Admission Procedure and types in hospital pptx

Admission and its types

1. ADMISSION PROCEDURE MS. POOJA SEN NURSING LECTURER ( MHN)

2. INTRODUCTION Admission of patients is one of the main process followed in any hospital. It is a first step in providing health care to a patients as an in patients. By admitting patients, hospital undertakes a high level of responsibility for the care & well being of the patients . It is essential to have relevant policy & procedure for admission in place to avoid any problems later. MS. POOJA SEN NURSING LECTURER ( MHN)

3. DEFINITION Admission is defined as allowing a patient to stay in hospital for observation, investigation, treatment and care. Admission is the entry of a patient into a hospital/ ward for therapeutic or diagnostic purpose. MS. POOJA SEN NURSING LECTURER ( MHN)

4. PURPOSES To receive the patients in the ward for admission according to her conditions. To provide care. Receive the patient in the wards for admission according to his condition. To provide comfort and safety to the patient. To established nurse patient relationship. To meet the patient individual needs. To obtained information regarding patient MS. POOJA SEN NURSING LECTURER ( MHN)

5. INDICATION A person can be admitted to a health care facility with several reasons including the following. Therapeutic aspect of treatment of any acute or chronic cases. For observation of the status & condition of clients. For diagnostic needs. For surgical interventions or an emergency basis. For condition requiring expert care. MS. POOJA SEN NURSING LECTURER ( MHN)

6. GENERAL TYPES MS. POOJA SEN NURSING LECTURER ( MHN)

7. Routine admission In this patient are admitted for investigation, diagnostic and medical or surgical treatment. Treatment is given according to patient problem. E.g.- HTN,DM, Jaundice, Hernia, Bronchitis etc. MS. POOJA SEN NURSING LECTURER ( MHN)

8. Emergency admission In this, patients are admitted in acute condition requiring immediate treatment. E.g.- Poisoning, Burns, cardiac or respiratory, emergency accident MS. POOJA SEN NURSING LECTURER ( MHN)

9. SPECIFIC TYPES MS. POOJA SEN NURSING LECTURER ( MHN)

10. 1. Based On Planning Planned or Elective Admission – Scheduled in advance for treatment, surgeries or procedures. Example – Knee replacement, chemotherapy 2. Emergency Admission – Unplanned admission due to sudden illness, accident or critical condition. Example – Heart Attack, Stroke 3.Direct Admission - Referred directly by doctor without going through the emergency department. MS. POOJA SEN NURSING LECTURER ( MHN)

11. 2. Based On Purpose Medical Admission – For diagnosis , monitoring and treatment of illness. Example- Pneumonia, Diabetes management 2. Surgical Admission – For operative procedure , either planned or emergency. Example – Appendectomy 3. Maternity Admission – For pregnancy related care including delivery & complications. MS. POOJA SEN NURSING LECTURER ( MHN)

12. 2. Based On Purpose 4. Psychiatric Admission – For mental health treatment including voluntary or involuntary hospitalization. 5. Rehabilitation Admission –For recovery from surgeries, stroke or substance abuse 6. Palliative or Hospice Admission – For end life care and pain management in terminally ill patients. MS. POOJA SEN NURSING LECTURER ( MHN)

13. 3. Based On Time Spent In Hospital In patient Admission – Patient stay more than 24 hours, receiving continuous medical care. Outpatient admission ( Day care) Admission – Patients undergoes minor procedure or treatment & discharge same day. Short term Admission – Patients stay for a brief period less than week for observation or treatment. Long Term Admission- Patients require extended hospital stays due to prolong illness, complex surgeries or intensive procedures. MS. POOJA SEN NURSING LECTURER ( MHN)

14. PREPARING THE UNIT FOR ADMISSION PURPOSES To welcome the patient & make him her feel at home, to adjust to hospital environment. To provide comfort & safety to the patients. To provide immediate care. To make arrangement with patients' family with respect to food., safe water, clothing , valuables & bringing necessary personal articles. To observe & report sign & symptoms. MS. POOJA SEN NURSING LECTURER ( MHN)

