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ADMISSION OF PATIENTS

ADMISSION - the care which a patient receives when he/she enters the hospital
PROCEDURE:
STEPS
Have the bed and unit in
advance, if you know that the
patient is coming.
Greet the patient in a friendly
way, receive endorsement
from the OPD personnel and
take the patient/relatives to
the designated room or ward.
Introduce the patient to the
other patients in the room
(semi-private/ward), and to
any
staff
members
encountered, even though the
patient cannot be expected to
remember all names.
Screen the unit (especially for
semi-private
or
ward
accommodation).
Assist the patient to change
into the hospital gown or
personal garments where
agency policy allows this.

NURSING RESPONSIBILITIES
RATIONALE
Delegate responsibilities to other This would make the patient feel
members of the health team properly. wanted.

6. Assist the patient into a


comfortable position in bed.

To help conserve patients strength,


prevent accidents and prepares
patient for receiving care.
Reduces anxiety and tension.

1.

2.

3.

4.

5.

7. Orient patient and support


persons to the hospitals
policies, rules and regulations.

Address the patient with his name.


Build rapport by introducing yourself.

Greeting the patient warmly conveys


to him that he is welcome to the new
environment.

Introduction to roommates facilitates


the patients adjustment to the
agency.
Introduction to the staff members
helps the patient recognize caregivers.
To provide privacy to the patient thus
showing respect and interest in the
patient as a person.
Always account for every piece of Some patients do not require
clothing no matter how worthless it assistance in undressing but need to
may seem to you.
be informed which way to put on a
hospital gown i.e. with his tie at the
back

Knowledge of the agencys policies


promotes the patients and support
persons feelings of security and
minimizes anxiety. Consideration of
support
persons
conveys
understanding of their concern and
needs.

8. Push back screen after.


9. If vital signs have been taken
in OPD, dont take it again
unless requested by the
physician.
10. Attend to patients personal
belongings. Follow agency

Explain to the patient the purpose of Doing the procedure only once or as
the procedure.
necessary minimizes disturbance of
patient.
List every piece of valuables and Losing items is upsetting to the
inform patient that they can be given patient and can result to serious legal

policy.

to relatives for safekeeping.

problems.

11. Do necessary recording on the


patients record following
agency policies.

The information is an integral part of


the patients permanent record and is
used to begin patients care.

12. Obtain nursing history.

The nursing history provides a


baseline data for subsequent care
planning.

CHARTING includes:
1.
2.
3.
4.
5.
6.
7.
8.
9.

Date and time


Vital Signs
Wight and Height
Manner of arrival and general condition
Chief complaints : Subjective and Objective data
Appetite, sleep, urination and bowel movements (if normal dont make any remarks)
Any specimens sent to the laboratory
Lists of physician and other members of the health team
All medications and treatments done during the admission period.

DISCHARGE OF PATIENTS
Discharge include several activities leading to the departure of the patient from the hospital
PROCEDURE:
STEPS
1. Check written order for
discharge.

NURSONG RESPONSIBILITIES

2. Inform the patient and his


relatives.
3. Inform the business office,
pharmacy, and others.

4. Check to see that all


necessary equipment and
supplies are ready for the
patient to take with him.

5. The May Go Home slip is


sent down to the business
office. The patient or a
responsible person is
informed that they can go
to the B.O. to settle their
accounts.
6. Verbal and written
instructions regarding
continuity of care at home
are given.

Get all the medicines from the


cubicles if some were purchased
from the hospital pharmacy, send
them down for refund. If all
medications belong to the patient,
give these back to him.

Checking to see that proper


financial agreements have been
made by the patient or relatives
help to avoid legal problems

Determine if there are any


prescriptions for the patients, if
there is, make sure that the patient
has this:
Give discharge instructions as to:
- Medications and treatment
- Activity
- Diet
- Return appointments

7. A clearance slip from the


business office is given to
the relative and should be
given to the head nurse or

RATIONALE
This is to protect the institution
from any legal responsibility. This
also indicates that the patient is
well enough to be cared for at
home or to resume his usual
activities.
To prepare the patient and family
of his discharge.
All receipts and other documents
should be collected and
summarized so that the hospital
bills of the patient could be
determined.
Having equipment and supplies
ready saves time and the
annoyance of having to wait for
them when the patient is ready to
leave.

The patient and the relative will be


able to continue with the
necessary care after discharge
when properly instructed. Last
minute health teaching should be
avoided because learning will not
be effective.
Instructions given at this time
should be focused on reminders
and aspects of care/adjustments at
home and return visits.
This indicates that payment or
arrangement has been done.

charge nurse.
8. Assist the patient to dressup. Assist the patient in
packing all personal
belongings.

Provide privacy.

Assisting the patient conserves his


strength and time.

Check that the bedside lockers and


drawers are empty of all personal
belongings.
Return all valuables.

9. Contact the transport


service or obtain a
wheelchair for the patient
unless an ambulance is
needed.

10. Do necessary recording on


the patients record.

Escort patient and relatives out of


the hospital.

Document the time of discharge,


method of transport to the agency
door and assessment data.
Send down the record to the
records office after completion.

Assisting the patient conserves his


strength; such assistance is
courteous and conveys to the
patient that the personnel are in
his welfare.
To avoid over exertion.
The information is important to
complete the patients permanent
record.