ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS.pptx

ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS.pptx

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  ADMISSION, TRANSFER AND DISCHARGEOF PATIENTS Ms. Nelly Nzingo
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  Admission of APatient It is the process of receiving and retaining a patient in the health facility overnight or for an indeterminate time, usually several days or weeks (though some cases such as coma patients, have been in hospitals for years). Treatment provided in this fashion is called inpatient care. Purpose  To provide a safe environment  Close monitoring  Further investigations  Therapeutic interventions of the client 3/8/2024
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  Indications: All patients Incritical conditions In unstable psychological state that requires monitoring Who require pre – operative care Suffering from substance related disorders Requiring detoxification 3/8/2024
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  ASSIGNMENT Write notes onthe procedure of patient admission from the procedure manual 3/8/2024
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  ADMISSION PROCESS Assess thefollowing: Physical and psychological state of the patient; Number of patient’s companions; provisional diagnosis Review admission requirements according to the hospital policy Explain the procedure to the patient and companion Requirements Pen Plain papers Continuation sheets Treatment trolley 3/8/2024
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  Trolley with equipmentfor physical examination Consent forms Daily Bed Return (DBR) Admission record book Nursing cardex Assorted charts Environment A room that is well lit and ventilated Resuscitative equipment within reach Adequate comfortable seats Examination coach Hospital uniform 3/8/2024
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  Procedure Welcome the patientand the companions and offer them seats Identify the patient through the accompanying nurse/ companion Receive patient from accompanying nurse Check validity of admission documents and release the accompanying nurse Ensure patient’s privacy Take history from the patient or companion Perform physical examination Inspect all variations and identify items to be taken home by relatives. Label and list items to be left in the ward 3/8/2024
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  Allocate a bedto the patient Introduce patient to other staff and other inpatients Ensure patient takes bath and changes to the hospital uniform Give due treatment and inform the ward physician to review the patient Develop a nursing care plan and document Keep the patient’s file safe Clear equipment Record : History obtained, findings on physical examination, treatment given, findings of evaluation, time the patient was reviewed by physician and their recommendations 3/8/2024
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  Transfer of Patients Thisis the releasing of patient/client from the current ward/department/hospital to another Purpose: To send a patient for some specialized or advanced care Assess for:  Reasons for transfer Method of transferring the patient Review on the knowledge concerning the transfer of patient Explain to the patient and family the division and room to which the patient is intended to be transferred to and the purpose of transfer 3/8/2024
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  ASSIGNMENT Write note onthe procedure of patient transfer/ discharge from the procedure manual 3/8/2024
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  Process Gather the clientspersonal belongings Gather re – usable equipment and supplies beside the patient’s bed e.g. bed pan, urinals, basin. Ensure all documentation is well done Assist the patient onto a wheel chair or stretcher Transport the patient, supplies, belongings and medical record to the receiving unit 3/8/2024
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  Announce the arrivalof the patient at the center nursing station Give the receiving unit a verbal report of the client, current condition, major therapies being received and special nursing care needs and hand over Transfer the patient to new room and assist him/her in to bed Ensure other agency departments are notified of the transfer 3/8/2024
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  Discharge of Patients Thisis the process of releasing of patient from the current inpatient care environment Purpose To provide effective integration of the patient with family, society To promote and resume optimal functioning Indications Patients who have recovered Patients ready to be rehabilitated in the environment of their choice (presumably home environment) 3/8/2024
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  Process Assess for: Level ofreadiness of the patient Level of the preparedness of the patient’s relatives/ guardians Physical, psychological, spiritual and social needs of the patient Mode of travel and available resources Ensure resolution to therapy 3/8/2024
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  Review patient’s notes(charts, cardex etc.) Review the discharge procedure and legal implications Prepare information to share with the patient Assign adequate time for the discharge process Prepare patient’s belonging Arrange for clearance of hospital bill Ensure prescriptions if appropriate are done and drugs collected and instructions on taking and storing them well explained 3/8/2024
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  Provide patient witha comfortable place to sit/lie Carry out physical and mental assessment Share information with the patient on his/her condition, including treatment, other measure to promote health when at home and follow – up schedule Allow the patient to leave 3/8/2024
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  Leaving Hospital AgainstMedical Advice Patient may leave hospital against medical advice due to the following: Increased hospital bill Not satisfied with the services being offered If this happens, the patient should sign a declaration form. This releases the doctors and other staff from responsibility incase something bad happens Note: Psychiatric patients should NEVER be allowed to leave hospital against medical advise since they don’t have insight. 3/8/2024