BURAIDAH C ENTRAL H OSPITAL

Department : NURSING SERVICE

B. C. H.

DPP

Policy Index: New Replace Number: XXXXX PP-BCH-NR/GNR-031-DPP-E Title: Number of Pages: NURSING ASSESSMENT FOR OUT PATIENT DEPARTMENT 2 Review Due: Applies to: Effective Date: 01-12-1433 H All Nursing Staff 01-01-1432 H

1. PURPOSE :
1.1 To ensure all patients are assessed appropriately by nurses to meet the needs of individual patients. 1.2 To establish the baseline information about the patient. 1.3 To ensure each patient receives the highest standard of care.

2. DEFINITION:
2.1 It is the systematic and continuous collection, validation and communication of patients data.

3. POLICY: 3.1 Gathering of information about patient, begin when the patient approaches the health care
system in the first time. 3.2 The Nursing Staff shall perform a complete assessment and re - assessment of the patient which include physical,psychological and social aspects.

4. PROCEDURES :
4.1 Select an appropriate place to perform assessment. 4.2 Inform the patient of their mutual roles and responsibilities in the assessment and encourage the patients participation. 4.3 Utilize interview, behavioural observation, physical and mental status and assessment skill to achieve accurate assessment of patient care needs. 4.4 Re- assess the patient throughout the course of treatment. 4.5 Inform Physician when a significant change occurs.

Prepared by: Magdalena Venzuela Nurse Supervisor

Approved by : Ahmad Abdulla Al-Omar Hospital Director

Page Number: 1/2

Approval Stamp

Form Index: BCH-QM-009-E

5. FORMS AND EQUIPMENTS :

5.1 Out Patient Department / File or Chart. 5.2 Nursing Assessment Form. 6. REFERENCES : 6.1 msh.mt.gov./nrsg.services.

7. APPENDIX : 7.1 N/A

8. APPROVAL:

Name Prepared by: Magdalena Venzuela 1.Abdulla Obeid Al-Harby Reviewed by: 2.Ehab El Husseiny Ibrahim 3.Manae Al-Belaihy Approved by: Ahmad Abdulla Al-Omar

Position Nurse Supervisor Nursing Director QM Director Medical Director Hospital Director

Signature

Date
22-11-1431 H 24-11-1431 H 29-11-1431 H 29-11-1431 H 01-12-1431 H

Policy Number: PP-BCH-NR/GNR-031-DPP-E

Title: NURSING ASSESSMENT FOR OUTPATIENT DEPARTMENT

Page Number: 2/2

Approval Stamp

Form Index: BCH-QM-009-E