ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS.pptx

educative

1. ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS Ms. Nelly Nzingo

2. Admission of A Patient It is the process of receiving and retaining a patient in the health facility overnight or for an indeterminate time, usually several days or weeks (though some cases such as coma patients, have been in hospitals for years). Treatment provided in this fashion is called inpatient care. Purpose To provide a safe environment Close monitoring Further investigations Therapeutic interventions of the client 1/14/2020

3. Indications: All patients In critical conditions In unstable psychological state that requires monitoring Who require pre – operative care Suffering from substance related disorders Requiring detoxification 1/14/2020

4. ASSIGNMENT Write notes on the procedure of patient admission from the procedure manual 1/14/2020

5. ADMISSION PROCESS Assess the following: Physical and psychological state of the patient; Number of patient’s companions; provisional diagnosis Review admission requirements according to the hospital policy Explain the procedure to the patient and companion Requirements Pen Plain papers Continuation sheets Treatment trolley 1/14/2020

6. Trolley with equipment for physical examination Consent forms Daily Bed Return (DBR) Admission record book Nursing cardex Assorted charts Environment A room that is well lit and ventilated Resuscitative equipment within reach Adequate comfortable seats Examination coach Hospital uniform 1/14/2020

7. Procedure Welcome the patient and the companions and offer them seats Identify the patient through the accompanying nurse/ companion Receive patient from accompanying nurse Check validity of admission documents and release the accompanying nurse Ensure patient’s privacy Take history from the patient or companion Perform physical examination Inspect all variations and identify items to be taken home by relatives. Label and list items to be left in the ward 1/14/2020

8. Allocate a bed to the patient Introduce patient to other staff and other inpatients Ensure patient takes bath and changes to the hospital uniform Give due treatment and inform the ward physician to review the patient Develop a nursing care plan and document Keep the patient’s file safe Clear equipment Record : History obtained, findings on physical examination, treatment given, findings of evaluation, time the patient was reviewed by physician and their recommendations 1/14/2020

9. Transfer of Patients This is the releasing of patient/client from the current ward/department/hospital to another Purpose: To send a patient for some specialized or advanced care Assess for: Reasons for transfer Method of transferring the patient Review on the knowledge concerning the transfer of patient Explain to the patient and family the division and room to which the patient is intended to be transferred to and the purpose of transfer 1/14/2020

10. ASSIGNMENT Write note on the procedure of patient transfer/ discharge from the procedure manual 1/14/2020

11. Process Gather the clients personal belongings Gather re – usable equipment and supplies beside the patient’s bed e.g. bed pan, urinals, basin. Ensure all documentation is well done Assist the patient onto a wheel chair or stretcher Transport the patient, supplies, belongings and medical record to the receiving unit 1/14/2020

12. Announce the arrival of the patient at the center nursing station Give the receiving unit a verbal report of the client, current condition, major therapies being received and special nursing care needs and hand over Transfer the patient to new room and assist him/her in to bed Ensure other agency departments are notified of the transfer 1/14/2020

13. Discharge of Patients T his is the process of releasing of patient from the current inpatient care environment Purpose To provide effective integration of the patient with family, society To promote and resume optimal functioning Indications Patients who have recovered Patients ready to be rehabilitated in the environment of their choice (presumably home environment) 1/14/2020

14. Process Assess for: Level of readiness of the patient Level of the preparedness of the patient’s relatives/ guardians Physical, psychological, spiritual and social needs of the patient Mode of travel and available resources Ensure resolution to therapy 1/14/2020

15. Review patient’s notes (charts, cardex etc.) Review the discharge procedure and legal implications Prepare information to share with the patient Assign adequate time for the discharge process Prepare patient’s belonging Arrange for clearance of hospital bill Ensure prescriptions if appropriate are done and drugs collected and instructions on taking and storing them well explained 1/14/2020

16. Provide patient with a comfortable place to sit/lie Carry out physical and mental assessment Share information with the patient on his/her condition, including treatment, other measure to promote health when at home and follow – up schedule Allow the patient to leave 1/14/2020

17. Leaving Hospital Against Medical Advice Patient may leave hospital against medical advice due to the following: Increased hospital bill Not satisfied with the services being offered If this happens, the patient should sign a declaration form. This releases the doctors and other staff from responsibility incase something bad happens Note: Psychiatric patients should NEVER be allowed to leave hospital against medical advise since they don’t have insight. 1/14/2020