ADMISSION

INTRODUCTION

 Every nurse needs a communication skill. When

you communicate to a stranger, patient, doctor
or medical staff, you need some clues and
expressions to start your conversation. In this
unit you will be introduced to several common
phrases starting with a conversation and useful
expressions.
INTRODUCTION

 ADMISSION: it is the entry and

acceptance of a patient to stay
in a health facility for the
purpose of observation,
investigation and treatment.
Clients coming in for admission
may walk in (ambulant) or not.
T YPES OF ADMISSION

 ELECTIVE/ PLANNED/ ROUTINE

 EMERGENCY
ELECTIVE/ PLANNED ADMISSION

 With this type of admission the medical

officer or the health care provider arranges
with the patient on a convenient date for
admission. Patient is informed well ahead of
time to enable him prepare for the
admission
EMERGENCY ADMISSION
 With this types of admission patient reports to
the hospital in a critical condition; he/her is
usually brought in my people (relative,friend or a
good samaritan)
 The patient is transported to the ward in a wheel
chair or stretcher. This type of patients needs
immediate treatment
REASONS FOR ADMISSION

 For diagnostic investigations to be done

 For treatments which may be medical or
surgical
 For observation
ADMISSION PROCEDURE
(PLANNED/AMBULANT PATIENT)
 Welcomed patient/ relatives to the ward/unit and
introduce yourself and any other nurse present to the
patients
 Collect the necessary documents

 Admission papers and other information from the

accompanying nurse
ADMISSION OF PATIENT
1. Identify and confirm patient by name particulars

2. Provided seats for patient and the relatives to make

them comfortable
3. Gather information from patient and if necessary the
relatives to fill the admission papers
4. Depending on the condition provide an admission bed

5. Assist patient to change into pyjamas orhospital gown

and give identification bracelets if applicable
ADMISSION OF PATIENT
6. Provide privacy and do baseline assesment of patient
and document (observation, vitals etc) collct specimen if
ordered
7. Serve prescribed urgent medication if applicable
8. Take care of patients valuables if necessary
9. Ensure patients sign consent form for treatment
ADMISSION OF PATIENT
10. National health insurance scheme is explained to the
patient and relatives.
11. Patients relatives are informed about the visiting hours,
thing the patient needed on admission. Patient is allowed
to see relatives and bid them goodbye
12. Patient is oriented to ward and its environment
13. The nursing process is used to nurse the patient
14. Patient name and particular are entered into the
admission and discharge book as well as the ward state
ADMISSION PROCEDURE (EMERGENCY
PATIENT IN A WHEEL CHAIR OR STRETCHER)

 Advance preparing
wash hands and assemble the following depending on the
condition
1. Temperature tray
2. Resucitation/emergency tray
3. Oxygen apparatus
4. Tray for venipuncture
5. Suction apparatus
6. Blood pressure apparatus
7. Bed to suit patient condition
ADMISSION PROCEDURE
1. Welcome patient/relatives to the ward/unit and
introduce your self and any other nurse present to the
patients
2. Collect the necessary documents, admission papers
and other information from the accompanying nurse
3. Identify and confirm patient by name particulars
4. Quickly assess the patient general condition
5. Receive patient into an already prepared bed-
depending on the condition
6. Patient is changed into bed clothing if possible
ADMISSION PROCEDURE
7. Privacy provided and patient is assessed, checking of vital
signs, observation and examination-general appearance, skin
for abnormalities, pain, breathing pattern, complaints, general
reaction of the patient, level of consciousness.
8. Relevant history is taken from patient or relatives
9. Ensure consent form is signed
10. Patients valuables are taken care of if necessary
11. National health insurance scheme is explained to the
patient and relatives.
12. Patients relatives are informed about the visiting hours, thing
the patient needed on admission. Patient is allowed to see
relatives and bid them goodbye
ADMISSION PROCEDURE
13. Depending on the condition specimen collected and
tested
14. Nurse patient using the nursing process
15. Administer prescribed medications
ADMISSION PROCEDURE
 The role of the nurse in the admission process

1. Meeting the immediate needs of the patient physical

and emotional
2. Thorough assessment of the patient nursing process

3. Ensure patient is assigned to the appropriate room

4. Write admission report dan and night report

5. Ensuring comfort and reducing anxiety of patients and

relatives
USEFULL EXPRESSION
 Welcome, Mr. Johnson

 I’ll show your room, now

 I’d like to ask you some questions?

 Have you ever been in a hospital?

 When was the last time you were hospitalized?

 Have you had any operation?

 Are you allergic to anything?

 Do you use hearing aid?

 Do you smoke? How many cigarettes in a day?

 Could you tell me about your illness?

 What medicine have you taken at home?

 Do you want a religious service?

DIALOGUE

 Nurse : Excuse me, Mrs Hani

 Patient : yes, come in please
 Nurse : how are you feeling today?
 Patient : not too well, nurse. I’m afraid I have a bit of cold
 Nurse : Ok, Mrs Hani. I’d like to ask you some questions. Have
you ever been in hospital?
 Patient : Yes, I have
 Nurse : What is your chief complaint?
 Patient : I have a chest pain and I am difficult to breath
 Nurse : Let me examine you, please take your dress
VOCABULARY

 Pediatric ward : bangsal penyakit anak

 X-ray department : bagian rontgen

 Dispensary : apotek

 Maternity unit : unit maternitas

 Internist : ahli penyakit dalam

THANK YOU