Skip to main content
UploadLanguage (EN)Support
BusinessMobileSocial MediaMarketingTechnologyArt & PhotosCareerDesignEducationPresentations & Public SpeakingGovernment & NonprofitHealthcareInternetLawLeadership & ManagementAutomotiveEngineeringSoftwareRecruiting & HRRetailSalesServicesScienceSmall Business & EntrepreneurshipFoodEnvironmentEconomy & FinanceData & AnalyticsInvestor RelationsSportsSpiritualNews & PoliticsTravelSelf ImprovementReal EstateEntertainment & HumorHealth & MedicineDevices & HardwareLifestyle
Uploaded byPompi8
1,911 views

Hospital’s admission and discharge.pptx

The document discusses the admission and discharge procedures in a hospital setting, detailing types of admissions, their purposes, and the roles of nurses during these processes. It highlights the importance of proper documentation, especially for medico-legal cases, and outlines various discharge types ensuring continuity of care. Key points include the necessity of patient and family involvement in discharge planning, education on care procedures, and assessment of understanding to facilitate a smooth transition from hospital to home.

Healthcare◦
Downloaded 26 times
ADMISSION & DISCHARGE Ms. Pompi Begum Nursing tutor Nemcare Institute of nursing science, mirza(assam)
INTRODUCTION  Admission is the entry of a patient into a hospital/ward for therapeutic/ diagnostic purpose  Admission means, allowing a client to stay in the hospital for observation, investigations, and treatment of the disease he/she is suffering from.
TYPES OF ADMISSION A. Based on the condition 1. Emergency 2. Routine B. Based on the Purpose of the Admission 1.Therapeutic Admission 2. Diagnostic Admission C. Based on the Length of the Hospital stay 1. Short-term Duration 2. Long term duration
A. Based on the condition 1. Emergency Admission: Clients are admitted in acute conditions requiring immediate treatment. E.g.: patient with heart attack, poisoning, breathing difficulty, RTA(Road traffic accident) etc Patient should be admitted in casualty or emergency department to save the life of the patient 2. Routine / Elective Admission: Clients are admitted for investigations and planned treatment and surgeries. E.g.: patient with diabetes, hypertension, appendicitis, jaundice etc
B. Based on the Purpose of the Admission 1. Therapeutic Admission-Therapeutic admission means patient has already diagnosed with medical condition and now require medical care for the improvement. 2. Diagnostic Admission -Admission called is diagnostic admission when the patient has to undergo some procedure and require investigation like biopsy.
C. Based on the Length of the Hospital stay 1. Short-term Duration: Admission is called short- term if the patient is admitted for a 24-48 hours in the hospital. eg. Jaundice. 2.Long term duration: Long-terms admission is required when the patient suffers from a disease condition and needs more than 48 hours to recover from the disease condition. eg. Spinal cord injury.
Purposes of admission • To undergo evaluation & treatment • To know what is really happening in his/her body right oft it to be fixed • To provide emotional security to the newly admitted patient and his family
Admission Procedure STEPS RATIONAL SCIENTIFIC PRINCIPLE Prepare room, arrange all items in place & adjust height of bed To feel safe & secure and easy transfer from stretcher to bed To relieve fear & anxiety and encourage adjustment Check patient's identification and greet him/her & relatives. Introduce yourself To help them to feel at ease To encourage adjustment Observe client's vital signs &symptoms for laboratory tests, if required To know condition of patient on admission, to assist physician in line of treatment To detect any variations from normal
Provide privacy. Give admission bath, if needed. Change to hospital clothes To relax & make patient comfortable.To make important observations To help in relaxation of patient Explain use of bathroom & other equipment in the room or ward Place call bell & locker in easy reach of patient To help the patient be at ease & knowing how to use equipment to prevent accident Help in adjusting to new environment, reduces anxiety, helps in preventing accidents Return patient's valuable and clothing To provide client with his/her own valuable Answer queries of client & relatives Decrease anxiety & fear Helps to avoid stress comfort Helps to avoid stress Complete necessary records according to agency policy which includes nursing history & assessment Important part of client’s permanent record Record of patient’s data
RECORD & REPORT  Admission book  Preparation of paper  Drug book  Diet book  HMIS entry
