Process of hospitalization complete.pptx
- 1. Process of Hospitalization Misbah khan Lecture ,DION&M,DUHS UNIT XI: DOW INSTITUTE OF NURSING AND MIDWIFERY
- 3. 3 At the end of this unit learners will be able to: 1) Define the team admission, transfer and discharge 2) Discuss the procedure for admission, transfer and discharge 3) Identify nursing responsibility during admission, transfer and discharge 4) Discuss nurse role in preparing patients and family for discharge 5) Discuss the normal reaction of patient being hospitalized. Objectives
- 4. Hospitalization • Hospitalization is admittance to the hospital as a patient. • Patients are admitted to the hospital for a variety of reasons, including scheduled tests, procedures, or surgery; emergency medical treatment; administration of medication; or to stabilize or monitor an existing condition.
- 5. ADMISSION
- 6. Admission process In Hospital • Allowing a patient to stay in hospital for observation, investigation, treatment and care. • Admission is the entry of a patient into a hospital / ward for therapeutic / diagnostic purposes
- 7. Types of Admission 1. Emergency Admission: In emergency admission safety and immediate care of client is essential to save life from emergency department the client is admitting to special care. Emergency department Ward , OT ,ICU, CCU, burns unit or ward 2. Planned admissions: It means that the patients are admitted for investigations and planned treatment and surgeries. E.g. the patients with hypertension, diabetes, jaundice, hernia, chronic renal failure. • OPD admission office ward
- 8. 8 Procedure for Admission • Before the patient is taken to room, admitting procedures are performed. 1. The patient's personal data is recorded and entered into the hospital's computer system. This data may include: Patient’s Name Patient’s Address Date of birth Occupation Emergency contact information, or the names and telephone numbers of those individuals the hospital should contact if the person being admitted needs emergency care or their condition worsens significantly. Insurance coverage
- 9. 2. Plastic bracelet will be placed on the patient's wrist with : name, age, date of birth, room number, and medical record number on it Reason for hospitalization 3. Once all the admitting information has been completed, the next step is usually being taken to his/her room. First of all well come to patient warmly. Introduce yourself to the patient and his/her family. Review the medical and medication history. May need family present. Take height weight of the patient. Change hospital gown and trousers (Pajama). Ask patient to sit or lie. Assess patient take vital sign Explain the facility policy on visitors and use of telephone, television, meal and how to order meal Remove and stores all valuable (or send them home) Record the admission notes on the patient’s file 9
- 10. 4. The nurse will review the doctor's orders, such as what tests have been scheduled and orient the person to the room. 5. This means that they will explain how to adjust bed height, how to use the nurse call button, show where the bathroom is located. 10
- 11. Nursing Responsibility During Admission • Nurses have important responsibilities during the patient admission process. • Initial Assessment: – Includes gathering relevant information about the patient's medical history, current condition, and any presenting symptoms or complaints. – perform a physical assessment, checking vital signs. • Communication and Education: – Nurses communicate with the patient and their family or caregivers to obtain additional information, clarify medical history, explain the admission process, specific procedures, tests, and treatments, ensuring the patient's understanding and informed consent..
- 12. • Documentation and Record Keeping: – Nurses accurately document the patient's admission information, baseline assessment findings, vital signs, and any notable observations • Care Planning and Collaboration: – Nurses collaborate with the healthcare team to develop an individualized care plan for the patient based on their needs, diagnosis, and treatment goals. • Emotional Support: – Nurses provide emotional support and reassurance to the patient and their family during the admission process. – Nurses establish rapport and a trusting relationship with the patient, fostering open communication and facilitating their active participation in their own care.
- 13. TRANSFER
- 14. Transfer Process In Hospital • It is a process to move the patient within the hospital or hospital to hospital. • The following are some examples of transferring – Patient move from Emergency to Hospital ward – From ICU to General ward – From one to other room
- 15. Transfer Process In Hospital • Patient may be transferred within the healthcare facility for several reasons: 1) Sometimes the transfer is made at the patient's request a) Type of room (such as a private room) 2) Transfer is made at the medical staff request: a) The physician may request the patient be transferred from one level of nursing care to another because of a change in the patient's condition that might require more or less specialized care. b) Sometimes the nursing staff will transfer a patient closer to the nursing station where the patient's condition can be supervised more closely.
