FON ADMISSON, TRANSFER AND DISCHARGE Flashcards
is a process of admitting a person to a hospital as an inpatient for medically necessary and appropriate care and treatment of an illness or injury.
ADMISSION
Is the period between
the time of a participant’s entry into a
hospital as a patient and the time of discharge by the admitting Physician.
Hospital Admission
Two Types of ADMISSION
-Elective
-Non-Elective
Also known as the
planned admission
Elective
It is when the client knows in advance that he will be entering a health care facility.
Elective
Also known as
emergency admission
Non-Elective
An admission to a health
care facility that has suddenly become necessary
Non-Elective
GOALS OF ADMISSION
✓ Verify the client’s identity and
assess his clinical status
✓ Make the client as comfortable
as possible
✓ Introduce the patient to the
staff and roommates
✓ Orient the client to the environment
and routine activities.
✓ Provide supplies and special
materials needed for daily care
Ancillary Deparments
-MRI Scan
-Radiology
-Laboratory
-Pharmacy
Functions of Registration
✓ Schedules patients for arrival at hospital facility
✓ Collection of demographic information
✓ Collection of financial information for billing
✓ Prints face sheet to the patient chart
✓ Assigns patient’s room and bed they are to occupy
✓ Sends patient off to nursing station
Admitting the patient in the EMERGENCY ROOM PREPARATION
- Position the bed as the patient’s condition requires.
- Prepare any emergency or special equipment as needed
and make sure they are
functioning.
Admitting the patient in the EMERGENCY ROOM IMPLEMENTATION
- Greet the patient and introduce yourself and other staff members
present. - Confirm the patient’s identity using two patient identifiers.
- Perform admission assessment. Take the Vital Signs, complete the
Nursing Health History interview and perform Physical Assessment. - Fill-up the Admission Form and review the Doctor’s Order for admission
- Provide Hospital ID Band for proper identification of patient.
- Inform the patient of any tests that have been ordered and when
they are scheduled. - Administer emergency medications, request laboratories ordered by the doctor and monitor the patient until transfer to the unit.
- Document all the collected assessment data in the form, interventions implemented and the
client’s response to the implemented interventions. - Call the Nursing Unit where the patient will be transferred and inform
of the admission in the Nursing Unit.
Admitting the patient in the NURSING UNIT PREPARATION
- Obtain a gown and an admission pack.
- Position the bed as the as the patient’s condition require.
- Fold down the Top Linen.
- Prepare any emergency or special equipment as needed
- Adjust the room lights, temperature and
ventilation.
Admitting the patient in the NURSING UNIT IMPLEMENTATION
- Greet the patient and introduce yourself and
other staff members present. - Confirm the patient’s identity using two patient identifiers.
- Escort the patient to his room and, if he is not in great distress, introduce him to his roommate.
- Wash hands and help the patient change into a
gown. Itemize all valuables. - Take the vital signs and perform problem
focused-assessment. - Inform the patient of any tests that have been
ordered and when they are scheduled. - If the patient brings medications from home,
take an inventory and record the information in
the nursing assessment form. - Show the ambulatory patient the bathroom and closet. Show the patient how to use the equipment in the room. Be sure to include the call system, bed controls, TV controls, telephone and lights.
- Explain the routine at your health care facility .
Mention when to expect meals, vital signs check
and medications. - Find out the patient’s normal routine and ask him if there are preferences in terms of meal schedule, special diet and activities.
- Review visiting hours and any restrictions.
- Post patient care reminders at the patient’s bedside to notify coworkers
- Before leaving the patient’s room, make sure he is comfortable and safe. Adjust the bed in low position, put side rails up and place the call bell within easy reach.
- Document the client’s status during admission in the unit, include vital signs and any pertinent
assessment data. Record any laboratory procedure performed, interventions implemented, and
teachings given to the patient.
Nursing Problems Associated with ADMISSION
-Anxiety
-Powerlessness
-Situational Low Self-Esteem
is a process of discharging a patient from
one unit or agency and admitting him or her to
another unit or agency without going home.
Transfer
2 Types of TRANSFER
-Unit Transfer
-Hospital Transfer
transfer to another
unit within the
hospital
Unit Transfer
transfer from one
hospital to another
hospital
Hospital Transfer
Procedure for TRANSFER PREP
- Review the Doctor’s Order or obtain a transfer order
- Inform the unit/ hospital about the transfer
- Explain the transfer to the patient and his family.
- Prepare the patient for the transfer, assess the
patient’s condition. - Prepare the patient’s materials for the transfer,
make sure that all the patient’s belongings are
transported together with the patient - Prepare all the medications and supplies of the
patient. - Notify all appropriate departments of the
transfer such as pharmacy, dietary and the unit
where the patient will be transferred. - Inform the nursing staff of the receiving unit
about the patient’s condition, drug regimen, diet
and review the patient’s nursing care plan for
continuity of care. - Review the new orders with the receiving unit.
10.Transport the patient together with the
medications/ materials at the new unit/ hospital. - Introduce the patient to the nursing staff of the
receiving unit and take the
patient to his room. - Conduct the endorsement with the Nurse on
Duty at the receiving unit/hospital
What department does the patient need when requiring an ambulance
social services department
is a process of ending hospital care needs with ongoing care transferred
to a community or domestic environment.
DISCHARGE
Materials Needed during Discharge
-Wheelchair
-Discharge Instruction Sheet
-DIschagre Summary Sheet
IMPLEMENTATION OF DISCHARGE
- Check the doctor’s order for discharge.
- Confirm the patient’s identity using two
patient identifiers according to hospital
policy. - Inform the patient’s family of the time and
date of discharge as soon as it is known - Review the patient’s discharge care plan with
the patient and his family. - List the prescribed drugs on the patient
instruction sheet along with the dosage,
prescribed time schedule and for how many days
the client will take the medication. - Review procedures the patient or his family
will perform at home . If necessary, demonstrate
the procedures, provide written instructions and
check performance with a return demonstration. - List dietary and activity instructions, if
applicable, on the patient instruction sheet and
review the reasons with the patient. - Inform the patient of the follow-up appointment
either at the Doctor’s office or at the out-patient department. - Provide necessary instructions for care at home.
- Remove Intravenous Fluid and assess the
patient’s vital signs and collect any other pertinent information. - Help the patient get dressed if necessary.
- Check the room for misplaced belongings then help the patient into the wheelchair and help escort him to the exit of the unit.
- After the patient has left the area, strip the bed linens and notify the housekeeping staff that the room is ready for cleaning and disinfection.
- Document the date and time of discharge,
instructions and teachings given to the patient, family members present during the discharge instructions were given and the client’s condition
during discharge. - After the patient has left the area, strip the bed linens and notify the housekeeping staff that the room is ready for cleaning and disinfection.
- Document the date and time of discharge,
instructions and teachings given to the patient, family members present during the discharge instructions were given and the client’s condition
during discharge.
