Patient Admissions Flashcards
Name the two types of admissions:
i. Elective Admissions
ii. Emergency Admissions
Elective Admission
an arranged or planned admission to the hospital such as a planned surgical procedure, or a non-emergency transfer from another facility
Emergency Admission
an unplanned but necessary admission to the hospital, after being seen in Emergency or a doctor’s office
What info is required when you are informed that you will be getting an emergency admission to your unit?
i. patient’s full name (correct spelling)
ii. patient’s age
iii. admitting diagnosis
iv. admitting physician
Admitting forms required for admission chart of an unplanned emergency patient:
- Discharge Summary
- Emergency/Outpatient Record (if admitted from ER)
- Admission/Separation Form
- Crew Report (if arrived by ambulance)
Admission/Separation Form
Every patient admitted to the hospital will have one of these forms completed with their info such as identifying numbers, address, employment, medical coverage, reason for visit, etc.
What info is the NUC responsible for transcribing from the Admission/Separation form to the patient’s Kardex?
- MRP
- Admit Date
- Admitting Diagnosis (Visit Reason)
- Next of Kin/Contact (and/or Person to Notify)
- Home Town
Discharge Summary
A blank copy is included in the chart for every patient that is admitted.
Patient’s ID info required in the top right corner
Emergency/Outpatient Record
This completed form will be received only if a patient is admitted from Emergency; it is completed by the Emergency physician for each patient who comes into the ER
Crew Report
If the patient was transported to the hospital by ambulance, this completed from will be sent to the unit along with the other forms; it is completed by the ambulance attendant
Explain how to set up an admission chart:
- get a blank standard chart
- label all necessary tags with patient’s name
- place chart spine tag on the spine of an empty chart binder
- file chart forms in correct order in the chart binder along with any additional forms
- place patient’s ID labels on all forms
- transcribe necessary info to patient’s Kardex and file in the appropriate binder
- place the old chart in the designated area
- process any orders