Admission Procedure.................pptx

Admission Procedure.pptx

1. ADMISSION PROCEDURE PRESENTED BY….. MS. ANEETA SHARMA NURSING LECTURER (CHILD HEALTH NURSING)

2. DEFINITION Admission is defined as allowing a patient to stay in hospital for observation, investigation, treatment and care.

3. TYPES OF ADMISSION PROCEDURE

4. EMERGENCY ADMISSION Emergency admission means admitting a patient immediately and without delay when the patient’s condition is serious, life-threatening, or requires urgent treatment. In this, patients are admitted in acute condition requiring immediate treatment. Examples: - A patient admitted after a road traffic accident. A person with heart attack, severe burns, or uncontrolled bleeding.

5. ROUTINE ADMISSION Routine admission means admitting a patient with prior planning and appointment for treatment, surgery, or investigation. In this patient are admitted for investigation, diagnostic and medical or surgical treatment. Treatment is given according to patient problem. Examples:- A patient admitted for a planned surgery (like hernia or cataract). A patient admitted for medical investigation or check-up. A pregnant woman admitted for elective cesarean section.

6. REFERRAL ADMISSION Referral admission means admitting a patient who has been sent (referred) from another hospital, clinic, health center, or doctor for specialized treatment or advanced care that cannot be given at the referring place. Examples: A patient with a severe heart problem is referred from a community health center to a medical college hospital.

7. TRANSFER ADMISSION Transfer admission means admitting a patient who is transferred from one ward, unit, or hospital to another for continuation of treatment or specialized care. It may be within the same hospital or from another hospital. Examples:- A patient transferred from the medical ward to ICU due to worsening condition. A patient transferred from surgical ward to orthopedic ward for further management. A patient transferred from a district hospital to a medical college hospital for advanced treatment.

8. PURPOSES Assessment: Evaluate patient’s health, vitals, and medical history. Diagnosis & Treatment: Facilitate investigations and start treatment. Planning Care: Organize individualized care and hospital resources. Legal Documentation: Maintain official records for medico-legal and insurance purposes. Patient Education: Teach about illness, treatment, and hospital routines. Emotional Support: Reduce anxiety and help patient adjust to hospital. Continuity of Care: Track progress and plan for discharge or follow-up .

9. PREPARING THE UNIT FOR ADMISSION Clean the unit and bed properly before the patient arrives. Disinfect furniture and ensure the area is dust-free. Arrange the bed neatly with clean linen (bed sheet, pillow cover, blanket). Keep all necessary articles ready – towel, soap, jug, glass, bedpan, urinal, etc. Check medical equipment – thermometer, BP apparatus, stethoscope, kidney tray. Ensure safety measures – side rails fixed, bed brakes on, call bell working. Adjust lighting and ventilation for comfort.

10. Provide privacy by arranging screens or curtains. Keep admission records and forms ready on the bedside table. Arrange identification materials (name board, wristband if used). Place furniture properly – bedside table, chair, and locker in position. Check emergency equipment (oxygen, suction, emergency tray). Make the unit look welcoming – clean, calm, and pleasant. Receive the patient politely and help them settle comfortably.

11. ADMISSION PROCEDURE Greets the patient and makes him to sit comfortably Identifies the patient using admission slip and checks the details of advance payment Collects the necessary details from patient/attendant Fills the necessary information in the patient record (Name, hospital number, unit, bed number in each record) Takes the patient and his family to the assigned cot / room Check patient's height, weight and vital signs and documents Collects history and carries out simple physical examination

12. 8. Orients the patient to the ward and patient unit (nurses’ station, Treatment room, bedside locker, drinking water facility, toilet & bathroom facility). 9. Provides information regarding hospital policies, visiting hours, gate pass, canteen, attendants staying with patients and restrictions in the ward and safety of valuables 10. Ties the identification band 11. Informs the patient about procedures or treatments scheduled

13. 12. Writes the admission note regarding • Date and time of admission • Reason for admission • General condition of patient • Presenting complaints • Any abnormalities detected • Vital signs • Treatment initiated • Sample collected & intimation given to the health care team member

14. 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.

15. 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. 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.