ADMISSION OF CLIENT TO HOSPITAL

ADMISSION :

It means allowing a client to stay in the hospital for observation, investigations and treatment of disease
he is suffering from.

TYPES OF ADMISSION

1. Emergency Admission : Clients are admitted in acute conditions requiring immediate treatment.

Ex: Client with heart attack, accidents, poisoning etc

2. Routine Admission : Clients are admitted for investigations and planned treatments and surgeries.

Ex: Client with hypertension, diabetes, bronchitis etc

3. Transfer from one ward to another

ADMISSION PROCEDURE

a) O.P.D (Out patient department)

1. Receiving the client : The personnel in admitting department should greet and make patient feel
comfortable.

In emergency condition no time should be waste to initiate the treatment.

The manner in which doctor or nurse receive the client is most important aspect of reception.

2. Recording of Social and Medical data: Clerk in record section records data essential for identification
of client.

Social data: name, age, sex, education, address, occupation, religion, income, marital status, telephone
no. etc.

Medical data: Diagnosis, provisional diagnosis, duration of illness, name of doctor etc.
3. Medical Examination : A detailed social and medical history of the client is taken by physician and
recorded. Patients temperature, BP, Pulse, respiration etc are recorded.

The necessary investigations such as x-ray, lab test are done to diagnose the disease and prescribe
treatment.

b) I.P.D (Inpatient department):The clients who are suffering from mild ailments are sent home with
necessary treatment. Others are admitted to hospital for further investigations and treatment.

1) Transporting the client from O.PD to I.P.D

Clients who are not very ill and are allowed to walk are escorted to ward by a nurse or attendant.

Wheel chairs should be available for those who are too sick, weak , not able to walk.

Clients who are bought to hospital on ambulance should be carried to their respective wards on
stretchers.

2. Reception of the client by ward sister

The ward sister or the nurse admitting the client should introduce herself and greet the client and his
relatives with friendliness. Her behavior should be such that she gains the confidence and cooperation
of the client.

If the client is very sick she should put him on bed immediately.

The client who is not very ill is allowed to move about and can be taken to a round in the ward.

Introduce the other clients to him and vice versa and also with nursing personnel in the ward.

Orient the client to whole ward, duty room, toilet rooms and unit prepared for the client.

Explain hospital policies, procedures, routines to the client and relatives.

Explain to client the time for meal servings, doctors visit, visiting time, prayer hours.

Make arrangements for paying hospital bills.

Issue diet pass or stay pass to the relatives.

3. Preliminary Observation of client: The first few moments with client , facial expressions will denote his
emotional reactions and presence of pain, fatigue.

Any discoloration of skin such as jaundice, cyanosis, facial paralysis should be noted. Further
observations can be made while giving care to the client.

4. Helping the client to occupy his bed: A closed bed is converted to open bed on admission of client.

His temperature, pulse and respirations are recorded at the time of admission and later on at regular
intervals.

Check the doctors orders that are to be carried out immediately.

Record in the inpatient chart, date and time of admission, condition of patient and observations made
on the client.

Give time to patient to change his dress with hospital dress. Give assistance if client is not able to.

If the client have to bath on admission , bathroom should be given.

Bed bath should be given to a client not fit for bathroom bath.

Bed bath gives opportunity to the nurse to examine client carefully.

Never leave a seriously ill client alone in the private room without any help.

If any tests are ordered by doctor, the nurse must make arrangements to carry out.

Carry out other procedures prescribed by doctor, if any.

5. Care of valuables and clothing :

If patient is wearing hospital dress, patients clothing should be handed over to relatives.

In case of absence of relatives, clothing is numbered, labelled and kept in store until such time it is
handed over to relatives.

Encourage the client to send jewellery, money and other valuables such as watch to home with
relatives. Make him understand if he keeps something with himself, it is on his own risk.
Preparation of unit

Preparation of Equipment:

Patient Bed

Linen, Sheets

Patient Locker

Patient Chart

Adequate light, clock, ventilation.

Wheelchair/Stretcher

Charts

doctors orders

general history sheet

nurses record

TPR chart (temperature, pulse, respiration chart)

progress record

intake output record

Investigation record

operation record

Discharge sheet

TRANSFER OF PATIENT FROM ONE WARD TO ANOTHER

The doctor in-charge will write the transfer order in the clients chart

The sister in charge should inform the sister in-charge of the new ward

Clients chart should be completed and made up to date

The clients record with xrays , ECG, lab reports and the medicine cards should be sent with the patient
The belongings of the patient should be checked and handed over to the sister

TRANSFER OF PATIENT FROM ONE WARD TO ANOTHER

The client and his relatives should be told about the purpose of the transfer to prevent anxiety

The client should be introduced to the sister in -charge of the new ward and vice versa

Arrangement for the diet should be made with the dietician

The procedure in the new ward will be similar to the admission procedure

ROLE OF NURSE IN ADMISSION

Arrange patients unit.

Greet the patient and orient to ward, other patients, patients room, equipments.

Tell rules and regulations to patient.

Complete patients admission charts.

Take temperature, blood pressure, respiration, pulse of the patient.

ROLE OF NURSE IN ADMISSION

Carry on required investigations.

Follow physician orders, administer prescribed medicine.

Enquire from patient if he is allergic to any medicines, apply allergy band and inform to physician

Give instructions to patient to take care of belongings and valuables.