Types of hospital admission

Summary
 If you plan to go into hospital, it usually involves a doctor or specialist giving you a
referral.
 Urgent (‘unplanned’) admission to hospital involves a sudden health issue that
needs you to go to an emergency department or call an ambulance.
 When you get to a public hospital, you will be asked whether you would like to be a
public patient or a private patient.
 Ask your doctor about your options so you can make the right choices.

How you are admitted into hospital will vary depending on whether your visit is planned or
unplanned.

1. Planned admission
If your hospital admission is planned, how you are admitted depends on whether
you are going to a public or private hospital, what kind of treatment you are receiving
and how urgent your treatment is.
Before going into hospital, your doctor will usually give you a referral to see a
specialist, and you will need to contact the specialist clinic and make an appointment.
The specialist will assess you and may send you for further tests to assess your health
issue, before deciding what kind of treatment you require and whether you need to go
into hospital for treatment or surgery. At this stage, you will also be told how long you
will have to wait for treatment.
In public hospitals, your waiting time for elective surgery depends on how urgent
your condition is, which is determined by the specialist who admits you to hospital. In
a public hospital, you may not be able to choose your treating specialist.
In private hospitals, you will generally not have to wait as long for treatment and
you can choose who your doctor is, but there are costs for this type of treatment.
Sometimes, even if you plan to go into a private hospital, the best place for your
treatment may actually be in a public hospital. This is because the public hospital may
have the best equipment, facilities and specialists for a particular health problem or
treatment.
Once in hospital, you will stay in a hospital ward. How long you stay in hospital
will depend on the treatment you need. For minor procedures, you may only need to
 stay for a day, but for ongoing treatment or major surgery, you will need to stay for
longer.
2. Unplanned (urgent) admission
You may arrive at hospital in your own transport or in an ambulance. This is known as
an ‘unplanned presentation’.
If your condition is unexpected and you need urgent treatment, you will be admitted
through the emergency department on arrival at hospital – this is done through a process
known as ‘triage’.
A specialist emergency nurse, called the triage nurse, will assess your condition, provide
first aid and work out how quickly you need treatment.
You may be asked to wait in the waiting room. How long you have to wait depends on
how busy the emergency department is at the time and whether there are other patients with
more serious and urgent conditions than you.

Choosing to be a public or private patient

You may choose to be a public or private patient when you go into hospital. If you are a
public patient in a public hospital, there will be no cost for hospital or medical services. If you
are a private patient in a public hospital, you or your health insurance company will have to pay
for some services. Your health service should explain any costs involved in your care.

Questions to ask before starting hospital treatment

It is important to ask your doctor the right questions about your medical treatment so you can
make informed choices when the time comes to go into hospital.
When you are talking with your doctor, be sure to ask:
 Can I choose my specialist and if so, who will it
be? Which hospital am I going to?
 How long am I likely to be there?
 What are my treatment options and the benefits and risks of
each option? What are the likely consequences of not having
treatment?
 How long am I likely to have to wait for my treatment?
 Planned Admission Form – Person With Disability

Personal Details
Medicare No URN ATSI  Y  N
Pension / DVA No Surname DOB
Private Health Fund Given Names Sex
 Public Patient Address
 Private Patient Suburb Postcode
Disability

 Additional Information Attached

Preferred Communication Style

Alerts
 Dysphagia  Other
 Involuntary movements
 Falls risk
 Infection control (eg MRSA, VRE, Hepatitis)
Drug Alerts Allergies

Copy of current medication chart attached  Y  N Last given at: am / pm

Additional Documents Attached
 X-rays / Imaging  Other
 Hospital Support Plan
Reason for Transfer

Date of Transfer
Discussed with individual  Y  N
Accompanied (eg by carer)?  Y  N Name
Consultant Doctor
Name
Address
Contact No
Aware of Transfer  Y  N
Usual Hospital for Admission

Evidence
Advanced Health Directive  Y  N  Y  N
Attached
 Not for individuals under the age of 18 and / or Intellectual Disability
Support Services and Funding
 Home and Community Care (HACC)  National Disability Insurance Scheme (NDIS)
 Aged Care Assessment Team (ACAT)  Community Aged Care Package (CACP) / Extended Aged at
Home Package (EACH)
Support Considerations
Skin integrity / wounds
Behavioural / cognitive / emotional considerations
 Additional Information Attached
Assistance with Daily Living Dietary Requirements

Mobility Individual Equipment / Aids

 Independently ambulant  Electric Wheelchair (EWC)
 Stand with supervision only  Manual Wheelchair (MWC)
 One person (min) assistance required to transfer  Wheelchair Tray
 Bed / chair hoist transfer (specify)  Ankle-Foot Orthotic
 Standing hoist  Other (specify)
 Full hoist
 Equipment (specify)

Urinary Continence Faecal Continence

 Y  N  Y  N
 Catheter in situ Bowels last Opened at am / pm
Discharge to Provide hospital discharge summary to
Primary Contact  Patient
Relationship  GP
Address  Next of Kin
 Disability Service Provider
 Other
Contact No
Transportation Needs Services provided by the Disability Service Provider

Contact Information
NEXT OF KIN MEDICAL GUARDIAN
Name Name
Relationship Relationship
Contact No Contact No

Aware of Transfer  Y  N Aware of Transfer  Y  N

GP SERVICE PROVIDER
Name Organisation
Address Main Contact
Address

Contact No Contact No
Email Email
Aware of Transfer  Y  N Aware of Transfer  Y  N
Person Completing the Form
Name and Designation
Contact details
Signature Date
 Emergency Transfer Form – Person With Disability

Patient Details
Medicare No URN ATSI  Y  N
Pension / DVA No Surname DOB
Private Health Fund No Given Names Sex
Address
 Public Patient
 Private Patient
Suburb Postcode
Disability

 Additional Information Attached

Preferred Communication Style

Alerts
 Dysphagia  Other
 Involuntary movements
 Falls risk
 Infection control (eg MRSA, VRE, Hepatitis)
Drug Alerts Allergies

Copy of current medication chart attached  Y  N Last given at: am / pm

Reason for Transfer

Date of Transfer
Discussed with individual  Y  N
Accompanied (eg by carer)?  Y  N Name
Usual Hospital for Admission

Advanced Health Directive  Y  N Evidence Attached  Y  N

Not for individuals under the age of 18 and / or Intellectual Disability

Contact Information
NEXT OF KIN MEDICAL GUARDIAN GP
Name Name Name
Relationship Relationship Address
Contact No Contact No
Contact No
Aware of Transfer  Y  N Aware of Transfer  Y  N Aware of Transfer  Y  N
Person Completing the Form
Name and Designation
Contact details
Signature Date

DAFTAR PUSTAKA
Better Health Channel.(2015).Types of Hospital Admission. Available:
https://www.betterhealth.vic.gov.au/health/ServicesAndSupport/types-of-hospital-admission?
viewAsPdf=true.