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COLLGE OF NURSING GIMS ,GREATER NOIDA
SUBJECT : NURSING FOUNDATIONS
UNIT – XI
TOPIC:HOSPITAL ADMISSION AND DISCHARGE
Presented By :
Lecture No:01 Mr. Ghanshyam
Date: 11/10/24 Nursing Tutor
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COURSE MAPPING
GENERL OBJECTIVE OUTCOME PO, CO, LO EVALUATION
MAPPING
At the end of the Unit, the At the end of the course,
students will be able to students will be able to
:Analyze & Integrate the Analyze & Integrate the P5,CO4,L1 Essay
concepts of caring in nursing concepts of nursing process in Short answers
practice in diverse health care the care of clients in the Long answers
settings. hospital and community.
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SPECIFIC OBJECTIVES OF THE SESSION
At the end of the class, the students will be able to:
1. Admission to the hospital unit and preparation of unit.
2. Admission bed
3. Admission procedure
4. Medico legal issues
5. Discharge from the hospital, types
6. Discharge planning
7. Roles and responsibilities of the nurse.
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Fig:1
INTRODUCTION
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Definition
• Admission is defined as allowing a patient to stay in hospital for
observation, investigation, treatment abd care
• Admission is the entry of a patient into a hospital ward for therapeutic or
diagnostic purposes.
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Purposes of Admission
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Need for Hospital Admission
• Patients, who have become seriously ill suddenly, come the hospital
without having had any time to settle their family work affairs. Hence,
they are not only worried and anxious about the illness, but also are upset
about various other problems affect their family.
• Nurses must understand their physical and mental problems and be very
kind and understanding
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General Instructions
• To welcome and establish a positive initial relationship with the patient
and relatives.
• To obtain the needed identifying data concerning the patient..
• To provide immediate care, safety and comfort.
• To collaborate with patient in planning and providing comprehensive care.
• To observe, report signs and symptoms and general condition of the
patient.
• To secure safety of the patient and his belongings.
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Types of
Admission
Emergency Routine
Admission Admission
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EMERGENCY ADMISSION
Clients are admitted in acute conditions requiring immediate treatment.
E.g.: patient with heart attack, poisoning, breathing difficulty, RTA( Road traffic
accident) etc
• Patient should be admitted in casualty or emergency department to save the
life of the patient.
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ROUTINE/ ELECTIVE ADMISSION
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Client’s Emotional Reaction due to
Hospitalization
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PREPARING THE UNIT FOR
ADMISSION
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PREPARING THE UNIT FOR
ADMISSION
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PREPARING THE UNIT FOR
ADMISSION
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PREPARATION OF ARTICLES FOR
ADMITTING THE PATIENT
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• Meet and receive the patient
• Verify the patient data, by checking the record sheet, chart.
• Introduce immediate personal
• Assist patient to the treatment area
• Ask the patient to change clothes into hospital gown if necessary
• Perform examination and evaluation procedure
• Perform examination and evaluation procedure establish base line values like vital
signs, do history taking, physical examination etc.
• Coordinate with the physician and carry out initial orders
• Give the treatment and instructions as need
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Special Consideration
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ROLES & RESPONSIBILITIES OF NURSE
DURING ADMISSION PROCEDURE
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ROLES & RESPONSIBILITIES OF NURSE
DURING ADMISSION PROCEDURE
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MEDICO LEGAL CASES
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MEDICO-LEGAL CASES INCLUDE
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Role During Mlcs
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DISCHARGE DEFINITION
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Types of Discharge
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TYPES OF DISCHARGE
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TYPES OF DISCHARGE
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PURPOSE OF DISCHARGE
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Cont..
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Discharge planning
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ESSENTIALS OF PLANNED
DISCHARGE
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Steps involved in the Discharge Planning
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ROLES & RESPONSIBILITIES OF NURSE
DURING DISCHARGE PROCEDURE
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ROLES & RESPONSIBILITIES OF NURSE
DURING DISCHARGE PROCEDURE
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Cont..
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Cont..
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CARE OF UNIT AFTER DISCHARGE
• After a client is discharged & before admitting another patient, the room is
cleaned & aired.
• All articles used by client should be taken to utility room, washed, cleaned,
sterilized if necessary or disinfected by chemicals. The articles are re-arranged
and kept ready for next client
• Used linen should be sent to laundry
• Mattress, pillows, blankets etc should be exposed to sunlight and then the bed is
made with fresh linen
• If the room was used for a client with communicable disease, it should be
fumigated.
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2. Ethical consideration involves:
a. Respects and justice
b. Beneficence
c. Fidelity
d. All of the above
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4. Types of clients, which are categorized as MLC in a Hospital:
a. Road traffic accident (RTA)
b. Injuries /fights, shooting, bombblasts, etc.
c. Suicide
d. All of the above
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5. Reasons for terminal cleaning of the patient care unit:
a. Prevention of the spread of microorganisms.
b. Removal of encrusted secretions from framework or
bedsiderails.
c. Removal of residue of body wastes from the mattress.
d. All of the above.
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CONCLUSION
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Revision
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BIBLIOGRAPHY
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