- 16. Procedure for Transfer • Check physician order for transfer • Inform patient and family of the transfer • Completing a transfer summary. • Notify the receiving unit of the transfer and when to expect the patient to transfer • Gather all the patient’s belongings and necessary care items to accompany the patient • Assist in transferring the patient, usually by stretcher or wheel chair • Make sure that patient is dressed or covered appropriately for environmental comfort. • Make sure that all the appropriate patient care measure have been performed. – Example: Suctioning of air way, administering prescribed medication, emptying collection devices • If oxygen is required, a small transport tank is usually used
- 17. • Record condition of patient and means of transfer • Introduce patient and family to nurses on new unit – Provide a brief summary of medical diagnosis, treatment care plan and medications • Review medical orders with nurse assuming care of the patient • Complete an intra agency transfer form • Explain the patient about equipment, policies, and procedures that are different on the new unit. • Do patient teaching regarding his/her illness, diet, level of activity, need for rest, medication, and treatment • The nurse on new unit will also record an assessment of the patient’s condition on arrival
- 18. Nurse Responsonsibility In Patient Transfer Be sure that patient & family is informed of the patient’s transfer Decision should always be made by persons who are going to be affected Communicate with the agency or unit where the patient will be transferred Make photocopy of medical records Provide written transfer summary . Personnel at the new facility may not have time to read the documents thoroughly before assuming responsonsibility of patient’s care.
- 19. Collect all the patient’s belongings .Carelessness can lead to the loss of the patient’s valuable belongings & cause inconvenience Help in transportation of the patient Give transfer personnel a copy of the medical records in a folder. Nurse Responsonsibility In Patient Transfer
- 20. DISCHARGE
- 21. • Discharge is the termination of care from a health care agency • Discharge is the official departure of a person from a health care setting • When patient leave a hospital after treatment, and go through a process called hospital discharge. • It is a systematic process of preparing the patient to leave the health care settings and maintain the continuing care. The key to successful discharge is an exchange of information among the patient, and care giver for both while the patient in the health care settings or the patient return to home. 21 Discharge process In Hospital
- 22. The Process of Hospitalization 22 Types of Discharge • Planned discharge: Planned discharge is a process of relieving patients from the hospital after the due completion of desired treatment of the patient. • LAMA: Patients may also leave the hospital on its own wish but against the medical advice which is known as left against medical advice. • Parole: In psychotic hospitals who has not been discharge from the hospital can be sent home for 2-3 days on request of relatives. • Absconding: If The patient run away from the ward or hospital.
- 23. • Check for doctor order to be discharge • Check for dues payment • The nurse should not allow the patient to leave bed unless discharge slip is over to the patient • The records should be completed by the doctors and nurses and all investigation should be attached with discharge slip • All belonging and left over medicine should be returned to patient • Ask patient to bring discharge slip when he comes for follow up • Say goodbye with smiling and wish him/her for recovery 23 Procedure for Discharge
- 24. Nurse’s Responsibility In Patient Discharge • First step involves collecting and organizing the data about the patient • Plans and prepare for discharge • Reassure the patient and family • Health counseling and teaching about the needs • Inform about the diet and referrals for next visit • Provide teaching about the self care at homes includes medication procedure and treatment • Everything should be documented in the patient’s records and the discharge summary
- 25. 25 Patients Discharge Teaching • Patient discharge teaching involves providing information and instructions to patients and their families to ensure a safe and successful transition from the hospital to home or another care setting. Discharge teaching includes: Medication Instructions Self-Care Activities Diet and Nutrition Activity and Mobility Follow-up Care Emergency Preparedness Written Materials • Provide written discharge instructions, including medication schedules, care instructions, and contact information for healthcare providers.
- 26. • The discharge planning nurse serves as a connection between in-patient care and follow-up or out-patient care. • Evidence shows that effective communication is an essential component of the admission, transfer, and discharge of patients. • They help to make sure that the patient and their family understand exactly what to do after discharge to prevent injury and encourage healing. • They are a crucial part of proper patient care. Nurse Role In Preparing Patients And Family For Discharge
- 27. The Process of Hospitalization 27 Emotional Responses to Hospitalization • Financial burden. • Lack of care takers. • Decreased pain threshold. • Separation anxiety in children. • Stress • Threats to body image. • Superstitions regarding hospital environment.
- 28. Discomfort and irritability Strange anxiety Disruption of routine Inability to respond actively Fear of loss of control, dependent and immobility Irritability and crying 28 Normal Reaction of Patient Being Hospitalized
- 29. References • Suresh.K.sharma ,hospitalization: admission and discharge. Fundamentals of nursing .potter and Perry's(south Asian edition