15. PREPARING THE UNIT FOR ADMISSION PURPOSES 6. To help the doctor obtain the necessary facts from the patients. 7. To give necessary information to the family members regarding hospital rule & regulations. 8. To relieve anxiety & fear of hospitalization. 9. To establish nurse patient relationship. MS. POOJA SEN NURSING LECTURER ( MHN)

16. PREPRATION OF ARTICLE 1. keeping the bed ready- • open the bed , spread the bedsheet, top blanket and top sheet. • Cover the bed with full bed- length Mackintosh and two pillows. 2. Position the bed- • If the client has to be arrived on a stretcher, the bed should be in lowest position. MS. POOJA SEN NURSING LECTURER ( MHN)

17. 3. Assembled the necessary equipment and supplies- • Bath basin, drinking glass, thermometer, papers ,call Bell etc. 4. Assemble special equipment and supplies- Oxygen therapy, suction machine, cardiac monitor,etc. MS. POOJA SEN NURSING LECTURER ( MHN)

18. ADMISSION PROCEDURE Prepare the room, equipment and furniture with care & arrange all items in place & adjust height of bed . check the client’s identification & greet the client & relatives & introduce self. Observe the client vital signs & symptoms and measures heights & weight. check the physician order for any treatment measures that should be initiated immediately. provide privacy, give admission bath if needed & change to hospital cloth. MS. POOJA SEN NURSING LECTURER ( MHN)

19. ADMISSION PROCEDURE Orient the client to the nursing unit …. Introduce other staff members. Explain Visiting Hours. Demonstrating use of call bell, over bed table use, lighting ,TV radio, Telephone Explanation of hospital policies, routines, meal timing. MS. POOJA SEN NURSING LECTURER ( MHN)

20. ADMISSION PROCEDURE Obtain Base Line Assessment Level of consciousness – Alert, lethargic, drowsy, difficult to arouse, comatose. Vital Sign – Temperature, Pulse Rate, Blood Pressure, Respiration Respiratory Difficulties – Dyspnea, wheezing cough, shortness of breath, abnormal breath sound on auscultation. Ability to communicate – Language spoken, speech impairment, blindness, hearing impairment or deafness. MS. POOJA SEN NURSING LECTURER ( MHN)

21. ADMISSION PROCEDURE Obtain Base Line Assessment 5) Condition of skin – Bruises, Abrasion, pressure areas, excessive dryness, surgical incision & wounds. 6) Prosthetic Devices- Hearing aid, glasses, contact lenses, dentures, braces, artificial limbs. 7) Other health problems & concern- Pain or discomfort, loss of function or loss of normal control of function, restricted movement or alteration in sensation MS. POOJA SEN NURSING LECTURER ( MHN)

22. ADMISSION PROCEDURE Obtain history of allergies and of allergies & medication history. Give the client a chance to ask questions about procedures & investigations. Collects valuables if patients chooses to keep there in the facility ( agency policy) and hence the patents & family member sign it. Place valuable in safe. Complete necessary records according to agency policy. MS. POOJA SEN NURSING LECTURER ( MHN)

23. MEDICO LEGAL ISSUES RELATED TO THE ADMISSION Patients' records should be kept confidential. The record need to be properly labeled as medicolegal cases. The chief medical officer & police need to be informed regarding admission of medicolegal case. MS. POOJA SEN NURSING LECTURER ( MHN)

24. ROLE AND RESPONSBILITIES OF NURSE IN ADMISSION PROCEDURE Arrange patients unit. Greet the patients and orient to ward other patients ,patients room, equipment’s. Tell rule regulation to the patients . Complete patients admission charts. Assess the patients and family psychological status. Take vital sign. Carry on required investigations. MS. POOJA SEN NURSING LECTURER ( MHN)

25. Follow physician order ,administer prescribed medicine. Complete admission procedure. Deal with patient carefully who is suffering from communicable disease or illness .isolate if necessary. Orients patients and family members regarding hospital policies . MS. POOJA SEN NURSING LECTURER ( MHN)

26. Enquire from patients if he is allergic to any medicine, apply allergy band and inform to physician. Give instruction to patients to take care of belongings and valuables. Patients valuable and clothes should be handed over to relatives with proper recording. MS. POOJA SEN NURSING LECTURER ( MHN)

27. * THANK YOU * MS. POOJA SEN NURSING LECTURER ( MHN)