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ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS.pptx

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The document discusses the procedures for admission, transfer, and discharge of patients from a health facility. It describes the admission process which includes assessing the patient's condition, completing required documents, conducting a physical exam, and developing a nursing care plan. It also outlines the process for transferring patients to other departments or facilities for specialized care. This involves gathering the patient's belongings and medical records and providing reports to the receiving unit. The discharge process is also outlined, including assessing the patient's readiness, completing documentation, settling bills, providing discharge instructions and medications. Leaving against medical advice is also discussed.

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ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS Ms. Nelly Nzingo
Admission of A Patient It is the process of receiving and retaining a patient in the health facility overnight or for an indeterminate time, usually several days or weeks (though some cases such as coma patients, have been in hospitals for years). Treatment provided in this fashion is called inpatient care. Purpose  To provide a safe environment  Close monitoring  Further investigations  Therapeutic interventions of the client 3/8/2024
Indications: All patients In critical conditions In unstable psychological state that requires monitoring Who require pre – operative care Suffering from substance related disorders Requiring detoxification 3/8/2024
ASSIGNMENT Write notes on the procedure of patient admission from the procedure manual 3/8/2024
ADMISSION PROCESS Assess the following: Physical and psychological state of the patient; Number of patient’s companions; provisional diagnosis Review admission requirements according to the hospital policy Explain the procedure to the patient and companion Requirements Pen Plain papers Continuation sheets Treatment trolley 3/8/2024
Trolley with equipment for physical examination Consent forms Daily Bed Return (DBR) Admission record book Nursing cardex Assorted charts Environment A room that is well lit and ventilated Resuscitative equipment within reach Adequate comfortable seats Examination coach Hospital uniform 3/8/2024
Procedure Welcome the patient and the companions and offer them seats Identify the patient through the accompanying nurse/ companion Receive patient from accompanying nurse Check validity of admission documents and release the accompanying nurse Ensure patient’s privacy Take history from the patient or companion Perform physical examination Inspect all variations and identify items to be taken home by relatives. Label and list items to be left in the ward 3/8/2024
Allocate a bed to the patient Introduce patient to other staff and other inpatients Ensure patient takes bath and changes to the hospital uniform Give due treatment and inform the ward physician to review the patient Develop a nursing care plan and document Keep the patient’s file safe Clear equipment Record : History obtained, findings on physical examination, treatment given, findings of evaluation, time the patient was reviewed by physician and their recommendations 3/8/2024
Transfer of Patients This is the releasing of patient/client from the current ward/department/hospital to another Purpose: To send a patient for some specialized or advanced care Assess for:  Reasons for transfer Method of transferring the patient Review on the knowledge concerning the transfer of patient Explain to the patient and family the division and room to which the patient is intended to be transferred to and the purpose of transfer 3/8/2024
ASSIGNMENT Write note on the procedure of patient transfer/ discharge from the procedure manual 3/8/2024
Process Gather the clients personal belongings Gather re – usable equipment and supplies beside the patient’s bed e.g. bed pan, urinals, basin. Ensure all documentation is well done Assist the patient onto a wheel chair or stretcher Transport the patient, supplies, belongings and medical record to the receiving unit 3/8/2024
Announce the arrival of the patient at the center nursing station Give the receiving unit a verbal report of the client, current condition, major therapies being received and special nursing care needs and hand over Transfer the patient to new room and assist him/her in to bed Ensure other agency departments are notified of the transfer 3/8/2024
Discharge of Patients This is the process of releasing of patient from the current inpatient care environment Purpose To provide effective integration of the patient with family, society To promote and resume optimal functioning Indications Patients who have recovered Patients ready to be rehabilitated in the environment of their choice (presumably home environment) 3/8/2024
Process Assess for: Level of readiness of the patient Level of the preparedness of the patient’s relatives/ guardians Physical, psychological, spiritual and social needs of the patient Mode of travel and available resources Ensure resolution to therapy 3/8/2024
Review patient’s notes (charts, cardex etc.) Review the discharge procedure and legal implications Prepare information to share with the patient Assign adequate time for the discharge process Prepare patient’s belonging Arrange for clearance of hospital bill Ensure prescriptions if appropriate are done and drugs collected and instructions on taking and storing them well explained 3/8/2024
Provide patient with a comfortable place to sit/lie Carry out physical and mental assessment Share information with the patient on his/her condition, including treatment, other measure to promote health when at home and follow – up schedule Allow the patient to leave 3/8/2024
Leaving Hospital Against Medical Advice Patient may leave hospital against medical advice due to the following: Increased hospital bill Not satisfied with the services being offered If this happens, the patient should sign a declaration form. This releases the doctors and other staff from responsibility incase something bad happens Note: Psychiatric patients should NEVER be allowed to leave hospital against medical advise since they don’t have insight. 3/8/2024

