Hospital Admission Procedure
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Questions and Answers

What is the primary purpose of patient admission in a hospital?

  • To provide patients with a comfortable place to rest
  • To allow patients to access hospital facilities
  • To facilitate observation, investigation, and treatment of the disease (correct)
  • To provide patients with information about their disease

    • What is the term used to describe a patient who arrives at the hospital in their own transport or in an ambulance?

  • Planned admission
  • Unplanned presentation (correct)
  • Emergency admission
  • Elective admission

    • What is the primary role of a triage nurse in the emergency department?

  • To assess patient's condition and prioritize treatment (correct)
  • To coordinate patient discharge
  • To manage the hospital's administrative tasks
  • To provide medical treatment to patients

    • What is the primary factor that determines the waiting time in the emergency department?

    <p>The severity of the patient's condition</p> Signup and view all the answers

    What is the term used to describe an unplanned admission that usually occurs when a patient requires A&E attention?

    <p>Emergent admission</p> Signup and view all the answers

    What is the name of the department where observation admissions usually occur?

    <p>Observation ward</p> Signup and view all the answers

    What is the primary purpose of placing a patient under observation?

    <p>To determine if the patient requires inpatient care</p> Signup and view all the answers

    Which type of admission refers to a scheduled admission for a planned medical procedure or surgery?

    <p>Elective admission</p> Signup and view all the answers

    What is the primary purpose of the SBAR communication tool?

    <p>To improve patient safety</p> Signup and view all the answers

    In the SBAR communication tool, what does the 'S' stand for?

    <p>Situation</p> Signup and view all the answers

    What is the purpose of the 'Background' section in the SBAR communication tool?

    <p>To provide the patient's reason for admission</p> Signup and view all the answers

    Who is responsible for providing the information for the 'Assessment' section in the SBAR communication tool?

    <p>The doctor</p> Signup and view all the answers

    What is the purpose of the 'Recommendation' section in the SBAR communication tool?

    <p>To specify a request and time frame</p> Signup and view all the answers

    In what type of healthcare situations can the SBAR communication tool be used?

    <p>Both inpatient and outpatient settings</p> Signup and view all the answers

    What is the benefit of using the SBAR communication tool in healthcare settings?

    <p>It reduces the need for repetition</p> Signup and view all the answers

    Who can use the SBAR communication tool in healthcare settings?

    <p>Across different disciplines and levels of staff</p> Signup and view all the answers

    What is a benefit of online patient verification?

    <p>Improving the efficiency and accuracy of healthcare processes</p> Signup and view all the answers

    What is typically required for offline patient verification in a hospital?

    <p>Presentation of photo identification</p> Signup and view all the answers

    Why is it important to ensure online patient verification systems are secure?

    <p>To protect patients' personal and medical information</p> Signup and view all the answers

    What is a method of verification used by healthcare staff?

    <p>Checking a patient's medical chart</p> Signup and view all the answers

    What is a situation in which offline patient verification may be used?

    <p>At the operating theatre</p> Signup and view all the answers

    What is the primary purpose of the SBAR tool in healthcare?

    <p>To provide a framework for handovers and transitions between healthcare settings</p> Signup and view all the answers

    What is the main focus of the REDE communication model?

    <p>To develop a more reflective competence in communication skills</p> Signup and view all the answers

    What is the primary goal of Phase 1 in the REDE model?

    <p>To establish a safe environment and foster trust</p> Signup and view all the answers

    What is an example of a non-verbal cue used in Phase 2 of the REDE model?

    <p>Nodding and making direct eye contact</p> Signup and view all the answers

    What is the purpose of using VIEW in Phase 2 of the REDE model?

    <p>To determine if a patient is receptive to their illness and treatment</p> Signup and view all the answers

    What is an example of a scenario where the SBAR tool would be used?

    <p>When a patient moves from a community hospital to a general hospital</p> Signup and view all the answers

    What is the purpose of Phase 3 in the REDE model?

    <p>To share diagnosis and treatment information with the patient</p> Signup and view all the answers

    What is an example of a verbal cue used in Phase 2 of the REDE model?

    <p>Saying 'mm-mm' or 'go on'</p> Signup and view all the answers

    What is the benefit of using the REDE communication model in healthcare?

    <p>It enhances patient-centered care through effective communication</p> Signup and view all the answers

    What is the primary goal of the SBAR tool in the given scenario?

    <p>To communicate Mdm Neo's case to TC General Hospital</p> Signup and view all the answers

    What is one way to show basic respect to patients?

