Admissions, Transfer, Admissions, Transfer, and Discharge of a and Discharge of a

PatientPatient

Admitting Patients to the Admitting Patients to the HospitalHospital

How did you feel when you were How did you feel when you were admitted to a hospital? admitted to a hospital?

Every patient is nervous, even if it is not Every patient is nervous, even if it is not a first admissiona first admission

Room PreparationRoom Preparation

1.1. Make necessary equipment available:Make necessary equipment available:► Admission checklistAdmission checklist► Gown or pajamasGown or pajamas► LightingLighting► Open bed techniqueOpen bed technique► Patient supplies: washbasin, emesis Patient supplies: washbasin, emesis

basin, soap, towels, lotion, bedpan, basin, soap, towels, lotion, bedpan, urinal, etc. urinal, etc.

Greet the PatientGreet the Patient

First impressions are important!First impressions are important!

1.1. Greet each pt and their family in a Greet each pt and their family in a friendly, cheerful mannerfriendly, cheerful manner

2.2. Introduce yourselfIntroduce yourself

3.3. Make pt comfortable, provide privacy Make pt comfortable, provide privacy

Admission procedures depend on the Admission procedures depend on the policy of the healthcare facilitypolicy of the healthcare facility

Admissions ProcedureAdmissions Procedure

1.1. Place ID braceletPlace ID bracelet

2.2. Preliminary interview of the pt is Preliminary interview of the pt is done to obtain medical information-done to obtain medical information-may need family present may need family present

3.3. Explain the facility’s policy on Explain the facility’s policy on visitors, and the use of television and visitors, and the use of television and telephonetelephone

4. Demonstrate how to use equipment 4. Demonstrate how to use equipment (bed, telephone, remote, call-button)(bed, telephone, remote, call-button)

5. Explain meals and how to order meals5. Explain meals and how to order meals

6. Answer questions about hospital 6. Answer questions about hospital routinesroutines

7. Show the pt where storage areas are, 7. Show the pt where storage areas are, restrooms, etc. restrooms, etc.

8. Remove and store all valuables (or 8. Remove and store all valuables (or send them home)send them home)

9. Assess patient, take vital signs9. Assess patient, take vital signs

10. Begin admission questions10. Begin admission questions

Transferring the PatientTransferring the Patient

A pt may be transferred from one room A pt may be transferred from one room to another or to another unit for to another or to another unit for different reasonsdifferent reasons

Make sure all pt’s belongings are Make sure all pt’s belongings are transferred with him/hertransferred with him/her

Discharging PatientsDischarging Patients

Planning for the patient’s discharge Planning for the patient’s discharge involves the entire healthcare teaminvolves the entire healthcare team

The doctor:The doctor:

plans the discharge with the pt and plans the discharge with the pt and leaves a written order on the pt’s chartleaves a written order on the pt’s chart

The nurse:The nurse:

Makes sure the discharge order has Makes sure the discharge order has been written by the doctorbeen written by the doctor

-- Makes necessary arrangements with Makes necessary arrangements with other depts to prepare for the dischargeother depts to prepare for the discharge

- Give discharge instructions for home Give discharge instructions for home carecare

- Give a written copy of the diet, Give a written copy of the diet, appointments and discharge instructionsappointments and discharge instructions

Document date and time pt was d/c’d, the Document date and time pt was d/c’d, the condition of the pt upon d/c, mode of condition of the pt upon d/c, mode of d/c, special instructions given, etc. d/c, special instructions given, etc.