Hospital Patient Admission Procedures

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Questions and Answers

What is the primary purpose of admitting a patient to a hospital?

To provide counseling services

For observation, investigation, and treatment of a disease (correct)

To provide temporary shelter

To perform administrative tasks

What is an unplanned admission typically characterized by?

An urgent need for medical attention (correct)

A pre-booked surgery

A routine check-up

A scheduled appointment

What determines the waiting time for unplanned admissions?

The patient's medical history

The hospital's operating hours

The severity of the patient's condition and availability of medical personnel (correct)

The patient's age

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

To assess the patient's condition and provide first aid Signup and view all the answers

What is an emergent admission?

An unplanned admission requiring urgent attention Signup and view all the answers

What is an observation admission?

A patient being observed in the emergency department Signup and view all the answers

What is an elective admission?

A scheduled admission for a planned medical procedure or surgery Signup and view all the answers

What determines the priority level of an unplanned admission?

The severity of the patient's condition Signup and view all the answers

What is typically associated with direct admission?

Being admitted directly to a hospital bed Signup and view all the answers

What is the primary purpose of SBAR?

To allow staff to communicate assertively and effectively Signup and view all the answers

When communicating using SBAR, what is typically mentioned first?

The sender's name and site/unit Signup and view all the answers

What is an example of information that would be included in the 'Background' section of SBAR?

Date of last admission Signup and view all the answers

What is the 'Assessment' section of SBAR used for?

To document information given by the presiding physician Signup and view all the answers

What is an example of a situation where SBAR could be used?

All of the above Signup and view all the answers

What is the 'Recommendation' section of SBAR used for?

To explain what is needed and make suggestions Signup and view all the answers

What type of admission is typically pre-arranged by a physician or surgeon?

Elective admission Signup and view all the answers

What is the main benefit of using SBAR in healthcare communication?

All of the above Signup and view all the answers

What is the purpose of the 'Situation' section of SBAR?

To explain the reason for the communication Signup and view all the answers

What is the main focus of a patient-first mindset in healthcare?

Centring strategies and processes on patient needs Signup and view all the answers

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

A 'can do' attitude and enthusiasm Signup and view all the answers

What is critical for healthcare professionals to possess in order to serve patients efficiently?

Good technical skills and knowledge Signup and view all the answers

Why is it important for healthcare professionals to be people-oriented?

To build rapport with patients Signup and view all the answers

How do healthcare professionals show basic respect to patients?

By considering patients' individual needs and privacy Signup and view all the answers

What is a key attribute of a resourceful healthcare professional?

The ability to know where to find information Signup and view all the answers

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

Treating patients as people, not just patients Signup and view all the answers

Why is it important for healthcare professionals to have soft skills?

To enhance daily interactions with patients Signup and view all the answers

What is important for healthcare professionals to remember when interacting with patients?

To be present, personable, and patient Signup and view all the answers

What is a characteristic of a positive interaction and experience in healthcare?

A patient-first mindset Signup and view all the answers

What is a primary goal of resourcefulness in healthcare?

To reduce suffering and improve patient outcomes Signup and view all the answers

What is a key aspect of reliability in healthcare?

Carrying out activities safely and effectively Signup and view all the answers

Why is personalized responsiveness essential in healthcare?

To understand individual patient preferences and expectations Signup and view all the answers

What is the purpose of using two patient identifiers in pre-registration checks?

To eliminate errors and enhance patient care Signup and view all the answers

What is an example of online patient verification?

Logging in to a secure online portal using a unique username and password Signup and view all the answers

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

To track patient movements and verify identities Signup and view all the answers

What is an example of offline patient verification?

Presenting a photo identification in person Signup and view all the answers

What is essential for online patient verification systems?

Ensuring compliance with relevant laws and regulations Signup and view all the answers

Why is it crucial to verify patient details during pre-registration checks?

To prevent errors and ensure accurate matching of patients with their records Signup and view all the answers

What is a benefit of online patient verification?

Improving the efficiency and accuracy of healthcare processes Signup and view all the answers

What is the primary purpose of verifying a patient's identity by healthcare staff?

To prevent medical errors and ensure the right patient receives the right treatment Signup and view all the answers

What is protected under the Personal Data Protection Act 2012 (PDPA)?

Personal and medical information of patients Signup and view all the answers

Who should ideally be appointed as a family representative to receive updates on a patient's condition?

Next of kin Signup and view all the answers

What type of information is considered a patient's 'medical history'?

Patient's medical history, illnesses, allergies, and medications Signup and view all the answers

When is a deposit required from patients opting for Private A/B1 wards?

