are admitted in acute conditions requiring immediate treatment. Examples. Patient with RTA, Poisoning, burns and cardiac or respiratory emergency.
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.
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.
Unit‘s and it’s preparation  Prepare the treatment table  Ensure all the equipment are completed  Check ventilation  Ensure patient privacy
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
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
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
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
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
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.