Admission of Patient Definition: Admission is the entrance of a patient into a hospital for diagnosis. Purposes: 1.

To undergo diagnosis and treatment. 2. To provide emotional security to the newly admitted patient and his/her family. Special Consideration:
1. Give the outmost importance to emotional factors because

2. 3.
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5.

admissions involve stress. Because patients reactions vary, be observant and consider the individual patients needs. Modify the routine admission procedures according to their individual patients needs. Maximum efficiency and concern should be shown when admitting a patient. Unit is properly prepared before the patient arrives. See to it that the patients unit is properly prepared before the patient arrives.

Preparation: Unit:
1. Prepare an open bed. 2. Check all items or articles for personal care if they are complete

and clean. 3. Open windows or the air conditioning unit, if any, adjust the Venetian blinds or window shades accordingly. 4. Ready the patients chart

Procedure: Suggested Action 1. Meet and receive the patient being ushered in by the admitting office personnel. a. Verify the patients registration by checking on the admitting papers. b. Introduce the immediate ward personnel. c. Assist the patient to the bed or chair. d. Change the patients clothes into hospital gown PRN. 2. Take the history observes the patient for signs and symptoms. Take the vital signs, 3. Orient the patient to: a. The equipment in the room. b. Use of the call system. c. meal time d. visiting time e. Facilities in the hospital such as chapel, canteen, etc. f. hospital routines g. Care of patients belongings, valuables, etc. h. Co-patients, if he is in general ward.

Guiding Principles or Rationals A personalized attention provides the patient and family reassurance. A quick perusal of the admitting paper provides essential identifying data. The nurses concern in the patients comfort promotes feeling of confidence and security. A loose gown provides more comfort and facilitates physical examination. Availability of adequate data pertinent to the patients condition serves well in making diagnosis and planning care Orientation facilitates the adjustment of the patient to his new environment; hereby promoting emotional security is conducive to his recovery.

4. Render admission bath if necessary and if patients condition allows.

Such provides not only personal cleanliness and comfort but also an opportunity for establishing reports With the new patient as well as for observing symptoms which may contribute to accurate diagnosis. Prompt relief of distressing symptoms provides comfort rest and wins patients confidence. This also informs the physician as to the patients accommodation For expediency,

5.Notify the attending physician and carry out his initial orders a. Give permanent instructions regarding some immediate procedures that are to be done. 6.Open the patients Chart : a. Arrange properly the different forms making up the chart b. Complete all headings c. Record TPR & BP on the graphic sheet d. Write admission history, which should include: 1)date and time of admission 2) Manner of arrival ambulatory, wheelchair or stretcher, etc. 3) Chief complaint and history of present illness-onset, duration, its course, accompanying symptoms. 4) Objective and subjective symptoms noted. 5)Admission care done 6)Information as regard specimens sent to laboratory 7)Visit of the attending physician or enter time of notification and arrival 8)Medication or treatment given

Proper identification prevents errors

Suggested Action Suggested Action

Guiding Principle or Rationals Guiding Principle or Rationals

7. plan individual nursing care

Planning ensures individual care.

Transfer of Patient in the Hospital From One Unit To Another Purposes: 1. To satisfy patients needs 2. For placement in the proper segregated service. General Consideration: 1. All transfer of critically ill patient should be made with written permission of the attendee. 2. All transfers are made possible through the written Authorization.( the Admitting Office, physician) 3. Specify actual time of transfer in slip. 4. Always accompany a patient in transferring 5. If a patient is transferred to ICCU, he should always be accompanied by either a doctor or a nurse. 6. Proper endorsement of a patient should be done by the transferring nurse. Preparation: 1. Transfer Slip in quadruplicate (CSS, B.O., Dietary, Admitting ) 2. Wheelchair or stretcher 3. Personal belongings of the person

Procedure:
1. Instruct the patient or relatives to arrange the transfer to

2. 3. 4.
5. 6.

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determine the availability of room. Check with the unit which patient is to be transferred to determine if the unit is ready. Get the patients chart, medication and medicine cards, kardex and insert in the chart disk. Check to see that the doctors order sheet is on the chart and that the nurses notes are up to date. Introduce the patient to the assigned unit. Introduce the patient to the head nurse and other personnel. Give chart, medications, medicine cards, Kardex and nursing care cards to the head nurse. Notify the department affected by the change i.e. Dietary, Admitting section Business office and Central supply Service.

Care of the Unit after Discharge Definition: It refers to the terminal cleaning of the patients unit done after he had been discharged. Stripping a Bed: Definition: It is the removal of all the linens from the bed and allowing the Bed to be exposed to air or sunshine. Purpose: To facilitate thorough cleaning of the bed and ensure the safety of the patient. Special Considerations: 1. Windows should be opened widely, with the window shades or venetian blinds drawn as high as possible so as to allow fresh air and sunshine to fill the room. 2. Medical asepsis should be observed. a) Dirty or soiled linens should not be allowed to come in contact with the uniform or other patients bed. b) Shaking or fanning the soiled bed linens should be avoided. UNIT
a) Open the windows.

b) Draw up the Venetian blinds or window shades. c) Switch off electric fan or any cooling equipments. Care of the Room, Unit and Equipment: Special Considerations: 1. Do the cleaning away from oneself. 2. Use a damp cloth in order to prevent raising dust. 3. Clean the least soiled first before the most soiled. 4. Use gloves if there are abrasions on your hands or if article is contaminated with highly pathogenic microorganisms. 5. Inspect the equipment well for any damage or malfunctioning