MEDICO-LEGAL CASE  A medico-legal case is one where besides the medical treatment; investigations by law enforcing agencies, are essential to fix the responsibility regarding the present state / condition of the patient  Proper handling and accurate documentation of these cases is of prime importance to avoid legal complications. EXAMPLE OF MLC  Accidents like Road Traffic Accidents(RTA),  Industrial accidents  Poisoning
 Cases of trauma with suspicion of foul play  Electrical injuries  Chemical injuries  Burns  Sexual Offences  Attempted suicide  Domestic violence and child abuse  Cases of asphyxia as a result of hanging, drowning, suffocation etc  Death in the operation theatre  Death due to Snake Bite or Animal Bite  Drug overdose  Drug abuse
ROLE OF NURSE IN ADMISSION OF MLC  Cases inform immediately to the medical officer  All the communication should be in the written form  Detailed history, P/E findings, general examination findings, level of consciousness & vital parameters record should be there  In case any reports, X-ray films or images given to the patient, a written proof should be taken for that  When it is decided that the case is MLC, record it on the patient’s file with red link on the right-hand side top corner  Do not give any statement about patient’s condition to police, magistrate or media  Only doctor is authorized to give information
DISCHARGE  "Discharge of patient from the hospital means, relieving a person from hospital setting, who admitted as an inpatient in that hospital“  Discharge from the hospital is the point at which the patient leaves the hospital and either returns home or is transferred to another facility such as one for rehabilitation or to a nursing home."
PURPOSE OF DISCHARGE  To be certain that the patient has the information on his/her condition.  To inform about the follow-up visits or referral to other health agencies.  To teach the Nursing procedure or care he/she needs at home & to take re-demonstration  To provide for a safe, efficient return of all patient's valuables  Provide continuity of care at home  To assist the patient to manage successfully the change from hospital environment to home environment  To prevent any misunderstanding or difficulties for the patient or hospital in relation to patient's discharge, medicines, bills.
Types of Discharge  1. Planned Discharge  2.Abscond  3. Parole  4. LAMA/DAMA  5.Transfer/Referral  6. Death  7. Discharge on Request
 Planned Discharge- Patient's treatment is over and the attending physician has discharged the patient  Abscond- Patient leaves the hospital without prior information.  Parole- a conditional release given to a psychiatric patient in a hospital before discharge enabling the patient to visit freely various designated areas on the hospital grounds  LAMA/DAMA: patient chooses to leave the hospital before the treating physician recommends discharge.  Transfer/Referral- Patient is transferred to another health care facility or within the same hospital from one ward to another  Death- after death of patient, the dead body is handed over to the relatives after completing the discharge procedure.  Discharge on Request- In this type of discharge, treatment is not complete, but by taking the patient out of hospital, there is no immediate danger to the life of the patient
ESSENTIAL OF PLANNED DISCHARGE 1. Written order by doctor 2. Discharge card 3. Informing other department 4. Check payment of the bills 5. Hospital glossaries taken taken back 6. Returning of personal belongings 7. Arrangement for transport 8. Documentation
The IDEAL discharge planning approach focus on the key points of involving the patient and the family members in discharge process.  Include- Include the patient and family members in the process of discharge planning.  Discuss- Five main areas to avoid problems at home need to discuss with patient and the family members.  Educate- Educate the patient and the family members in simple language about the condition of the patient.  Assess- Assess how well doctors and nurses has explained the diagnosis, condition, and the steps in the patient's care to the patient and the family members and use teach back method to confirm.  Listen- Listen to the patient and his/her families goals, preferences, observations, and concerns.
NURSES RESPONSIBILITY PREPARATION FOR DISCHARGE  Planning in the beginning.  Plan for rehabilitation and follow-up need.  Teach nursing procedures to be continued at home, get it's practice done.  Arrangement for transport. DURING DISCHARGE PROCEDURE  See doctor's written order.  Discharge Orders  Explanations.
 Hand over personal belongings.  Check and receive any hospital property.  Confirm bill paid.  Inform other departments regarding discharge  Arrange transport.  DAMA:- check consent AFTER DISCHARGE:  Documentation  Care of patient’s room and article
CHECKLIST METHOD M=MEDICATION E=ENVIRONMENT T=TREATEMENT H=HEALTH TEACHING O=OUT PATIENT REFFERAL D=DIET
Hospital’s admission and discharge.pptx