Objectives At the end of this unit learners will be able to: Define the team admission, transfer and discharge Discuss the procedure for admission, transfer and discharge Identify nursing responsibility during admission, transfer and discharge Discuss nurse role in preparing patients and family for discharge Discuss the normal reaction of patient being hospitalized. 2
Admission, Transfer and Discharge Admission: Admission refers to the process of officially entering a hospital or healthcare facility as a patient. When a person is admitted to a hospital, they undergo initial assessments, such as medical history, physical examination, and diagnostic tests, to determine their condition and the appropriate course of treatment. Admission may occur through various means, including the emergency department, scheduled appointments, or direct transfers from other healthcare facilities 3
Admission, Transfer and Discharge Transfer: Transfer occurs when a patient is moved from one healthcare facility to another or from one department/unit within the same facility to another. Transfers can happen for various reasons, such as the need for specialized care not available at the current facility, the need for a higher level of care (e.g., transferring from a general medical unit to an intensive care unit), or for logistical reasons (e.g., transferring to a rehabilitation facility for further recovery). Transfers require coordination between healthcare providers to ensure continuity of care and patient safety throughout the process. 4
Admission, Transfer and Discharge Discharge: Discharge is the process of formally releasing a patient from a hospital or healthcare facility once they no longer require acute care services. Discharge may occur when the patient's condition has improved sufficiently, when they have completed a course of treatment, or when it is determined that continued hospitalization is no longer necessary or beneficial. During the discharge process, patients receive instructions for post-hospital care, such as medications, follow-up appointments, rehabilitation, and self-care measures. Discharge planning involves ensuring that the patient has the necessary support and resources to transition safely back to their home or another care setting . 5
Procedure for Admission, Transfer and Discharge Admission Procedure: Registration Medical Assessment Physical Examination Diagnostic Tests Treatment Plan Room Assignment Orientation 6
Procedure for Admission, Transfer and Discharge Transfer Procedure: Assessment of Need Coordination Stabilization Transportation Communication 7
Procedure for Admission, Transfer and Discharge Discharge Procedure: Discharge Planning Patient Education Medication Reconciliation Final Assessments Discharge Instructions Follow-Up Arrangements Transportation and Logistics Discharge Documentation 8
Nursing R esponsibility during Admission, Transfer and Discharge Admission: Initial Assessment Patient Advocacy Patient Education Collaboration Safety Measures 9
Nursing Responsibility during Admission, Transfer and Discharge Transfer: Continuity of Care Stabilization Patient Comfort Documentation Discharge: Discharge Planning Medication Reconciliation Patient Education Transition Support Follow-Up 10
Nurse R ole in Preparing P atients and Family for Discharge Assessment Patient Education Discharge Planning Medication Reconciliation Addressing Concerns Support and Reassurance Collaboration with Community Resources Documentation 11
N ormal R eaction of Patient B eing H ospitalized Anxiety Fear Loss of Control Sadness or Depression Loneliness Frustration Relief Adaptation 12