Hospital admission and discharge

 Part 2

Nurses responsibility during admission of patient

In outpatient department

When patient comes receive with kindness and courtesy and offer a chair , if very ill patient come for the examination.

Fill the particulars form name, age ,sex, religion, address, husband or father's name date of admission.

Check vital sign and observe general conditions to determine patient condition.

Get the patient examined and admission slip completed by doctor.

Educate patient or relatives and assess the assess the patients body.

Take the patient along with case sheet to the ward.

In wards

When patient come take the case sheet and receive the patient in the admission bade

 

If patient is ill inform the doctor incharge immediately.

 

Complete admission register 

Makes general observation from here to toe.

Give bath to the patient .

Dress the patient in clear hospital  clothes .

Hand over patient belonging to relatives or ward incharge.

 

If patient is admitted for operation or any treatment take the consent.

 

Proper orientation should be done .

 If patient mentally upset , give psychological support.

Discharge The Patients

Discharge is the process when the patient is shifted from the hospital to home.

                  Or

"Discharge means permitting the patient to let go from hospital to his home"

Objectives of Discharge

To ensure medical care after discharge .

To motivate patient and relative .

To promote good public relation.

Types of discharge________

Cured and discharge

This discharge is initiated by physician who advice the patient that he is well enough to leave the hospital, patient is satisfied and leaves.

Discharge to another hospital or another unit (Referral)

In this physician refer the patient to other hospital for better treatment.

When they do not have appropriate staff and equipments.

This is done to just save life of patients.

Discharge against medical advice (DAMA) (LAMA)

In this case the patient leaves the hospital against medical officer advice.

 

When a patient is kept from hospital without knowledge of hospital staff he is treated as absconded in hospital records

Absconded

When patient leaves hospital without any prior information on to staff , and without clearing dues.

DOR (Discharge on Request)

Discharge is given on personal request of client when he/ she is not willing to take treatment from hospital.

Death

When the patient does not recovered from the health problems and dies in hospital the doctors handover body to relatives.

Discharge planning

An effective discharge requires careful planning and continuous assessment of patient needs during hospitalization.

IDEAL discharge planning

I : Include patient and family members as partners in discharge process.

D : Discuss key areas to prevent problems

* Management of disease

* Explain test results

* Medication

* Follow up

E : Educate family and patient about discharge process.

A : Assess whether patient is able to understand the process.

L : Listen to patient and family members respect their difference.