patient admission_2nd session of class now

Nurses task during patient admission

1. PATIENT ADMISSION English for Nursing

2. INTRODUCTION Entering a health care agency for nursing care and medical or surgical treatment. To meet patients' healthcare needs during the admission process, nurses provide holistic care and establish the basis for how patients will respond to and evaluate the remainder of their stay.

3. DEFINITION This is a process of receiving, registering and retaining the patient in the health facility for provision of skilled therapeutic interventions in a safe environment.

4. ADMISSION PROCESS 1. Authorization from a physician that the person requires specialized care and treatment. 2. Collection of billing information by the admitting department of the health care agency. 3. Completion of the agency’s admission data base by nursing personnel. 4. Documentation of the client’s medical history and findings from physical examination. 5. Development of an initial nursing care plan. 6. Initial medical orders for treatment. 7. Medical authorization. 8. The admitting department

5. NURSING ADMISSION ACTIVITIES 1. Preparing the client’s room. 2. Welcoming the client. 3. Orienting the client. 4. Safeguarding valuables and clothing. 5. Helping the client undress 6. Compiling the nursing data base

6. PSYCHOSOCIAL RESPONSES ON ADMISSION Anxiety and fear Decisional conflict Situational low self-esteem Powerlessness Social isolation Risk for ineffective therapeutic regimen management

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8. TYPES OF ADMISSION In patient length of stay generally more than 24 hours a cute appendicitis, acute pneumonia : Planned (nonurgent) is scheduled in advance elective surgery Emergency admission unplanned, stabilized in emergency department and transferred to nursing care unit, unrelieved abdominal or chest pain

9. c. Direct admission unplanned, emergency department by passed. Acute condition as prolonged vomiting and diarrhea d. Outpatient length of stay less than 24 hours : Minor surgery " warts“ e. Observational monitoring required, need for inpatient admission determined within 23 hours h ead injury, RTA

10. Nursing Admission Activities Nursing Admission Activities 11 Welcoming the patient Preparing the patient’s room Orienting the patient Safeguarding valuables and clothing Helping the client wear hospital’s gown if indicated Compiling the nursing data base

11. Psychosocial Responses on Admission Anxiety and fear Decisional conflict Situational low self-esteem Powerlessness Social isolation Risk for ineffective therapeutic regimen management Loneliness. Decrease privacy

12. 13 Types of Admissions Type Explanation Example In patient Length of stay generally more than 24 hours Acute appendicitis, acute pneumonia . Planned (non urgent) Is scheduled in advance Elective surgery Emergency admission Unplanned , stabilized in emergency department and transferred to nursing care unit Unrelieved abdominal or chest pain Direct admission Unplanned, emergency department bypassed Acute condition as prolonged vomiting and diarrhea Out patient length of stay less than 24 hours Minor surgery " warts" Observational Monitoring required , need for inpatient admission determined within 23 hours Head injury , RTA , FD

13. Thank you