2. At the end of this presentation the students will be able to
Define Hospitalization
Discuss the Types of hospital
Composition of hospital
Enumerate the Departments in hospital
Enlist the Function of hospital
Define the Admission of patient
Know about the types of admission
Describe the Purpose of admission
Explain the Procedure of admission
Explain the Responsibility of nurse on admission
Define Discharge of patient 2
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3. Enlist the Types of discharge
Discuss the Purpose of discharge
Explain the Procedure of discharge
Enumerate the Responsibility of nurse on discharge
Know about the transfer of patient
Discuss the types of transfer
Explain the procedure of transfer
Describe the role of nurse in preparing patient & family
for discharge
Illustrate the normal reaction of patient being
hospitalized
References
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4. Hospitalization is the placing of a patient in a
hospital and it is a form of individual stressors.
Types of Hospitalization
General Hospital
Special Hospital
Government Hospital
Non-Government Hospital
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5. Patient
Medical Staff
Various type of doctor
Nursing Staff
Nursing superintendents
Head Nurses
Ward sister
LPNS
Para Medical staff
Pharmacist
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9. Orthopedic Depart.
Radiotherapy Department
Nursing Department
Laboratory Section
Pharmacy Section
House keeping & maintained Dept.
Laundry
Mortuary Section
Nursing school, Colleges & Pharmacy Lab
Security Section, Spiritual care service
Emergency Service section
Various outpatient depart. 9
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10. 1. Investigation, Diagnosis & Treatment of the sick
or injured
2. Health supervision, Immunization & prevention
of diseases
3. Medical and Nursing Education
4. Training of paramedical staff
5. Research
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11. It is the entry and acceptance for the
purpose of a patient to stay in a health,
faculty for the purpose of observation,
investigation and treatment, client
coming for admission may walk
(ambulant) or not.
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12. They are two types of admission.
Elective admission
Emergency admission
Elective Admission
With this type of admission the medical officer or the
health care provider arranges with the patient on a
convenient date for admission. Patient is informed well
a head of time to enable him prepare for the admission.
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13. With this type of admission patient reports to
the hospital in a critical condition; he/her is
usually brought in by people( Relatives, friends
or a good Samaritan ).
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14. For diagnostic investigations to be
done
For treatments which may be
medical or surgical.
For observation
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15. Identify interdisciplinary assessment
parameters & responsibilities to plan & deliver
the appropriate level of care to meet the
patient’s needs, evaluate the response of care,
and support community care.
To establish unified process of assessment and
reassessment of patients admitted to the units.
Admission physical assessment shall be done
with in four hour in general unit.
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16. Admission physical assessment shall be done
within one hour in special care unit.
All data collected are entered on the nursing
admission assessment sheet and available to
all those involved in the care of the patient.
Data that is not obtainable with in four hours
of admission should be documented at the end
of shift by the assigned nurse.
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17. The RN assigned to the patient is responsible to
ensure that the form is completed within the
time frame specified.
Documentation should be in permanent ink
(blue or black).
The nurse should write her/his name, RN and
signature.
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18. At the time of admission, the registered nurse
performs complete assessment of the patient.
Enter patient’s name, medical record number
and age at the upper left corner of the form.
Enter date & time of admission, medical
diagnoses & chief complaint in the appropriate
space in the form.
Document the source of information(patient,
family, caregiver or health care person or
significant person)
Check the document if patient has previous
hospitalization & write patient history including
past major illnesses.
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19. Indicate if patient was admitted from ER
(Emergency Registration), home, clinic, other
and accompanied by whom.
Take patients vital signs (temperature, pulse,
respiration) height, weight.
Assess & document the location and the
severity of the pain using the pain scale.
Document if patient has history of allergy, if
yes, check whether it’s due to medication, food
or others.
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20. Document patient brought medicine to the
hospital. If yes, check whether it was send to
pharmacy.
Document if patient & family has valuables
brought to hospital. If yes, check it was sent to
admission office.
At the time of arrival to the room, patient and
family will be given orientation to the unit, an
explanation to the patients’ rights and
responsibilities.
Check the activities of daily living and need of
mobility aid.
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22. Arrange patient’s unit.
Greet the patient and orient to ward, other patients
patient’s room, and equipment.
Tell rules and regulation to patient.
Complete patient’s admission charts.
Take temperature, blood pressure, respiration, pulse
of patient.
Carry on required investigation.
Follow the physician order, administer prescribed
medicine.
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23. Enquire from patient, if he is allergic to any
medicines, apply allergy band & inform the
physician.
Give instructions to patient to take care of
belongings & valuables.
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24. “Discharge of patient from the hospital means,
reliving a person from hospital setting, who
admitted as an inpatient in that hospital”
TYPES OF DISCHARGE
Planned Discharge
DAMA Discharge
LAMA Discharge
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25. Planned Discharge
Patient completes the initial, actual
management in the hospital under
direct supervision of that hospital.’
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26. DAMA Discharge
“I am leaving the hospital ward against
medical advice. Doctor explained me about
my disease condition and ill effects of
discharge against medical advice. Doctors,
hospital and staffs will not be responsible
for any ill effects happening after my
departure”.
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27. Reduce hospital length of stay
unplanned readmission to hospital
Improve the coordination of
services
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28. See doctor’s written order.
Explanations.
Hand over personal belongings.
Check and receive any hospital property.
Confirm bill paid.
Inform other departments regarding discharge.
Arrange transport.
Dama :-check consent
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29. Check for medico legal history.
Notify medical officer incharge.
Abscond cases immediately contct medical
officer incharge.
Maintain all documents in a proper Manner.
Take in written handing over
Taking of articles.
Never dischrge patient without
Written order by physician.
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30. • Transfer of patient within a healthcare
facility/hospital.
It is the movement of a patient with in
the same health facility.
Types of Transfer of Patient
They are two types of transfer of patient.
1. Transfer in/Trans-In
2. Transfer out/Trans-out
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31. Patient is moved from one unit or ward of first
admission to a new unit or ward.
E.g.: Medical to surgical ward.
ROLE:
Prepare a suitable bed to receive patient
Assemble the necessary equipment depending on the
patients condition i.e. oxygen apparatus, suction
machine, vital signs tray
Receive incoming patient, relatives and accompanying
nurse warmly.
Take over the transfer notes and personal belonging of
the patient.
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32. Ask for clarification on vital issues pertaining to the
patient’s condition from the accompanying nurse.
Introduce self and other nurses around to patient and
relatives
Do a quick assessment of the patient’s condition and
needs and act accordingly
Admit patient using the nursing process.
Orientate patient and relatives to ward and its
environment, routine of the unit if necessary.
Document time of patient’s arrival in the nurses note,
admission and discharge book and ward state.
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34. It could be from unit to unit or facility to facility.
STEP
Confirm with receiving unit.
Assess patients condition
Arrange for appropriate vehicle-where applicable.
Arrange for accompanying nurse
Collect all necessary data.
Explain reason of transfer to patient and relatives
and reassure them to reduce anxiety.
Obtain written consent for transfer
Pack patient belonging
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35. Collect patient medication, investigation result and
transfer notes
Assist patient to dress up
Assist patient into wheel chair, stretcher, ambulance
where applicable
Enter patient name in the A and D book, ward state
and nurse note
Hand over patient’s notes and belonging to the
accompanying nusre.
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36. Educate the patient & family throughout the
hospital stay
Listen to the honor the patient & family goals,
preferences, observations, & concerns
Provide resources to take home to back up
information given in hospital and advise follow up:
Advise who contact & when if their condition
deteriorates
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