1. Learning Outcomes:
By the end of this session, the PN Student will be able to:
1.List the major steps involved in the admission process
2.Identify common psychosocial responses when clients are admitted to
a health care agency
3.List the steps involved in the discharge process
4.Discuss the use of transfers
5.Explain the difference between transferring and referring clients
6.Describe levels of care that nursing homes provide
7.Discuss the purpose of the MDS
8.Identify two contributing factors to the increased demand for home
health care

2. Admission
• Involves
• Authorization from healthcare professional - the person requires
specialized care and treatment
• Collection of billing information by admitting department of the
health care facility
• Completion of agency’s admission data base by nursing personnel
• Documentation of the client’s medical history and findings from
physical examination: advanced directives; family history;
psychosocial history; history of mental illness; spiritual health;
safety assessment; discharge information
• Development of an initial nursing care plan
• Initial medical orders for treatment
• Medical authorization & responsibilities
• Admitting Department or Unit
• Types
• Inpatient
• Outpatient

4. Reference
• ATI Nursing Education (2013). Chapter 9: Admissions,
Transfers & Discharges. Fundamentals of Nursing (8th Ed)
• Timby, B., K. (2013) (10th ed.) Fundamental Nursing Skills
and Concepts. Philadelphia, PA: Lippincott, Williams, &
Wilkins.