BSN YEAR 1 SEMESTER 1 FON-1

1. Process of Hospitalization
By
Syed Yousaf Shah

2. Objectives
• At the end of this unit learners will be able to:
1. Define the team admission, transfer and discharge
2. Discuss the procedure for admission, transfer and
discharge
3. Identify nursing responsibility during admission,
transfer and discharge
4. Discuss nurse role in preparing patients and family
for discharge
5. Discuss the normal reaction of patient being
hospitalized.
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3. Admission, Transfer and Discharge
• Admission:
• Admission refers to the process of officially entering a
hospital or healthcare facility as a patient.
• When a person is admitted to a hospital, they undergo
initial assessments, such as medical history, physical
examination, and diagnostic tests, to determine their
condition and the appropriate course of treatment.
• Admission may occur through various means, including
the emergency department, scheduled appointments, or
direct transfers from other healthcare facilities
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4. Admission, Transfer and Discharge
• Transfer:
• Transfer occurs when a patient is moved from one healthcare
facility to another or from one department/unit within the same
facility to another.
• Transfers can happen for various reasons, such as the need for
specialized care not available at the current facility, the need
for a higher level of care (e.g., transferring from a general
medical unit to an intensive care unit), or for logistical reasons
(e.g., transferring to a rehabilitation facility for further
recovery).
• Transfers require coordination between healthcare providers to
ensure continuity of care and patient safety throughout the
process.
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5. Admission, Transfer and Discharge
• Discharge:
• Discharge is the process of formally releasing a patient from a
hospital or healthcare facility once they no longer require acute care
services.
• Discharge may occur when the patient's condition has improved
sufficiently, when they have completed a course of treatment, or
when it is determined that continued hospitalization is no longer
necessary or beneficial.
• During the discharge process, patients receive instructions for post-
hospital care, such as medications, follow-up appointments,
rehabilitation, and self-care measures.
• Discharge planning involves ensuring that the patient has the
necessary support and resources to transition safely back to their
home or another care setting.
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6. Procedure for Admission, Transfer and
Discharge
• Admission Procedure:
• Registration
• Medical Assessment
• Physical Examination
• Diagnostic Tests
• Treatment Plan
• Room Assignment
• Orientation
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7. Procedure for Admission, Transfer and
Discharge
• Transfer Procedure:
• Assessment of Need
• Coordination
• Stabilization
• Transportation
• Communication
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8. Procedure for Admission, Transfer and
Discharge
• Discharge Procedure:
• Discharge Planning
• Patient Education
• Medication Reconciliation
• Final Assessments
• Discharge Instructions
• Follow-Up Arrangements
• Transportation and Logistics
• Discharge Documentation
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9. Nursing Responsibility during
Admission, Transfer and Discharge
• Admission:
• Initial Assessment
• Patient Advocacy
• Patient Education
• Collaboration
• Safety Measures
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10. Nursing Responsibility during
Admission, Transfer and Discharge
• Transfer:
• Continuity of Care
• Stabilization
• Patient Comfort
• Documentation
• Discharge:
• Discharge Planning
• Medication Reconciliation
• Patient Education
• Transition Support
• Follow-Up
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11. Nurse Role in Preparing Patients and
Family for Discharge
• Assessment
• Patient Education
• Discharge Planning
• Medication Reconciliation
• Addressing Concerns
• Support and Reassurance
• Collaboration with Community Resources
• Documentation
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12. Normal Reaction of Patient Being
Hospitalized
• Anxiety
• Fear
• Loss of Control
• Sadness or Depression
• Loneliness
• Frustration
• Relief
• Adaptation
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