Admission Procedure
Admission of a patient means
allowing and facilitating a patient to stay in the hospital unit or ward for
observation, investigation, and treatment of the disease he or she is suffering
from.
1.
Purpose of admission procedure
ü To provide immediate care.
ü To provide comfort and safety to
the patient.
ü To receive the patient in ward for
admission according to his condition.
ü To be ready for any emergency.
ü To assist the patient is adjusting
ü to the hospital environment.
ü To obtain information about the
client so as to establish therapeutic nurse patient relationship.
ü To involve patient and family in
care.
ü To assist proper discharge
planning of care.
·
Routine Admission:
clients are
admitted for investigations and planned treatments and for
surgeries. eg. diabetes, hypertension.
·
Emergency Admission: Patients are admitted for acute, an emergency condition which requires
immediate treatment like burns, drowning, road accidents, fall, heart attack.
1.
Gather patient information (name, age, sex, address, mobile no
etc)
2.
Prepare medical record
3.
Prepare patient identification bracelet
4.
Consent form signed
5.
Initial orders obtained
6.
Inform
to floor ward nurse
·
Prepare
a clean and neat admission room with all the necessary items as per the need of
the patient.
·
Prepare
an appropriate type of bed with adequate adjusted height of the bed
·
Welcome
patient and his family with warm approach.
·
Make
the patient comfortable in bed and provide him with hospital clothes and ensure
adequate privacy.
·
Alleviate
anxiety/fear
·
Location
of nurses station
·
Room
boudaries
·
Clothes
storage
·
Call
light
·
Bed
controls
·
Light
switches
·
Telephone
policy
·
Tv
controls
·
Meal
times
·
Visitng
hours
·
Diet
·
Safety
measures-side rails
·
Time
for doctors visit
·
What
tests are scheduled
·
Medical
Orders
·
Treatments
·
Lab
Results
·
Tests
·
Diet
·
Activity
·
Record
all the basic information in patients record.
·
Clearly
mention admission date, time patients details, complaints of the clients, any
allergies, patients mental status.
·
Record
in admission register, treatment book, report book, medical legal case (MLC) register,
update ward census and nurse’s notes.
·
Physical
Assesment
·
Patients
Comfort
·
Collect
information for database
·
Perform
initial Admission Assessment
·
Obtain
physician order for the Lab, Tests, Medical activity
·
Identify
data
·
Chief
complaints
·
Present
history
·
Past
health history
·
Review
of body system
What to look for in newly admitted
patients
·
Anxiety
·
Loneliness
·
Increased
privacy
·
Loss
of identity
Do a good assessment of his
physical condition in order to plan his care. If his physical state needs
immediate treatment report to physician and prepare your patient for physical
examination and carry out the treatment, which the physician prescribes after
the physical examination.
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