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ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS.pptx

  • 1. ADMISSION, TRANSFER AND DISCHARGE OF PATIENTS Ms. Nelly Nzingo
  • 2. Admission of A Patient It is the process of receiving and retaining a patient in the health facility overnight or for an indeterminate time, usually several days or weeks (though some cases such as coma patients, have been in hospitals for years). Treatment provided in this fashion is called inpatient care. Purpose  To provide a safe environment  Close monitoring  Further investigations  Therapeutic interventions of the client 3/8/2024
  • 3. Indications: All patients In critical conditions In unstable psychological state that requires monitoring Who require pre – operative care Suffering from substance related disorders Requiring detoxification 3/8/2024
  • 4. ASSIGNMENT Write notes on the procedure of patient admission from the procedure manual 3/8/2024
  • 5. ADMISSION PROCESS Assess the following: Physical and psychological state of the patient; Number of patient’s companions; provisional diagnosis Review admission requirements according to the hospital policy Explain the procedure to the patient and companion Requirements Pen Plain papers Continuation sheets Treatment trolley 3/8/2024
  • 6. Trolley with equipment for physical examination Consent forms Daily Bed Return (DBR) Admission record book Nursing cardex Assorted charts Environment A room that is well lit and ventilated Resuscitative equipment within reach Adequate comfortable seats Examination coach Hospital uniform 3/8/2024
  • 7. Procedure Welcome the patient and the companions and offer them seats Identify the patient through the accompanying nurse/ companion Receive patient from accompanying nurse Check validity of admission documents and release the accompanying nurse Ensure patient’s privacy Take history from the patient or companion Perform physical examination Inspect all variations and identify items to be taken home by relatives. Label and list items to be left in the ward 3/8/2024
  • 8. Allocate a bed to the patient Introduce patient to other staff and other inpatients Ensure patient takes bath and changes to the hospital uniform Give due treatment and inform the ward physician to review the patient Develop a nursing care plan and document Keep the patient’s file safe Clear equipment Record : History obtained, findings on physical examination, treatment given, findings of evaluation, time the patient was reviewed by physician and their recommendations 3/8/2024
  • 9. Transfer of Patients This is the releasing of patient/client from the current ward/department/hospital to another Purpose: To send a patient for some specialized or advanced care Assess for:  Reasons for transfer Method of transferring the patient Review on the knowledge concerning the transfer of patient Explain to the patient and family the division and room to which the patient is intended to be transferred to and the purpose of transfer 3/8/2024
  • 10. ASSIGNMENT Write note on the procedure of patient transfer/ discharge from the procedure manual 3/8/2024
  • 11. Process Gather the clients personal belongings Gather re – usable equipment and supplies beside the patient’s bed e.g. bed pan, urinals, basin. Ensure all documentation is well done Assist the patient onto a wheel chair or stretcher Transport the patient, supplies, belongings and medical record to the receiving unit 3/8/2024
  • 12. Announce the arrival of the patient at the center nursing station Give the receiving unit a verbal report of the client, current condition, major therapies being received and special nursing care needs and hand over Transfer the patient to new room and assist him/her in to bed Ensure other agency departments are notified of the transfer 3/8/2024
  • 13. Discharge of Patients This is the process of releasing of patient from the current inpatient care environment Purpose To provide effective integration of the patient with family, society To promote and resume optimal functioning Indications Patients who have recovered Patients ready to be rehabilitated in the environment of their choice (presumably home environment) 3/8/2024
  • 14. Process Assess for: Level of readiness of the patient Level of the preparedness of the patient’s relatives/ guardians Physical, psychological, spiritual and social needs of the patient Mode of travel and available resources Ensure resolution to therapy 3/8/2024
  • 15. Review patient’s notes (charts, cardex etc.) Review the discharge procedure and legal implications Prepare information to share with the patient Assign adequate time for the discharge process Prepare patient’s belonging Arrange for clearance of hospital bill Ensure prescriptions if appropriate are done and drugs collected and instructions on taking and storing them well explained 3/8/2024
  • 16. Provide patient with a comfortable place to sit/lie Carry out physical and mental assessment Share information with the patient on his/her condition, including treatment, other measure to promote health when at home and follow – up schedule Allow the patient to leave 3/8/2024
  • 17. Leaving Hospital Against Medical Advice Patient may leave hospital against medical advice due to the following: Increased hospital bill Not satisfied with the services being offered If this happens, the patient should sign a declaration form. This releases the doctors and other staff from responsibility incase something bad happens Note: Psychiatric patients should NEVER be allowed to leave hospital against medical advise since they don’t have insight. 3/8/2024