    <p>Addressing them by name and explaining care activities</p> Signup and view all the answers

    What is a benefit of being resourceful in healthcare?

    <p>Improved well-being and better quality of care</p> Signup and view all the answers

    What is a key aspect of reliability in healthcare?

    <p>Carrying out activities without harming patients</p> Signup and view all the answers

    What is the purpose of using two patient identifiers?

    <p>To eliminate errors and enhance patient care</p> Signup and view all the answers

    What is an example of online patient verification?

    <p>Secure login using a unique username and password</p> Signup and view all the answers

    What is the purpose of preparing casefiles/folders for patient admission?

    <p>To ensure patient information is organized and accessible</p> Signup and view all the answers

    What is a benefit of personalized responsiveness in healthcare?

    <p>Patients are treated as individuals</p> Signup and view all the answers

    What is the purpose of financial counselling in patient admission?

    <p>To ensure patients are informed about financial aspects of care</p> Signup and view all the answers

    What is the purpose of the Real-time Location System (RTLS) in hospitals?

    <p>To track patient movement and identify patients</p> Signup and view all the answers

    What is an important aspect of patient care according to the resourcefulness attribute?

    <p>Solving problems for patients</p> Signup and view all the answers

    What is a key aspect of having a patient-first mindset?

    <p>Prioritising the needs of the patient</p> Signup and view all the answers

    Why is it important for healthcare professionals to possess good technical skills and knowledge?

    <p>To improve their confidence and performance levels</p> Signup and view all the answers

    What can a healthcare professional do to show empathy towards a patient waiting outside the doctor's room after receiving a serious diagnosis?

    <p>Sit with the patient, listen to their concerns and provide emotional support</p> Signup and view all the answers

    What is a characteristic of a healthcare professional with a positive attitude?

    <p>Having a cheerful demeanour</p> Signup and view all the answers

    What is essential for building rapport with patients?

    <p>Taking a few extra seconds to make a connective moment</p> Signup and view all the answers

    What is a key aspect of respecting patients?

    <p>Being mindful of patient confidentiality requirements and cultural differences</p> Signup and view all the answers

    Why is it important for healthcare professionals to check with patients about their mode of payment?

    <p>To ensure the patient's financial arrangements are in order</p> Signup and view all the answers

    What is a characteristic of people-oriented healthcare professionals?

    <p>Being present, personable and patient</p> Signup and view all the answers

    What is an important aspect of a healthcare professional's soft skills?

    <p>Communication skills and problem-solving skills</p> Signup and view all the answers

    What can healthcare professionals do to ensure patients understand their follow-up appointments?

    <p>Reiterate and explain the follow-up appointments in a language the patient is familiar with</p> Signup and view all the answers

    Unplanned admissions can be scheduled in advance.

    <p>False</p> Signup and view all the answers

    There are three levels of priority in the emergency department.

    <p>False</p> Signup and view all the answers

    A patient who arrives at the hospital in an ambulance is always considered an unplanned admission.

    <p>True</p> Signup and view all the answers

    The triage nurse is responsible for providing the information for the patient's medical history.

    <p>False</p> Signup and view all the answers

    The waiting time in the emergency department depends solely on the severity of the patient's condition.

    <p>False</p> Signup and view all the answers

    Emergency admissions are typically planned and scheduled in advance.

    <p>False</p> Signup and view all the answers

    Elective admission refers to an unplanned admission of a patient for a medical procedure or surgery.

    <p>False</p> Signup and view all the answers

    The SBAR communication tool was originally designed for healthcare settings.

    <p>False</p> Signup and view all the answers

    Direct admission refers to the admission of patients who are transferred from other facilities or hospitals.

    <p>False</p> Signup and view all the answers

    The 'Assessment' section in the SBAR communication tool is obtained from the patient's medical history.

    <p>False</p> Signup and view all the answers

    The primary purpose of the SBAR communication tool is to reduce the need for repetition and likelihood for errors.

    <p>True</p> Signup and view all the answers

    Priority 1 refers to minor accidents that are ambulant.

    <p>False</p> Signup and view all the answers

    The SBAR communication tool can only be used in inpatient settings.

    <p>False</p> Signup and view all the answers

    The 'Background' section in the SBAR communication tool includes the patient's vital signs.

    <p>False</p> Signup and view all the answers

    The 'Recommendation' section in the SBAR communication tool is used to document the patient's medical history.

    <p>False</p> Signup and view all the answers

    Only senior staff can use the SBAR communication tool in healthcare settings.

    <p>False</p> Signup and view all the answers

    A healthcare professional with a cheerful demeanour can only put patients at ease but not make them feel comfortable.

