Admission & Discharge Process in Hospital .pptx

Process of Hospitalization
Prepared by
Ms. Maira

Learning Objectives
By the end of the session learners will be able to:
• Define the team admission, transfer and discharge
• Discuss the procedure for admission, transfer and
discharge
• Identify nursing responsibility during admission,
transfer and discharge
• Discuss nurse role in preparing patients and family
for discharge
• Discuss the normal reaction of patient being
hospitalized.

Admission
• Admission is a process of receiving a new
patient to an individual unit (ward) of the
hospital. OR
• It is the entry and acceptance of a patient to
stay in a healthy facility

Purpose of Admission
• Observation
• Diagnosis
• Procedure/ Surgery
• Treatment

Team Admission
Team admission, transfer, and discharge are
essential processes in healthcare and other
team-based environments to manage the flow
of individuals through various stages of care or
participation.

Team Admission
Team admission refers to the process by which a
new individual (e.g., patient, client, team
member) is formally accepted into a team or
service. This process typically involves a
thorough assessment and documentation to ensure
that the individual's needs and goals align with
the team's capabilities and objectives.

Team Transfer
Team transfer refers to the process of moving
an individual from one team or service to
another within the same organization or
network. This process ensures continuity of
care or services and that the individual's needs
are met more appropriately by another team.

Team Discharge
Team discharge refers to the process by which
an individual is formally released from a team
or service. This typically occurs when the
individual has met their goals, no longer
requires the team's services, or has transitioned
to another level of care or service.

Admission Procedure
Welcomed Patient/ relatives to the ward/unit
and introduce yourself and any other nurse
present to the patients
Collect the necessary documents i.e.
admission papers and other information from
the accompanying nurse

Cont…
Provide privacy and do baseline assessment of
patient and document (observation, vitals etc.),
collect specimen if ordered.
Serve prescribed urgent medication if applicable.
Take care of patient’s valuables if necessary.
 Ensure patients sign consent form for treatment.

Cont….
 Patients relatives are informed about the visiting
hours, thing the patient needed on admission. Patient
is allowed to see relatives and bid them goodbye.
Develop an individualized care plan based on the
patient’s needs, involving input from doctors, nurses,
and other healthcare professionals. Set clear goals
and expected outcomes.

Transfer Procedure
Assess the reasons for the transfer, such as the
need for specialized care, changes in the
patient’s condition, or logistical
considerations. Decide on the most appropriate
receiving team or facility.
Develop a transfer plan that includes the
timing, mode of transportation, and necessary
preparations. Communicate the plan with the
patient and their family.

Cont…
Inform the receiving team about the patient’s
medical history, current condition, and any
special needs.
Prepare the patient for the transfer, which may
involve stabilizing their condition, providing
necessary medications, and explaining the
process to them and their family.

Conduct a thorough assessment to ensure the patient
is ready for discharge. This includes evaluating their
medical condition, stability, and ability to manage at
home.
Develop a detailed discharge plan that includes
instructions for medications, dietary restrictions,
activity levels, and follow-up appointments.
Discharge Procedure

Cont…
Provide education on managing the patient’s
condition at home, recognizing signs of
complications, and knowing when to seek
medical help.
Arrange for any necessary outpatient services,
such as home healthcare, physical therapy, or
follow-up visits with specialists. Ensure
appointments are scheduled and that the
patient has transportation if needed.

Cont.…
Complete all discharge documentation,
including the discharge summary, which
outlines the patient’s hospital stay, treatments
received, and instructions for follow-up care.

Nursing responsibilities during
Admission
Nurses conduct initial assessments, document
findings, ensure consent forms are signed, and
orient the patient and family to the hospital.
 They help develop an individualized care plan
and communicate immediate concerns to
healthcare providers.

Cont…
Write admission report- day and night report
Ensuring comfort and reducing anxiety of
patients and relatives

Nursing responsibilities during Transfer
During a transfer, nurses assess the patient's
readiness, prepare and document transfer details,
communicate plans with the patient and
receiving team, coordinate logistics, and confirm
safe arrival and information transfer.
Assemble the necessary equipment depending
on the patients condition i.e. oxygen apparatus,
suction machine, vital signs tray.

Cont…
Document time of patient’s arrival in the
nurses note, admission and discharge book and
ward state.

Nursing responsibilities during Discharge
During discharge, nurses perform a final
assessment, develop and explain a discharge
plan, educate the patient and family on home
care, coordinate outpatient services, complete
discharge documentation, and schedule
follow-up checks.

Cont…
Post-discharge, nurses schedule follow-up
calls or visits to check on the patient’s progress
and address any issues, documenting any
follow-up interactions and updating the
patient’s care plan as needed.

The role of the nurse in discharge planning
Nurses play a crucial role in preparing patients and
their families for discharge.
They perform a final assessment to ensure the
patient is ready to leave, verifying that the patient’s
condition is stable and manageable at home.
Nurses develop a comprehensive discharge plan,
including instructions for medications, follow-up
appointments, dietary and activity restrictions, and
warning signs of potential complications.

Cont…
They ensure the patient and family understand
this plan, often providing written instructions for
reference.
Nurses also educate patients and their families
about managing the patient’s condition at home.
nurses coordinate any necessary outpatient
services, such as home healthcare or physical
therapy, and ensure that all necessary
prescriptions and medical equipment are
provided.

Normal reaction of hospitalized patient
Anxiety and Fear
Confusion
Stress
Depression
Relief
Frustration
Dependence
Isolation

REFERENCES
Kozier, & Erb. (2015) Fundamentals of
Nursing: concepts, process & practice.
(10th ): India Dorling Kindersley

Admission & Discharge Process in Hospital .pptx

Admission & Discharge Process in Hospital .pptx

More Related Content

Similar to Admission & Discharge Process in Hospital .pptx

More from tabitajohn6

Recently uploaded

Admission & Discharge Process in Hospital .pptx