Patient Admission Lecture

‫ل‬‫ع‬ ‫ق‬ ‫ى‬ ‫ر‬ ‫د‬ ‫ع‬ ‫ل‬ ‫ا‬ ‫ه‬ ‫أ‬ ‫م‬ ‫ز‬ ‫ا ل ع تأ ت ل‬ ‫زائ ى‬ ‫م‬  Patient admission Means each continuous period of time a client spends in a facility. Other definition Is the activities surrounding a client’s arrival at the facility for the purp...

‫ل‬‫ع‬ ‫ق‬ ‫ى‬ ‫ر‬ ‫د‬ ‫ع‬ ‫ل‬ ‫ا‬ ‫ه‬ ‫أ‬ ‫م‬ ‫ز‬ ‫ا ل ع تأ ت ل‬ ‫زائ ى‬ ‫م‬  Patient admission Means each continuous period of time a client spends in a facility. Other definition Is the activities surrounding a client’s arrival at the facility for the purpose of receiving healthcare. The Admitting Department  The Admitting Department in the Outpatient Department is the first contact the clients have on arrival at the healthcare facility. These clients often will go directly to their receiving area. Admission The patient can arrive with: 1. Ambulance 2. Streture 3. On foot The Admitting Department is responsible for any event, that necessary for administrative activities; Such as: 1. Enter information about the client’s age, sex, marital status, employer, healthcare provider, and health insurance into the health record. Admitting Department 2. Application of identification band (ID) to the client’s wrist. It is so important, they are waterproof and difficult for the client to remove. Contains: Patient name Agency identification number (medical record number or history number) Other information  birth date, date of admission, healthcare provider’s name, unit, allergy. Identification card 3. Diagnostic tests (e.g., x-ray examinations and blood tests) performed before the client is goes to a nursing care unit. 4. Sign document accepting financial responsibility and hospital. If the entire admission process is complete can carried out either in computer or on paper (admission sheet). The Client’s Arrival on the Nursing Unit Before the client’s arrival, be sure that the unit is completely equipped and the bed is available. The client may walk in or may arrive in a wheelchair To reduce patient discomfort take him to the staff before entering room. Usually, the person is asked to wait in the room for the admission interview and physical examination. Removing the Client’s Clothes Some time the patient asked to put on a hospital gown and robe, to facilitate the physical examination and any necessary treatments. Some people may be allowed to wear their pajama. give them assistance if need. Inspecting for Skin Integrity: to detect and document any abnormality  wound. Assisting the Client Into Bed Orienting the Client to the Facility: toilet and surround, if the pt. unable to move bring bed pan or urinal. Encourage the pt. to bring un-necessery equipment to home with family. Individual Equipment: machine, oxygen, bed side table. Caring for the Client’s Personal belongings: a. Clothing  put them in special place (make list and pt. signature). b. Valuables jewelry, credit cards, and cash, should not be brought to the facility. Preventing Dehumanization: Dehumanization is the process of depriving a person of personality, spirit, privacy, and other human qualities. Here the pt. should be treated with kind manner, keeping privacy, fairing with other pts., explain the time of meal , bathing and share him during the period of fear or anxiety. * Nursing interventions aimed at alleviating anxiety and fear include: Assessment of level of discomfort Clear explanations and clear answers to questions Offering the client an opportunity to express feelings Providing more helpful coping mechanisms * The health care staff should be talk with pt. in his understandable language to reduce stress and understand what happened. Assessment, Reporting, and Documentation: - After orienting the client to the nursing unit and the room, the admissions interview and history are done if not done in causality for reason. - Check vital sign and measures height and weight. Weighing pt. Weight, height for pt. Take samples for investigation and radiology test if request. Reporting the Admission: - RN perform formal admission assessments and formulate nursing diagnoses and report and record pt. information. The orders given by the primary care provider are checked  dietary order. TRANSFER TO ANOTHER UNIT The client may be transferred to another unit for several reasons: Assignment to a certain unit is temporary. A change in client acuity (level of illness) necessitates placing the client in another department. The client is becoming agitated by a very busy unit and requires a quieter environment. - The client’s condition becomes serious enough to require transfer to an intensive care unit (ICU). - The client has had surgery and is being moved to postsurgical care. Nursing role on admission Identity and assess his\her clinical status  Make him as comfortable as possible  Introduce him to his\her room and the staff  Orient patient to the environment and routine Provide supplies and special equipment needed for daily care. DISCHARGE Planning for the client’s discharge begins at admission. The nursing care plan is updated and resolved throughout the client’s stay. At discharge, nursing problems are either resolved or progress toward resolution and follow-up plans are noted. On discharge the client and family are taught about the illness or surgery to practice procedures and to learn about dressing changes, medications, and special diets. The client is informed to call if any questions or problems arise. Plans for home care or Health Nursing visits can be made. In the day of discharge ask the pt. to wear his clothes if he wear gown, make sure that all discharge activity are complete before the pt. leave the hospital specially the document discharge card. Last check for the pt. should be done.  n ! i o s s c u i s ! d Thanks