Unit-XI process of hoppitalization (1).pptx nusing

hospitaliation

1. FUNDAMENTAL OF NURSING PROCESS OF HO SPI T ALI Z A T I O N Naila Rani Nursing Instructor MSN,BSN

2. At the end of this unit learners will be able to Define the term 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. OBEC T I V ES

3. DEFINITION : Admission refers to entry of a patient into health care facility ( hospita l or other ). Entering a hospital for nursing care and medical or surgical treatment. A D MI SS ION

4. There are emergency admissions, which go through the hospital’s emergency department. A medical emergency is any serious injury, condition, or symptom posing an immediate risk to someone’s life or health. If they need emergency care, the hospital may admit the patient to a floor, a specialized unit, or an observation unit. EMERGENCY ADMISSION H O S P I T A L I Z A T I O N

5. Direct admission would occur after the patient has seen or spoken to their doctor , who feels they must admit them to the hospital for immediate medical care. The doctor may arrange an ambulance to take the patient to the hospital or request that they go to the hospital themselves; the doctor may be able to make a bed reservation, too. DIRECT ADMISSION HOSPITALIZATION

6. These stays are when someone has a known medical condition or complaint that requires further treatment or surgery and hospital care, but patients can work with their doctor to alter the time of the admission for convenience. A doctor will make a hospital bed reservation for the patient on a specific day that can change as needed. The doctor may tell the patient to go to the hospital in advance for lab tests , X-rays, ECGs, or other prescribed lab. ELECTIVE HOSPITAL ADMISSIONS

7. Anxiety and fear. Decisional conflict. Situational low self-esteem. Powerlessness. Social isolation Risk for ineffective therapeutic regimen management. NOTE: The nurse may help to reduce the severity of these common reaction to hospitalization with warm , caring, attitude and with courtesy and empathy. PSYCHOSOCIAL REPONSES ON ADMISSION

8. Before a patient is admitted, make sure the room is ready for his/her arrival. Check necessary equipment, admission check list, Pen or pencil. Gown or nightdress (if the patient is to be put to bed ). Portable scale, thermometer, sphygmomanometer, and stethoscope. Make sure there is adequate light and proper ventilation . Open the bed for patients by fan-folding the covers back, and attach the signal cord within easy reach. PREPARING THE PATIENT'S ROOM

9. Reviewing the physician`s order. Meeting the persons immediate needs, Physical, Psychosocial Providing introduction and orientation Performing a baseline assessment . Interview and history taking Observations and physical examination. 5- Documentation. (keeping record) NURSES R ES P O N S I B I L I T I E S ON ADMISSION

10. Ensure patient supplies and equipment are present. Wash basin, emesis basin, soap, towels, and lotion. Bedpan and cover Urinal for male patients. Other equipment may be brought to the unit to meet the needs of a particular patient .. Make a final survey of the room to be sure it is clean, neat and orderly. PREPARING THE PATIENT'S ROOM

11. Patient care transfer can be defined as moving a patient from one flat surface to another. The most common patient transfers are from a bed to a stretcher and from a bed to a wheelchair. Transferring the patient

12. TYPES OF TRA NSF ER

13. REASONS FOR PATIENT TRANSFERRED : 1.Sometimes the transfer is made at the patient's request Type of room (such as a private room). Personal reasons, such as to find a more compatible roommate. 2 . Transfer is made at the medical staff request : The physician may request the patient be transferred from one level of nursing care to another because of a change in the patient's condition that might require more or less specialized care. Sometimes the nursing staff will transfer a patient closer to the nursing station where the patient's condition can be supervised more closely. T RANS F E RR I NG PATIENT

14. Informing client and family about the transfer . Completing a transfer summary . Speaking with a nurse on the transfer unit to coordinate the transfer. Transporting the client and his or her belongings, medications, nursing supplies, and chart to the other unit. The nurse will post the transfer on the patient's chart include: (Time of transfer, room numbers transferred from and to, reason for the transfer, patient's attitude toward the move should also be charted). STEPS INVOLVED IN PATIENT'S TRANSFER

15. TRANSFER TO ANOTHER / HOSPITAL/DEPARTMENT Check the doctor’s order for transfer of patient Inform t he patient and relatives Inform the ward sister where the patient needs to be transferred Check the chart for complete recording of vital sings, nursing care and treatment given Collect patients x-ray medicine and other belongings PROCE D U R E

16. Make arrangement to settle the due bills if going to another hospital. Record time, mode of transfer and general condition of the patient. Assist in transferring patient to wheel chair/stretcher and accompany patient to new area. Hand over patient documents, belonging and report verbally to charge nurse. Collect the ward articles . Inform the concern person/department regarding transfer of the patient Clean unit thoroughly and keep ready for next patient PROC E D U RE

17. Discharging a patient refers to releasing a patient from hospital to home or to other health care facility. DISCHARGING A PATIENT

18. PLANNED DISCHARGE : Patient completes the initial, actual management in the hospital and now he or she need not to be under direct supervision of that hospital.’ DAMA/LAMA : Discharge/Leave Against Medical Advice TRANSFER: Transfer to other unit or hospital ABSCOND: Abscond from Hospital REFFERAL : Referred for further management Types of Discharge

19. Nurse is responsible for ensuring that the patient is to be discharged . Discharge from the hospital s hould never come unexpectedly to patients and his /her family members His /her discharge should be planned from the time of his admission and he should be informed sufficiently early of the day he or she can leave the hospital. Any discharge instructions reviewed with the patient must also be put in a written form for the patient to take home. They need to be specific, written in terms the patient can understand, thorough . Make sure family members are notified of DISCHARGE PLANNING/PREPARATION

20. PATIENT AND FAMILY TEACHING

21. PRE DISCHARGE TEACHING

22. Chart the date and time of discharge. How patient left the facility. Any special instructions given to the patient. Make a sure that the patient’s personal belongings were sent with the patient. DOCUMENTATION OF DISCHARGE

23. Kozier and Erb’s (2016) Fundamentals of Nursing (10 th edition) Pearson Education, Inc . REFERENCES