Admission Procedure Nursing Procedure

1. ADMISSION
PROCEDURE
PRESENTED BY:
JESVIN FERNANDEZ
II YEAR B.SC NURSING,
SMVNC

2. INTRODUCTION
Admission to the hospital can be a
traumatic experience combined with
anxiety and fear. The nurse is one of the
health care team members who is also
involved in the admission process. The
duration and severity of illness
influence the patient′s reaction to
admission procedure.

3. DEFENITION
Admission of a patient means allowing and
facilitating a patient to stay in the hospital
unit or ward for observation, investigation,
and treatment of the disease he or she is
suffering from.

4. PURPOSES:
• To receive the patient in the
ward for admission according to
his or her condition.
• To provide care.
• To be ready for any emergency..

5. CONTI..,
• To assist the patient in adjusting
to hospital environment.
• To obtain baseline information
about the patient by collecting
history and performing physical
examination.

6. A person can be admitted to a health care facility with
several reasons including the following:
 Therapeutic aspect of treatment of any acute or
chronic disease.
 For observation of the status of client
 For diagnostic need.
 For surgical interventions or an emergency basis.
 For conditions requiring expert care.
INDICATIONS:

7. PRINCIPLES:
 Sudden change or strangeness of the environment
produces fear and anxiety.
 Entering the hospital is a threat to one′s personal
identity.
 People have diversity of habits and behavior.
 Illness can be a traumatic experience for the patient
and bring stress on his physical and mental health.

8. TYPES:
DIAGNOSTIC ADMISSION
THERAPEUTIC ADMISSION
3.Depending upon purposes
of admission:
• ROUTINE ADMISSION
• EMERGENCY
ADMISSION
1.Depending on
planning:
LONGTERM ADMISSION
SHORT TERM ADMISSION:
2.Depending on time spent in
hospital:

9. UNIT PREPARATION FOR ADMISSION:
Unit is a place where the patient is kept under hospital
stay.
 The admitting department notifies the unit prior to
the patient′s arrival so that room or bed can be
prepared.
 Prepare the treatment table.
 Ensure all the equipment are complete.
 Check ventilation.
 Ensure patient privacy.

11. Prepare the room with
care and arrange all
items in place and adjust
the height of the bed.
Prepare the room with care and arrange all
items in place and adjust the height of the
bed.
1

12. Check the patient′s
identification and greet
him/her and relatives.
Introduce yourself.
Prepare the room with care and arrange all
items in place and adjust the height of the
bed.
2

13. Fill in the patient′s
information in each
record separately paste
identification labels
To identify the patient.
3

14. Monitor the vital signs;
Check weight and height
if possible.
Serve as baseline data.
4

15. Collect history and
perform simple physical
examination.
To identify the changes and to have the
findings as baseline data.
5

16. Collect specimens if
ordered.
To diagnose the condition.
6

17. If stat drugs are ordered,
administer them as per
order and start IV
infusion if ordered.
To initiate the treatment plan.
7

18. Orient the patient to the
physical infrastructure of
the ward; explain about
location of nurse′s station,
treatment room, bedside
lockers, bathroom, drinking
water facility and pantry.
To avoid confusion and to
reduce anxiety of
unknown.
8

19. Orient about the presence
of call bell and siderails, and
explain about the method
of using them.
To get help at the right time and to prevent
injury
9

20. Explain about the hospital
rules and regulations
related to visiting time
and pass, use of hospital
property, necessity for an
attender at night, dietary
facilities, pharmacy.
Enhances compliances with rules and
regulations.
10

21. Provide privacy give
admission bath if needed
To promote comfort.
11

22. Answer queries of
patients and relatives
Answer queries of patients and relatives
12

23. Inform the doctor on
duty regarding the
admission as per the
hospital policy.
To initiate the care
13

24. Complete the necessary
records according to
hospital policies.
Serves as legal document
14
9
9
9
9

25. Document the admission
notes, regarding date and
time of admission, mode
of arrival, orientation,
current physical condition
treatment initiated,
samples collected and
intimation given to the
Serves as legal document
15
10

26. EMOTIONAL RESPONSE TO HOSPITALIZATION:
 Irrespective of the cause of hospitalization, all the client′s experience
apprehension while being admitted to the hospital.
 Anxiety, fear of unknown threats to their body image, fear of financial
burden, and superstitions add on the strange environment of hospital.
 Female clients may be worried about their children, lack of caretakers,
decreased pain threshold, disruption of family routine and disruption
of marital relationship.

27. EMOTIONAL RESPONSE TO HOSPITALIZATION:
 Males may be worried about the treatment, financial, burden, and
pain and discomfort due to pathological condition.
 Children develop feeling of mistrust and fear of pain and strange
environment.

28. NURSES RESPONSE
 The nurse′s attitude to a newly admitted client should be
friendly and unhurried.
 Make the patient feel at ease and trust you.
 The patient should received like a guest in a courteous
manner.
 Thus much of the client′s fear can be alleviated by skilled
admission.
 Confidence and competence from nurses have a positive
influence on the patients.

29. MEDICO LEGAL ISSUES RELATED TO
ADMISSION:
During admission procedure, nurses must
keep the following medicolegal issues under
consideration, so that they can safeguard
themselves and the health care institutions.
 Patient′s OPD records, such as patient′s
OPD visit slip, admission cards must be
kept under lock and key

30.  Patient′s record must be kept confidential,
other than the treating physician, no one
should have the assess the patient′s record
 Patients belongings should be kept under
custody as per hospital policy. Furthermore
before handling over the belongings to the
family or police , permission must be taken
from treating physician and signatures
name and address of the receiver of the
belonging must be taken on a document,
which has complete details of all the
belongings 3 0
12
12

31.  It must be ensured that no evidence
related to the patient gets destroyed or
lost especially in medicolegal cases.
 A written consent must be taken from the
patient or relative before performing any
invasive procedure.
 If patient needs a member from family or
friends, they may be allowed to stay with
patient.
3 1
12
12
13
13

32.  Keep the patient′s information
confidential; do not inform any
information related to the patient to
anyone outside the patient′s treating
health care team.
 It is compulsory for the nurse to provide
the information to the police officer, press
reporter or any agent of the public. In case
of any difficulty, the immediate higher
authority may be informed.
3 2
12
12

33. THANKS!
Any questions?