Because Medisave cannot fully cover hospital charges Signup and view all the answers

What is an exemption to paying a deposit?

Producing a Letter of Guarantee from an employer in Singapore Signup and view all the answers

What type of ward is characterized by team-based care with an assigned specialist and shared bathroom facilities?

Subsidised Class B2 Signup and view all the answers

What is the purpose of obtaining a patient's signature upon admission?

To confirm patient consent for treatment Signup and view all the answers

What type of information is protected by the Personal Data Protection Act 2012 (PDPA)?

Personal data, including financial information Signup and view all the answers

What is the primary goal of the REDE communication model?

To enhance communication skills and develop a more reflective competence Signup and view all the answers

What is the primary purpose of appointing a family representative for a patient?

To facilitate communication with the patient's family Signup and view all the answers

What is the primary focus of Phase 1 of the REDE model?

Establishing a safe and respectful environment Signup and view all the answers

What is empathy in the context of the REDE model?

The ability to imagine oneself in another's place and understand their thoughts and feelings Signup and view all the answers

What is the purpose of using open-ended questions in Phase 2 of the REDE model?

To elicit the patient's narrative Signup and view all the answers

What is the abbreviation VIEW used for in Phase 2 of the REDE model?

Vital activities, Ideas, Expectations, and Worries Signup and view all the answers

What is the primary goal of Phase 3 of the REDE model?

To engage the patient and provide closure Signup and view all the answers

What should you do if a patient is struggling to understand their treatment plan?

Reiterate the information in a simpler language Signup and view all the answers

What is the purpose of using non-verbal cues such as nodding and direct eye contact in the REDE model?

To show empathy and interest Signup and view all the answers

What should you do if a patient is sitting outside the doctor's room, looking lost and upset?

Approach the patient and try to comfort them Signup and view all the answers

Before transferring a patient to a ward, what should be confirmed?

Patient's identity and reasons for initiating transfer Signup and view all the answers

Who should the PSA hand over the patient's case file to?

Ward staff Signup and view all the answers

What is important to maintain during the patient transfer process?

Patient confidentiality Signup and view all the answers

What is the role of staff in charge of facilitating patient transfer?

Coordinating with healthcare providers and arranging transportation Signup and view all the answers

Why is it important for staff to provide support to patients and their family during transfer?

To address their concerns and keep them updated Signup and view all the answers

What should be arranged by the staff in charge of facilitating patient transfer?

Transportation to the receiving facility Signup and view all the answers

What should be introduced to the ward staff during patient transfer?

The patient Signup and view all the answers

What is the purpose of coordinating with other healthcare providers during patient transfer?

To ensure all necessary information is shared Signup and view all the answers

What is the primary method of obtaining a patient's signature for consent forms?

Electronic signature using a computer, tablet, or smartphone Signup and view all the answers

What is a key feature of a bed management software in a hospital's Patient Management System?

Real-time information on bed availability Signup and view all the answers

What is the primary purpose of the bed management team in the bed booking process?

To determine bed availability and assign beds to patients Signup and view all the answers

What is a condition for downgrading from a non-subsidised ward to a subsidised ward?

Fulfilling the financial assessment criteria Signup and view all the answers

Who can sign a consent form on behalf of a patient who is unable to sign themselves?

The patient's next-of-kin Signup and view all the answers

What is the purpose of the staff alert feature in a bed management software?

To alert staff to prepare beds for incoming patients Signup and view all the answers

What is the process of reserving a hospital bed for a patient called?

Bed booking Signup and view all the answers

What happens when a patient's preferred ward is unavailable for a change request?

The patient is placed on a waiting list Signup and view all the answers

Why may a hospital require a deposit for a change request to a higher ward type?

To cover the cost of the upgraded ward Signup and view all the answers

What is the purpose of informing the patient and their family about ward arrangements?

To provide instructions on hospital rules and procedures Signup and view all the answers

Study Notes

Unit 2: Perform Patient Admission

2.1 Types of Admission

Unplanned (Urgent) Admission:
- Patient arrives at the hospital in their own transport or by ambulance
- Admitted through the emergency department
- Triage nurse assesses the patient's condition and provides first aid
- Waiting time depends on the severity of the patient's condition, availability of medical personnel, and the busyness of the emergency department
Planned Admissions:
- Elective Admission:
  - Scheduled admission for a planned medical procedure or surgery
  - Usually pre-arranged by a physician or surgeon
  - Patient is given a specific date and time for admission
- Direct Admission:
  - Patient is admitted directly to a hospital bed without going through the emergency department
  - Admitted by a physician or by self-referral, based on the patient's medical condition
- Transfer Admission:
  - Patient is transferred from another facility or hospital