    <p>False</p> Signup and view all the answers

    Only technical skills and knowledge are necessary for healthcare professionals to be proficient.

    <p>False</p> Signup and view all the answers

    Ensuring patients understand their follow-up appointments is not part of providing closure.

    <p>False</p> Signup and view all the answers

    Having a patient-first mindset means prioritizing the needs of the organisation over the needs of the patient.

    <p>False</p> Signup and view all the answers

    Patients need to be treated as captives, not customers.

    <p>False</p> Signup and view all the answers

    Only providing clinically competent care is enough to ensure a positive interaction with patients.

    <p>False</p> Signup and view all the answers

    Soft skills are not necessary for healthcare professionals to possess.

    <p>False</p> Signup and view all the answers

    Reminding patients to go for their appointments is not a way to provide closure.

    <p>False</p> Signup and view all the answers

    Being people-oriented means being present, but not personable or patient.

    <p>False</p> Signup and view all the answers

    Respecting patients' personal space and privacy is not important for healthcare professionals.

    <p>False</p> Signup and view all the answers

    Online patient verification systems are typically used in offline patient verification processes.

    <p>False</p> Signup and view all the answers

    Patients may be required to present their medical chart to verify their identity during offline patient verification.

    <p>False</p> Signup and view all the answers

    Offline patient verification is typically performed by using electronic systems.

    <p>False</p> Signup and view all the answers

    Healthcare staff are not involved in the verification process during offline patient verification.

    <p>False</p> Signup and view all the answers

    Online patient verification can help to protect patients' personal and medical information.

    <p>True</p> Signup and view all the answers

    The REDE communication model is primarily used for teaching and evaluating relationship-centered communication in healthcare settings.

    <p>True</p> Signup and view all the answers

    In the SBAR tool, the 'B' stands for Background, which is the section that provides the patient's medical history.

    <p>True</p> Signup and view all the answers

    The primary goal of Phase 2 in the REDE model is to establish a safe environment for the patient.

    <p>False</p> Signup and view all the answers

    The SBAR tool is only used in emergency situations, such as in the emergency department.

    <p>False</p> Signup and view all the answers

    The REDE model is primarily used for building relationships between healthcare professionals.

    <p>False</p> Signup and view all the answers

    In the REDE model, the term 'VIEW' stands for Vital activities, Ideas, Expectations, and Worries, and is used to gather the patient's perspective.

    <p>True</p> Signup and view all the answers

    The SBAR tool is used to communicate with patients, not with other healthcare professionals.

    <p>False</p> Signup and view all the answers

    The primary goal of Phase 1 in the REDE model is to develop a treatment plan for the patient.

    <p>False</p> Signup and view all the answers

    The REDE model is a conceptual framework for teaching and evaluating relationship-centered communication in healthcare settings.

    <p>True</p> Signup and view all the answers

    The SBAR tool is only used in healthcare settings where patients are being admitted to a hospital.

    <p>False</p> Signup and view all the answers

    Resourcefulness in healthcare helps save time and resources for both the healthcare institution and the patient's family.

    <p>False</p> Signup and view all the answers

    Online patient verification involves physically verifying the patient's identity at the hospital's reception area.

    <p>False</p> Signup and view all the answers

    Healthcare professionals with a patient-first mindset prioritize the patient's needs over their own convenience.

    <p>True</p> Signup and view all the answers

    The REDE communication model is primarily used for patient verification purposes.

    <p>False</p> Signup and view all the answers

    Biometric verification is a type of offline patient verification method.

    <p>False</p> Signup and view all the answers

    A resourceful healthcare professional is able to work around hospital rules to resolve problems.

    <p>True</p> Signup and view all the answers

    The use of two patient identifiers is necessary for medical check-ups and treatments but not for medication administration.

    <p>False</p> Signup and view all the answers

    Personalised responsiveness is a key attribute of a healthcare professional in ensuring patient safety.

    <p>False</p> Signup and view all the answers

    The Real-time Location System (RTLS) is used to track patient movement within the hospital for security purposes.

    <p>False</p> Signup and view all the answers

    Healthcare professionals need to ensure the appropriateness of the service or treatment provided to patients based on their needs.

    <p>True</p> Signup and view all the answers

    Study Notes

    Patient Admission

    • Patient admission refers to allowing and facilitating a patient to stay in the hospital unit or ward for observation, investigation, and treatment of their disease.
    • There are different types of admissions, including unplanned, planned, emergency, and elective admissions.

