MINISTRY OF HEALTH

SOLWEZI SCHOOLS OF NURSING, MIDWIFERY AND PUBLIC HEALTH NURSING

SCHOOL OF PUBLIC HEALTH NURSING

CLINICAL LESSON PLAN -1

NAME : MUTALE CYNTHIA

COMPUTER NUMBER : 12119555

CLASS/GROUP : 1ST YEAR STUDENTS

PLACE : SOLWEZI SCHOOL OF NURSING

AUDIENCE : 17 STUDENTS

DATE : 14TH FEBRUARY, 2018

DURATION : 1 HOUR

VENUE : SOLWEZI GENERAL HOSPITAL (KIFUBWA WARD)

COURSE TITLE : FUNDAMENTALS OF NURSING

TOPIC : ADMISSION OF A PATIENT (ADULT)

METHOD OF TEACHING : DISCUSSSION/DEMONSTRATION

AUDIO/VISUAL AIDS : LCD, LAPTOP, BLACK BOARD, CHALK, DUSTER

SUPERVISOR : MRS MWALE

INTRODUCTION

Good morning ladies and gentlemen, my name is Lufungulo Moddy, a fourth year student from Apex Medical University, department
of Nursing Sciences; with my supervisor Ms Twambo .Today we are going to discuss the admission of the adult patient. We are going
to discuss the admission procedure; indications for admission, types of admission and the procedure itself. I therefore urge you to
parciparte fully, by listening, asking, contributing and answering questions.
GENERAL OBJECTIVE

By the end of the lesson/discussion students should be able to gain knowledge and skills and demonstrate an understanding on the
admission procedure of an adult patient and be able to carry out the procedure.

SPECIFIC OBJECTIVE

At the end of the lesson, students should be able to:

1. Define admission?

2. Mention the indication for admission

3. State the types of admissions

4. Mention the requirements to use in admission.

5. Outline the procedure of admission.

TIME SPECIFIC CONTENT TEACHING AUDIO VISUAL TEARCHER’S STUDENT’S EVALUATION
OBJECTIVE METHOD AIDS ACTIVITY ACTIVITY
Define 1. Admission: refers to the Discussion/d Client’s Explaining, Listening, What is the
admission process of committing of a emonstration file,thermometer,st asking and asking and meaning of
patient to a hospital or ward. anding answering answering admission?
2. Refers to the formal scale,sphymomano questions. questions and
acceptance of a patient for meter,stethoscope, taking notes.
care into a clinic, hospital, Pens (black/blue
or extended care facility and red), receivers,
(medical dictionary. The gallipots, bowls.
free dictionary.com/patient
admission)
TIME SPECIFIC CONTENT TEACHING AUDIO TEARCHER’S STUDENT’S EVALUATION
OBJECTIVE METHOD VISUAL ACTIVITY ACTIVITY
AIDS
State the INDICATIONS OF ADMISSION Discussion/ Client’s Explaining, Listening,
indications of  To monitor the client’s condition. demonstration file,thermom asking and asking and What are the
an  To continue continuity of care. eter,standing answering answering indications of
admission.  To prepare client mentally, scale,sphygi questions. questions and an admission?

physically and spiritually for major momanomete taking notes.

procedure such as operation or r,stethoscope,

special X-ray.
 To promote rest (physical and
emotional) for a patient.
 For observation.
TIME SPECIFIC CONTENTS AUDIO TEARCHER’S LEARNER’S EVALUATION
OBJECTIVE /VISUAL AIDS ACTIVITY ACTIVITY
State the TYPES OF ADMISSION Thermometer , Explaining, Listening, What are the
types of  Planned: the ward has been informed Client’s file, asking and asking and types of
admission. about the informed and new client booked standing answering answering admission?
cases e.g. from OPD. The ward staffs are scale,sphymoman questions. questions and
ready to receive the client and have ometer,stethoscop taking notes.
prepared the bed. e,
 Unplanned: The new client is taken to the Receivers,
new ward without the knowledge of the gallipots, bowls,
ward staff. No preparations have been pens (black/blue
made to receive the client e.g. following a and red.
road traffic accident.
 Emergency: Usually done when the
patient is being rushed for surgery or in
shock. Nurses have to act fast to save the
life of the client.
TIME SPECIFIC CONTENTS AUDIO /VISUAL TEARCHER’S LEARNER’S EVALUATION
OBJECTIVE AIDS ACTIVITY ACTIVITY
State the REQUIREMENTS OF ADMISSION Thermometer , Explaining, Listening, What are the
requirements TROLLEY Client’s file, asking and asking and requirements
for admission Top shelf standing answering answering for admission?
Tray containing: scale,sphymomano questions. questions and
 Thermometer in a stand. meter,stethoscope, taking notes.
 Swabs in gallipots. Receivers,

