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ADMISSION & DISCHARGE

Raymund Christopher R. dela Pea, RN, RM


Clinical Faculty
UNP-College of Nursing

ADMISSION TO THE HOSPITAL

Staff:
prepares chart or records
gives identification band
checks his valuables in a
safety box deposit
notifies attending
physician or hospital
physician about his
admission to the hospital

Admission routines
initial nursing assessment
of the patients problems
or needs
orientation of patient and
family to the physical set
up and personnel in the
unit or ward, ward routine,
urine collection, visiting
hours, visit of hospital
chaplain
maintain warmth,
professional competence,
and commitment to serve
the patient

Initial Nursing Assessment


Nurses can gather data at
the nursing station and
identify health needs
Patients data may be
collected by observing
and interviewing primary
or secondary sources

SUGGESTED GUIDE IN ADMISSION OF PATIENTS


Suggested action

1. Greet the patient and relative


2. take the patient to his room/bed, help
him put on hospital camisa or gown
and put him to bed unless he is
ambulatory
3. Take care of patients belongings

4. orient him to facilities


and equipment inside
room
5. take vital signs

6. give instructions on the


proper collection of
urine, stools and
other specimens
7. orient relatives about
hospital rules and
policies
8. Record facts and
observations on the
patients charts

Rationale
Sign of welcome; reduces
tension/stress
Gives a feeling of security, privacy and
belonging; initiation into role as a
patient
Prevents losses, and patient feels
assured that possessions are safe
Facilitates adjustment and comfort;
reduces apprehension
Provide baseline data on initial
condition of patient
Facilitate obtaining accurate specimens
- reduces anxiety and
prevents
misunderstanding and
keep lines of
communication open
- minimizes mistakes
and provides basis for
the formulation of an
NCP

DISCHARGE OF PATIENTS

may mean sending him home or


transferring him to another unit or
service within the hospital or moving
him to another hospital or the patient
may have died
when doctor discharges patient, he
believes patient has fully recovered or
illness might be irremediable and
deems it best for him to die at home
HAMA/HAA Home against Medical
Advice or Home against advice form
- absolved of any
liability should anything untoward
happen to the patient outside the
hospital
Nurse foes thru formal discharge
procedure when the doctor writes on
the patients chart

1. Get a written discharge order from


the physician
2. Send patients chart to accounting
section if pay px
3. check patients belongings and
collect hospital equipment
4. collect all patients medicines and
give written instructions on how to take
these medicines. Review advice
previously given him about home care,
treatment and community resources
5. write down a schedule of hospital
visits
6. help patient get dressed, and see
him and his family off at the ward
entrance
7. record condition upon discharge

- prevent liabilities
- all hospital bills settled before
discharge
- proper accounting to prevent
misunderstanding
- ensure regular intake and follow ups
-

ensure

still the
nurse

keeping

of hospital
appointments
responsibility of the

- give picture of patients condition on


discharge