Hospital Admission and discharge - I.pptx

Hospital Admission and discharge - I.pptx

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  PRESENTED BY : MS.SHWETA SINGH M.Sc. NURSING
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  Specific objectives •Explain theimportance of preparing the hospital unit prior to admission. •Describe the purpose and procedure of preparing an admission bed. •Outline the steps of admission procedure, including reception, registration, assessment, and orientation of the patient. •Identify the medico-legal issues related to admission (e.g., poisoning, accidents, assault). •Enumerate the roles and responsibilities of the nurse during hospital admission, including physical, psychological, and social care.
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  •Define discharge andexplain its importance in continuity of patient care. •Differentiate between the types of discharge – planned, LAMA (Leave Against Medical Advice), absconding, referral, and transfer. •Explain the components of discharge planning, including patient and family education. •Describe the discharge procedure, including preparation of records, patient instructions, and arrangements for follow-up. •Identify the medico-legal issues associated with discharge, especially in cases of LAMA, absconding, and death. •Discuss the roles and responsibilities of the nurse during discharge, such as preparing summaries, counseling, and ensuring continuity of care. •Explain the procedure for care of the unit after discharge, including bed making, cleaning, disinfection, and preparation for the next patient.
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  INTRODUCTION Hospital admission anddischarge are essential components of patient care. Admission refers to the process of receiving a patient into the hospital for diagnosis, treatment, or observation, whereas discharge is the process of officially releasing the patient after treatment with advice for home care or follow-up. Both require careful planning, coordination, and documentation.
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  DEFINITION • "Admission ofa patient means allowing and facilitating a patient to stay in the hospital unit or ward for observation, investigation, and treatment of the disease he or she is suffering from.” "Admission is defined as allowing a patient to stay in hospital for observation, investigation, treatment and care." "Hospital admission may be defined as ‘receiving a patient to stay in the hospital for observation, investigation, diagnosis, treatment and care.’"
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  PURPOSES OF ADMISSION Hospital admissionis not merely receiving a patient into the ward; it has several important purposes: 1. Diagnostic Purpose •To conduct observation, investigations, and diagnostic tests (e.g., X-rays, blood tests, CT scans) for identifying the illness.
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  CONTI…. 2. TherapeuticPurpose •To provide treatment, surgery, medical procedures, and nursing care that cannot be done at home. •To administer medications, IV fluids, and specialized interventions. 3. Rest and Recovery •To provide rest, comfort, and supportive care in an environment conducive to healing.
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  CONTI…. 4. Emergency andIntensive Care •To manage patients in critical conditions such as trauma, poisoning, burns, or cardiac arrest. 5. Preventive and Promotive Purpose •To prevent complications through early detection and timely management. •To promote health through health education, counseling, and lifestyle modifications.
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  ADMISSION BED •A well-preparedadmission bed gives comfort, prevents cross infection, and creates a welcoming environment. •Types of beds: •Closed bed: Prepared for a new patient. •Open bed: For an occupied patient after use.
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  CONTI…. Procedure for admissionbed: •Use clean linen, properly tucked and wrinkle-free. •Keep essential items ready: pillow, blanket, draw sheet, mackintosh. •Provide hand hygiene facilities. •Place identification bands and charts at bedside.
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  Admission procedure refersto the systematic process of receiving a patient into a hospital or healthcare unit for observation, diagnosis, treatment, and care. It involves preparation of the unit, receiving the patient, orientation, documentation, and ensuring comfort and safety.
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  STEPS OF ADMISSION PROCEDURE 1.Preparation of Unit •Prepare admission bed with clean linen, draw sheet, and mackintosh. •Ensure cleanliness, proper ventilation, and availability of equipment (thermometer, BP apparatus, oxygen, suction). •Keep admission record files, consent forms, and patient ID bands ready. 2. Reception of the Patient Receive patient courteously, introduce yourself, and call by name. Provide wheelchair or stretcher if required. Offer reassurance to relieve anxiety.
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  CONTI…. 3. Identification andRegistration •Record demographic details: name, age, sex, address, occupation, religion, marital status. •Assign hospital registration number and ward/bed number. •Obtain signatures for admission and consent forms. 4. Assessment and History Taking • Record medical, surgical, family, and social history. • Perform physical assessment: vital signs, anthropometry, and general condition. • Note allergies, risk factors, and special needs.
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  CONTI…. 5. Orientation tothe Unit •Show the patient bed, bathroom, nurse call bell, and ward facilities. •Explain ward rules, visiting hours, and meal timings. •Introduce to roommate and ward staff. 6. Documentation Complete admission record, nursing assessment forms, and consent forms. Enter medico-legal cases (MLC) in medico- legal register when applicable.
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  CONTI…. 7. Comfort andSafety Measures •Assist in changing into hospital gown. •Keep personal belongings safe and documented. •Provide psychological support to reduce anxiety.
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  NURSE’S ROLE IN ADMISSION •Preparethe unit and admission bed. •Receive the patient with respect and empathy. •Perform nursing assessment and baseline observations. •Provide orientation and psychological support. •Complete all admission documentation accurately. •Ensure patient’s safety, comfort, and continuity of care.
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  Proper documentation isa legal requirement (admission forms, consent, medico-legal register) Cases requiring medico-legal admission: road traffic accidents, poisoning, burns, assault, suicide attempts, unconscious cases, etc.
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  NURSE’S ROLE: •Inform themedical officer immediately. •Ensure medico-legal register entry is made. •Preserve evidence (clothes, samples). •Maintain confidentiality and accuracy in documentation. •Inform police/authorities as per hospital policy.
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  Roles and Responsibilities of theNurse
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  •Preparation: Ensure unit,admission bed, and necessary equipment are ready. •Reception: Receive patient with courtesy and empathy. •Assessment: Perform initial nursing assessment, record baseline vital signs. •Documentation: Complete admission formalities, ensure signatures on consent forms. •Orientation: Explain ward environment, rules, and routines. •Psychological support: Provide reassurance to reduce anxiety. •Coordination: Collaborate with doctors, lab, pharmacy, and other departments.
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