    Types of Admission

    • Unplanned admission: • Patient arrives at the hospital in their own transport or by ambulance (urgent presentation). • Triage nurse assesses the patient's condition, provides first aid, and determines the level of treatment needed. • Waiting time depends on the severity of the patient's condition, presence of more serious/urgent cases, availability of medical personnel, and emergency department busyness. • Priorities: Emergent (Resuscitation & Critically-ill patients), Major emergencies (Non-ambulant), Minor accidents (Ambulant), Non-emergency.
    • Planned admission: • Patient is admitted based on the type of treatment they are receiving and its urgency. • Elective admission: Scheduled admission for a planned medical procedure or surgery. • Direct admission: Patient is admitted directly to a hospital bed, either by a physician or self-referral, based on the patient's medical condition. • Transfer admission: Patient is transferred from another facility/hospital.

    SBAR Communication Tool

    • Originally designed by the US military, used in healthcare to improve patient safety.
    • Purpose: Allow staff to communicate assertively and effectively, reducing errors and repetition.
    • Structure: • S - Situation: Identify yourself, address the patient by name, and state the reason for communication. • B - Background: Provide the patient's reason for admission, medical history, and relevant background information. • A - Assessment: Document information from the doctor, including vital signs, contraction patterns, clinical impressions, and concerns. • R - Recommendation: Specify what is needed, make suggestions, and clarify expectations.

    Qualities and Characteristics of a Positive Interaction and Experience

    • Patient-First Mindset: • Focus on the patient's needs and prioritize their satisfaction. • Treat patients as customers, not captives.
    • Positive Attitude: • Display enthusiasm and a "can-do" attitude. • Be optimistic about making a difference and achieving success.
    • Professional Competence: • Possess good knowledge and skills related to the job. • Stay updated on equipment, systems, policies, and procedures.
    • People Orientation: • Build rapport with patients by showing genuine interest and empathy. • Be present, personable, and patient-centric.
    • Basic Respect: • Respect patients' personal space, confidentiality, and cultural differences. • Ensure online patient verification systems are secure and comply with relevant laws and regulations.

    REDE Communication Model

    • Developed by Cleveland Clinic, focuses on three primary phases of relationship establishment, development, and engagement.
    • Phase 1: Establish the relationship. • Create a safe environment, convey value and respect, provide assistance, and display empathy.
    • Phase 2: Develop the relationship. • Listen reflectively, use open-ended questions, gather the patient's perspective using VIEW, and elicit the patient's narrative.
    • Phase 3: Engage the relationship. • Share diagnosis and information, ensure patient understanding, and show basic respect.

    Additional Key Concepts

    • Resourcefulness: The ability to find information and solve problems, even when you don't know the answers.
    • Reliability: Ensuring safety, appropriateness, effectiveness, and efficiency in patient care.
    • Personalised Responsiveness: Understanding and catering to individual patients' preferences and expectations.
    • Methods of Verification: Using two patient identifiers to ensure correct identification, including online patient verification and biometric verification methods.### Patient Interaction
    • Patient-first mindset: prioritize patients' needs, listen to them, and show empathy
    • Positive attitude: display enthusiasm, a "can-do" attitude, and a cheerful demeanor to put patients at ease

    Communication Models in Healthcare

    • SBAR (Situation, Background, Assessment, Recommendation) communication tool:
      • Situation: identify yourself, the site/unit, and the reason for communication
      • Background: provide the patient's reason for admission and significant medical history
      • Assessment: document vital signs, contraction patterns, clinical impressions, and concerns
      • Recommendation: explain what is needed, make suggestions, and clarify expectations
    • REDE (Relationship Establishment, Development, Engagement) communication model:
      • Phase 1: Establish the relationship by creating a safe environment, conveying value and respect, and providing assistance
      • Phase 2: Develop the relationship by listening reflectively, asking open-ended questions, and gathering the patient's perspective
      • Phase 3: Engage the relationship by sharing diagnosis and information, and considering the patient's needs and preferences

    Patient Admission

    • Types of admission:
      • Unplanned (urgent) admission: e.g., emergency department admission
      • Pre-planned admission: e.g., elective surgery
      • Direct admission: admission to a hospital bed without going through the emergency department
      • Transfer admission: admission from another facility or hospital
    • Patient verification:
      • Offline verification: manual verification of patient identity using photo identification, birth certificate, or passport
      • Online verification: verification of patient identity through an online system, using secure login, verification codes, or biometric authentication

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    Description

    Test your knowledge on the hospital admission process, including types of admission and patient services. This quiz covers the basics of admitting a patient to a hospital unit or ward for observation, investigation, and treatment.

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