Admissions, Transfer, and Discharge of a Patient

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Admissions, Transfer, and Discharge of a Patient
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Admitting Patients to the Hospital

• How did you feel when you were admitted to a
  hospital?
• Every patient is nervous, even if it is not a
  first admission

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Room Preparation

• Make necessary equipment available
• Admission checklist
• Gown or pajamas
• Lighting
• Open bed technique
• Patient supplies washbasin, emesis basin, soap,
  towels, lotion, bedpan, urinal, etc.

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Greet the Patient

• First impressions are important!
• Greet each pt and their family in a friendly,
  cheerful manner
• Introduce yourself
• Make pt comfortable, provide privacy
• Admission procedures depend on the policy of the
  healthcare facility

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Admissions Procedure

1. Place ID bracelet
2. Preliminary interview of the pt is done to obtain
   medical information-may need family present
3. Explain the facilitys policy on visitors, and
   the use of television and telephone

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• 4. Demonstrate how to use equipment (bed,
  telephone, remote, call-button)
• 5. Explain meals and how to order meals
• 6. Answer questions about hospital routines
• 7. Show the pt where storage areas are,
  restrooms, etc.
• 8. Remove and store all valuables (or send them
  home)

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• 9. Assess patient, take vital signs
• 10. Begin admission questions

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Transferring the Patient

• A pt may be transferred from one room to another
  or to another unit for different reasons
• Make sure all pts belongings are transferred
  with him/her

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Discharging Patients

• Planning for the patients discharge involves the
  entire healthcare team
• The doctor
• plans the discharge with the pt and leaves a
  written order on the pts chart
• The nurse
• Makes sure the discharge order has been written
  by the doctor

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• - Makes necessary arrangements with other depts
  to prepare for the discharge
• Give discharge instructions for home care
• Give a written copy of the diet, appointments and
  discharge instructions
• Document date and time pt was d/cd, the
  condition of the pt upon d/c, mode of d/c,
  special instructions given, etc.