 A receiver for used swabs. gallipots, bowls,

 Sphygmomanometer. pens (black/blue

and red.
 Tape measure.
 Admission book.
 All charts needed to admit clients.
 Urinalysis tray with requisites.
Stethoscope.
Bottom shelf
 Weighing scale
 Additional table to write on.
Additional chairs/benches for clients.
TIME SPECIFIC CONTENTS AUDIO TEARCHER’S LEARNER’S EVALUATION
OBJECTIVE /VISUAL AIDS ACTIVITY ACTIVITY
Outline the The client should be escorted to the ward by the Thermometer , Explaining, Listening, What are the
procedure of nurse/porter depending on the condition of the Client’s file, asking and asking and steps to follow
admission. client, with a relevant file containing OPD cards, standing answering answering when admitting
receipts/scheme membership card and admission scale,sphymom questions. questions and the patient?
form, which will include the following: anometer,stetho taking notes.
- Name scope,
- Age and date of birth Receivers,
- Religion gallipots,
- Sex bowls, pens
- Marital status (black/blue and
red.
TIME SPECIFIC CONTENTS AUDIO TEARCHER’S LEARNER’S EVALUATION
OBJECTIVE /VISUAL AIDS ACTIVITY ACTIVITY
receipts/scheme membership card and . Thermometer , Explaining, Listening,
admission form, which will include the Client’s file, asking and asking and
following: standing answering answering
- Name scale,sphymoman questions. questions and
- Age and date of birth ometer,stethoscop taking notes.
- Religion e,
- Sex Receivers,
- Marital status gallipots, bowls,
- Nationality pens (black/blue
- Hospital number and red.
- Next of kin, name, address and telephone
number
- Provisional diagnosis
-Last time of admission where applicable
TIME SPECIFIC CONTENTS AUDIO /VISUAL TEARCHER’S LEARNER’S EVALUATION
OBJECTIVE AIDS ACTIVITY ACTIVITY
Describe the METHOD OF ADMISSION Thermometer , Explaining, Listening, What is the
admission PROCEDURE Client’s file, asking and asking and method of
procedure.  Wash hands and dry them. standing answering answering carrying out
 Nurse introduces herself and escorts scale,sphymomano questions. questions and admission
the client to bed. The accompanying meter,stethoscope, taking notes. procedure?
relatives are offered seats. Receivers, gallipots,
 Clients and escorting relatives are bowls, pens
welcomed by the nurse and greet them (black/blue and
respectfully and with kindness. red.)

 Explain the client and relatives what is

to be done and encourage them to ask
questions? Get permission before you
begin.
 Listen to what he/she has to say.
 Assess and meet needs accordingly.

TIM SPECIFIC CONTENTS AUDIO /VISUAL TEARCHER’ LEARNER’ EVALUAT

E OBJECTIVE AIDS S ACTIVITY S
ACTIVITY
 Prepare equipment. Thermometer , Explaining, Listening,
 Wash hands and dry them. Client’s file, standing asking and asking and

 Client is introduced to other clients and scale,sphymomanomet answering answering

shown the layout of the ward. er,stethoscope, questions. questions and

 Case notes are prepared, the name, hospital Receivers, gallipots, taking notes.

file number, and bed number have been bowls, pens

written on all forms. (black/blue and red.)

 Written consent for operation or treatment

is obtained from client if aged 18 years and
above, or from the guardian or parents if
under 18 years or incapable to consent
(surgical case).
 Vital signs are taken and recorded.
TIM SPECIFIC CONTENTS AUDIO /VISUAL TEARCHER’ LEARNER’ EVALUATION
E OBJECTIVE AIDS S ACTIVITY S
ACTIVITY
 Weight is taken and recorded in Thermometer , Explaining, Listening,
kilograms. Client’s file, asking and asking and
 Specimen of urine is collected, standing answering answering
Urinalysis done on the ward and scale,sphymomano questions. questions and
results recorded. meter,stethoscope, taking notes.
 Personal hygiene of the client is Receivers,
carried out at the admitting gallipots, bowls,
nurse’s discretion. pens (black/blue

 Medication is given. and red.)

 Client is given pyjamas/gown if

available and made comfortable
in bed.
TIME SPECIFIC CONTENTS AUDIO /VISUAL TEARCHER’ LEARNER’S EVALUATION
OBJECTIVE AIDS S ACTIVITY ACTIVITY
 If relatives are present, they are taken Thermometer , Explaining, Listening,
to see the client and given the Client’s file, standing asking and asking and
necessary information such as name of scale,sphymomanom answering answering
ward, visiting time and payments. eter,stethoscope, questions. questions and
 All valuables and money are checked Receivers, gallipots, taking notes.
in the presence of the client with two bowls, pens
nurses who sign as witnesses, a receipt (black/blue and red.)
is given and all valuables taken for safe
keeping by the ward manager.
However, relatives may take the
valuables or money if the client so
wishes.

TIM SPECIFIC CONTENTS AUDIO /VISUAL TEARCHER’S LEARNER’S EVALUATION

E OBJECTIVE AIDS ACTIVITY ACTIVITY
 Client’s clothes should be kitted if not Thermometer , Client’s Explaining, Listening,
taken by relatives and client and client file, standing asking and asking and
remains with one copy of list receipt. scale,sphymomanomete answering answering
 The doctor sees the client as soon as r,stethoscope, questions. questions and
possible. Receivers, gallipots, taking notes.
 The nurse should have available bowls, pens (black/blue
diagnostic set, sphygmomanometer, and red.)
rectal examination tray and client’s
notes (including other relevant
equipment depending on the
diagnosis).
 Wash hands and dry them.
 Report findings to the ward manager.

EVALUATION
 1. What is the meaning of admission?
2. What are the indications for admission?
3. What are the requirements for an admission procedure?
4. What are the steps to follow when admitting a patient?

SUMMARY

We have come to the end of our discussion, we discussed the meaning of admission,purporse for admission, the indications, the types
of admission, the requirements and the steps to follow when admitting a client. It is therefore, important to learn how to admitte clients
systematically so as to ensure continuity of care.

ASSIGNMENT

One student to do a return demonstration.

REFERRENCE
Britten D. Jessie, (1971), Practical Notes on Nursing Procedures, 6th edition, Longman Group Limited, Edinburgh Great Britain.

GNC of Zambia (2010), procedures manual, registered nursing programme, Lusaka, Zambia. Page 26 to 27.