admission

2. Admission of a person is allowing a
client to stay in the hospital for
observation, investigations and treatment
of disease he is suffering from.

3. 1) To observe and evaluate the patients
condition
2) To perform primary diagnostic
procedures
3) To plan surgeryfor patient
4) To make the patient and relatives
comfortable and facilitate their
adjustment to the hospital environment
5) To provide necessary medical care to
the patient.

4. Emergency
Admission
Routine
admission
Transfer
from one
ward to
another

5. 1. Emergency Admission :
Clients are admitted in
acute conditions requiring
immediate treatment.
Ex: Client with heart attack,
accidents, poisoning etc

6. 2. Routine Admission :
Clients are admitted for investigations
and planned treatments and surgeries.
Ex: Client with Hypertension,
Diabetes, Bronchitis etc.

7. 3. Transfer from one ward to another

8. 1. The doctor in-charge will write the transfer order in
the client’s chart
2. The ward in charge should inform the ward in-charge of
the new ward
3. Clients chart should be completed and made up to date
4. The clients record with x’rays , ECG, lab reports and
the medicine cards should be sent with the patient
5. The belongings of the patient should be checked and
handed over to the nursing officer

9. 6. The client and his relatives should be told about the
purpose of the transfer to prevent anxiety
7. The client should be introduced to the ward in -charge
of the new ward and vice versa
8. Arrangement for the diet should be made with the
dietician
9. The procedure in the new ward will be similar to the
admission procedure

10. O.P.D (Out patient department)

11. An outpatient department or outpatient
clinic is the part of a hospital designed for
the treatment of outpatients, people with
health problems who visit the hospital for
diagnosis or treatment, but do not at this
time require a bed or to be admitted for
overnight care.

12. 1. Receiving the client :
a) The person in admitting department
should greet and make patient feel
comfortable.
b) In emergency condition no time
should be waste to initiate the
treatment.

13. 2. Recording of Social and Medical data:

14. Social data:
i. Name,
ii. Age,
iii. Sex,
iv. Education,
v. Address,
vi. Occupation,
vii. Religion,
viii. Income etc.
Medical data:
i. Diagnosis,
ii. Provisional Diagnosis,
iii. Duration of Illness,
iv. Name of Doctor
v. Previous medical history
vi. Family history of any
illness

15. 3. Medical Examination :
i. A detailed social and medical history of
the client is taken by physician and
recorded.
ii. Patient’s temperature, BP, Pulse,
respiration etc are recorded.
iii. The necessary investigations such as x-ray,
lab test are done to diagnose the disease
and prescribe treatment.

16. 1. Record personal details
2. Check vital signs
3. Observe general condition
4. Direct the patient to medical
record department to get case sheet
prepared

17. 5. Inform the concerned ward nurse if patient is
going to be admitted
6. Carryout the stated orders and emergency
investigations
7. Take the patient along with case sheet and hand
over to ward nurse

18. I.P.D (Inpatient Department):

19. The clients who are suffering from mild
ailments are sent home with necessary
treatment. Others are admitted to hospital
for further investigations and treatment.

20. Preparation of Equipment
i. Patient Bed
ii. Linen
iii. Patient Locker
iv. Patient Chart
v. Adequate Light
vi. Clock
vii. Ventilation
viii. Wheelchair/Stretcher
Charts
i. Doctors Orders
ii. General History Sheet
iii. Nurses Record
iv. TPR Chart (Temperature,
Pulse, Respiration Chart)
v. Progress Record
vi. Intake Output Record
vii. Investigation Record

21. 1. Transporting the client from O.P.D to
I.P.D
i. Clients who are not very ill and are allowed to
walk are escorted to ward by a nurse or
attendant.
ii. Wheel chairs should be available for those who
are too sick, weak or not able to walk.
iii. Clients who are brought to hospital on
ambulance should be carried to their respective
wards on stretchers.

22. 2. Reception of the client by ward incharge
a) The ward incharge or the nurse admitting the client should
introduce herself and greet the client and his relatives with
friendliness. Her behavior should be such that she gains the
confidence and cooperation of the client.
b) If the client is very sick she should put him on bed
immediately.

23. c) The client who is not very ill is allowed to move
about and can be given orientation in the ward.
d) Introduce the other clients to him and vice versa
and also with nursing personnel in the ward.
e) Orient the client to whole ward, duty room,
toilet rooms and unit prepared for the client.

24. f) Explain hospital policies, procedures, routines
to the client and relatives.
g) Explain to client the time for meal servings,
doctor’s visit, visiting time, prayer hours.
h) Make arrangements for paying hospital bills.
i) Issue visiting pass or stay pass to the relatives.

25. 3. Preliminary Observation of client:
a) The first few moments with client , facial expressions will
denote his emotional reactions and presence of pain, fatigue.
b) Any discoloration of skin such as jaundice, cyanosis, facial
paralysis should be noted. Further observations can be made
while giving care to the client.

26. 4. Helping the client to occupy his
bed:
a) A closed bed is converted to open bed
on admission of client.
b) His temperature, pulse and respirations
are recorded at the time of admission
and later on at regular intervals.

27. c) Check the doctor’s orders that are to be carried
out immediately.
d) Record in the inpatient chart, date and time of
admission, condition of patient and observations
made on the client.
e) Give time to patient to change his dress with
hospital dress. Give assistance if client is not
able to.
f) If the client have to bath on admission ,
bathroom should be given.

28. g) Bed bath should be given to a client not fit
for bathroom bath.
h) Bed bath gives opportunity to the nurse to
examine client carefully.
i) Never leave a seriously ill client alone in the
private room without any help.
j) If any tests are ordered by doctor, the nurse
must make arrangements to carry out.

29. 5. Care of valuables and clothing :
a) If patient is wearing hospital dress, patient’s
clothing should be handed over to relatives.
b) In case of absence of relatives, clothing is
numbered, labelled and kept in store until such
time it is handed over to relatives.
c) Encourage the client to send jwellery, money
and other valuables such as watch to home with
relatives. Make him understand if he keeps
something with himself, it is on his own risk.

30. 1. Arrange patient’s unit.
2. Greet the patient and orient to
ward, other patients, patient’s
room, equipments.
3. If patient is very sick, inform to
doctor immediately.
4. Explain rules and regulations to
patient.

31. 5. Complete patient’s admission
charts.
6. Take temperature, blood pressure,
respiration, pulse of the patient.
7. Carry out required investigations.
8. Follow physician orders, administer
prescribed medicine.

32. 9. Enquire from patient if he is allergic to any medicines,
apply allergy band and inform to physician
10. Give instructions to patient to take care of belongings
and valuables.
11. If any surgery is planned take consent from patient.