2.2 Types of Communication Models in Healthcare Setting

SBAR (Situation, Background, Assessment, and Recommendation) Communication Model:
- Purpose: Allow staff to communicate assertively and effectively, reduce repetition, and minimize errors
- Structure: Situation, Background, Assessment, and Recommendation
- Used for: Communication between healthcare professionals, patients, and families
REDE (Relationship, Establishment, Development, and Engagement) Communication Model:
- Developed by Cleveland Clinic
- Focuses on three primary phases: 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, and gather the patient's perspective)
- Phase 3: Engage the relationship (share diagnosis and information, provide closure, and comfort the patient)

2.3 Qualities and Characteristics of a Positive Interaction and Experience

Patient-First Mindset:
- Prioritize the patient's needs
- Ensure patient's needs are met
- Go out of the way to ensure patient satisfaction
Positive Attitude:
- Display enthusiasm and a "can-do" attitude
- Be optimistic and cheerful
- Put patients at ease
Professional Competence:
- Possess technical skills and knowledge
- Have soft skills (communication, problem-solving, flexibility, interpersonal, and teamwork skills)
People Orientation:
- Connect with patients
- Show personal interest and empathy
- Be present, personable, and patient
Basic Respect:
- Respect patients' privacy and personal space
- Consider patients' needs and differences
- Show respect for patients' time and autonomy
Resourcefulness:
- Solve problems for patients
- Find alternative solutions
- Work around rules, when necessary
Reliability:
- Ensure safety and appropriateness
- Provide effective and efficient care
- Be accountable and dependable
Personalized Responsiveness:
- Understand patients' unique situations and preferences
- Take into account patients' individual needs and expectations

2.4 Methods of Verification

Pre-Registration Checks:
- Verify patient's details with the information recorded on the system
- Ensure financial counseling and relevant forms are signed and completed
- Prepare necessary case files/folders for patient's admission
Online Patient Verification:
- Secure login
- Verification codes
- Biometric verification
Offline Patient Verification:
- Photo identification
- Verification by healthcare staff

2.5 Importance and Objectives of Personal Data Protection Act

Personal Data Protection Act (PDPA) 2012:
- Protects personal data in Singapore
- Recognizes the rights of individuals to protect their personal data
- Establishes a data protection law for the collection, use, disclosure, and care of personal data

2.6 Types of Patients' Personal Information

Patients' personal information:
- Identifying information
- Financial information
- Medical history

2.7 Procedures in Handling Deposits

Deposit collection:
- Required for patients opting for Private A/B1 wards
- Amount varies depending on the type of case and ward chosen
- Used to cover estimated hospital bills### Patient Admission and Deposit
Patients who cannot pay the deposit should reconsider their ward choice.
Exemptions from deposit payment: patients with a Letter of Guarantee from their employer in Singapore, patients covered by insurance, and foreigners/non-residents with a letter of guarantee from a local firm or insurance company.
Patients with sufficient Medisave balance do not need to pay a deposit for subsidized wards.

Patient Information

Identity: name, NRIC/FIN/passport number, contact number, email, emergency contact.
Financial: MediSave, insurance, credit card.
Medical: medical history, illnesses, allergies, medications.

Ward Types

Private: Class A (team-based care, single room or up to 5 beds with attached bathroom).
Subsidized: Class B1 (subsidized), Class B2 (team-based care, 6-12 beds with shared bathroom), Class C.

Obtaining Signature

Methods: in-person signature, electronic signature, witness signature (for patients unable to sign due to physical or mental disability).

Bed Management System

Features: real-time bed availability, bed movement tracking, staff alert feature, cleaning/disinfection request feature.
Challenges: constant fluctuations in planned and emergency admissions, changes to planned discharge, patient preferences, infection control considerations.

Bed Booking and Facilities

Process: order for admission, determine bed availability, confirm bed booking, coordinate with ward staff, inform patient and family.
Pre-booking: elective admission beds are pre-booked the day prior to admission.

Hospital Policies on Change Requests

Patients can request a change in ward type at any time, except in ICU or HDU.
Requests are subject to ward availability, and patients may be placed on a waiting list.
Upgrading/downgrading accommodation involves recalculating charges and obtaining patient acknowledgment.

Patient Transfer

Procedures: verify patient information, coordinate with ward staff, transfer case file and belongings, introduce patient to ward staff.
Roles of staff in charge: coordinating with healthcare providers, arranging transportation, maintaining confidentiality, providing support to patients and families.

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Description

This quiz covers the process of admitting patients to a hospital, including types of admission and procedures involved. Learn about the importance of admission in hospital services.