Hospital admission and discharge

  Part 1

        Unit 3

HOSPITAL ADMISSION AND DISCHARGE

Admission to the hospital

The entrance of the patient into the health care agency such as hospital eastern as admission.

Admission

It means allowing a client to stay in the hospital for observation investigation and treatment of disease he is suffering from.

Indication

A patient admitted to hospital with following reason such as diagnostic procedure , surgical  intervention ,condition requiring expert care,  therapeutic  aspect for treatment , etc.,

Types of admission_____

Emergency admission

Client are admitted in acute conditions requiring immediate care .

e.g Client with heart attack

Routine admission

Client admitted for investigation and plant treatment and surgeries.

e.g. Patient with hypertension or pregnant lady 

Purpose of admission

1. To provide immediate care safety and comfort.

 2. To observe and report sign and symptoms of disease condition.

3. To improve general condition of patient.

 4. To reduce fear and anxiety .

Unit and its preparation

It is a place where the patient is kept during hospital stay.

The admission department notify the unit prior to the patient arrival . So that room /bed can be prepared.

Preparations

1. Prepare the treatment table

2. Ensure all the equipments are completed.

3. Check  ventilation properly.

4. Ensure patient airway.

Admitting the patient

The procedure for admitting a client to a health Care facility is very important.

Data required for admission of patient includes____

# Name of patients 

# Age 

# Gender / sex 

# Marital status

 # Occupation 

# Income

# Mobile number

Articles

Admission bed

 Temperature

 Weighing machine

 Kidney tray

 Documentation sheet

 Articles for physical examination

 BP apparatus

Admission Procedure

* Meet and receive the patient 

* Verify the patient data , by checking records sheet.

 

* Introduce personal 

* Assist to treatment care.

 

* Ask the patient to change clothes into hospital gown if necessary .

* Perform examination and evaluation procedure established baseline values like vital signs.

For Routine Admission

OPD ------ Doctor office ----- Admission office --- Ward

For Emergency Admission

In this patient is directly admitted emergency.

 

Bed and emergency equipment should be ready.

 When patient is out of danger , then he is shifted to other wards

Observation of Patient

Nurses should check all vital sign of the patient. 

Patients general facial expression will denote not only his emotions but also presence of pain.   

Any discolouration of skin like jaundice, cyanosis.

Special Consideration

1. Isolate the patient is suffering from communicable diseases.

 

2. Make proper observation of the patients condition record and report.

 

3. Orient the patient and his relatives to hospitals.

 

4. Be kind to patient and family members .

5. Collect information about patient from relatives.

 

6. Never leave the patient alone in  casualty.