Introduction

Admission counter in any hospital is one of the major front office departments or one of the major services which deals with regular admission of all patients including day care, regular schedule admission and emergency admission. Not only admitting patients to the hospital admission counter it also works as information providing center regarding bed status and patient of the hospital in every department.

ABOUT THE DEPARTMENT

Department Name: Admission and Emergency

Location:
In peerless hospital admission counters situated at ground floor entrance on the left side.

Staff
Office assistants-2 Nursing staff-3

Shift
8 a.m to 4p.m 4p.m to 8 a.m 12p.m. to 8p.m 8p.m. to 8 a.m

Types of patients
OPD patients Emergency patient Direct patient Day care patients New born patients

Organizational hierarchy
Front office executive in charge Junior officer Office assistant

Function of admission department

Ambulance management and billing.

Bed transfer. New born information. Cooperate patient entry. Inpatient query. Foreign exchange.

 Advance payment. Advance reservation. Distribution of cards and brochures.

Admission Procedure
o Patient come to the admission counter and fills up the form which is an admission or consent and patient information sheet o After filling up the form is submitted to the admission counter
o

Then the staff put the data to the computer and deposition money(Rs. 5,000, Rs. 10,000 and Rs. 20,000) is paid as initial admission fee by the patient (In case of corporate patient no money is taken as the amount is paid by the company as is approved by PRO)

o In case of emergency, patient admitted may pay any amount which is possible for the patient party at the point of time.

o Payment can be made through cash or demand draft or credit card o After payment the patient party receives one admission registration information from the admission counter o This case of admission is then recorded in the register(In case of emergency there is a need of signature of EMO in this register o All the transaction of money is then to be reported to the MD

Admission Cases
OPD: In case of OPD patients the party collects a slip from the reception and submits in the registration counter and pay the money. The registration counter gives them card and receipt. Then on the advice of outdoor doctor the patient gets admitted and heads toward admission counter. Emergency In case of emergency, party first go to the emergency department and doctors attend, if doctors prescribe the only they get admitted.

Direct
For the direct patients, patient party comes with the prescription of the outside doctor. In this case they

can choose the doctor or can go with the doctor referred by them. Problem faced: Problem aroused by patient party during the advance payment. They may not have so much money with them. So it takes time to admit the patient. Unavailability of beds in case of emergency patients may cause agitation to the patient party. Solution: Admission counter staffs have to keep more patients. Inter-departmental coordination is needed for the solutions of the problem. The staff should be sympathetic to the patient party and should solve regular deposition of money problem through communication.

Ambulance Management:

The Peerless Hospital has a good arrangement for ambulances. The patient party can contact the hospital in two ways for availing the ambulance service. One is they come to the admission counter (For in patients) and needs to give some details on the patient like Pid no, bed no, location etc. And the other is for put patients they can directly come to the admission counter or book the ambulance through phone. The admission staffs contact maintenance department for the

availability of ambulance. The information is then stored into the computer and the patient party pays the bill accounting to the distance. For corporate patient bill is adjusted with the final bill.

EMERGENCY Introduction: Emergency department of hospital is one of the most important departments responsible for the provision of medical and surgical care to patients arriving at the hospital for immediate care. Objectives: Identify each of the steps involved in the admission of patients from the emergency department. Measure the satisfaction level of the patients from the emergency department. Identify and analyze the points of delay in the process as mentioned by the patient party. To know about the work flow at the department To get aware about the facilities provided by the hospital Functions:

 Providing treatment at least primary management including life saving measures. To arrange for further treatment. Informing the patient party about the incident if they are not available, then information is given to the police. Equipment: Stretchers and examination coach. Wall mounted oxygen unit for constant and intermitted suction. Spotlight Mouth gag Blood sugar, urine sugar, ketone estimated machine. Airways and resuscitation bags ET tube Hierarchy: Medical Superintendent Assistant Medical Superintendent Emergency Medical Officer Sister/ Brother Common Emergency conditions: The common emergency conditions which need immediate care are as follows: 1.Accident and trauma:

Mostly from the road traffic accident and industrial hazards causing injury, head injury, crush injury. 2.Fractures: Every patient with a fracture who comes to the hospital should be seen by a skilled orthopedic surgeon and the patient should continue to attend his clinic until the max degree of success has been attained. Medical emergency conditions: These conditions include acute shock cardiorespiratory insufficiency, heart attack, cerebrovascular accident acute renal shut down, acute endocrinal insufficiencies, hyper pyrexia etc.
3.

4.Surgical emergency conditions: This conditions include acute abdominal conditions like ruptured internal organs and ruptured blood vessels, acute appendicitis, obstructed hernia, urinary obstruction etc 5. Intoxication and poisoning with drugs and chemicals: The treatment of victims of accidental or suicidal poising is best undertaken by the staff has experience in dealing with this particular problem. Speed in initiating treatment is often vital. 6. Burns: The treatment of severe burns is a very specialized procedure. It is well to establish a unit for the care of the burns in association with a plastic surgery centre, as skin grafting is so important. Facilities also need to

be available for estimation electrolyte concentration and compensating for fluid deficiencies and loss. 7. Miscellaneous conditions: Drowning, snake bites, other arthropod bits, heat strokes, blast injuries, hypersensitivity reactions, etc are example of miscellaneous conditions. Conclusion: The emergency department is very crucial department in every type of hospital. It is very essential to make it a well equipped as well as staffed.

ADMISSION AND EMERGENCY DEPARTMENT

IN PEERLESS HOSPITAL

NAME CHAKROBORTY

: SWETA

ROLL NO: 22 (MASTER OF HOSPITAL ADMINISTRATION)

BILLING AND DISCHARGE DEPARTMENT IN PEERLESS HOSPITAL

NAME CHAKROBORTY

: SWETA

ROLL NO: 22 (MASTER OF HOSPITAL ADMINISTRATION)