Admission of patients

Three types of admissions are available:

1. Planned admission:
In case of planned admission, the patient is examined by the consultant doctor and provides the
patient estimation of treatment and also fix up the date for admission

The patient on the appointed date approaches the admission counter and he / she are admitted
after paying some nominal amount as an advance for treatment.
 BE shall receive the patient or patient’s attendant for admission at admission counter and check
for admission order written by the treating consultant on op consultation sheet.
 FOE/BE shall check whether the patient is already registered if it is registered case take Unique
hospital identification number (UHID) check patient details in his.
 BE/FOE shall check the room availability in his and explain the patient regarding the tariff,
packages and availability of type of beds.
 BE shall give a rough estimation of stay at the hospital on estimation form and counsel the patient
on the same.
 FOE / be shall admit the patients based on their choice and availability of type of beds.
 In case of non availability of bed, the foe / be informs managing director/medical superintendent
to decide on arranging /adding more beds within available space. For further details refer to non
availability of beds policy
 FOE/BE shall get the patient to fill the admission form and enter the details in the his and admit
the patient.
 Patient / attendant is guided to the IP billing cash counter for payment of advance amount as per
hospital policy.
 BE receives the cash / credit card and raises a receipt against the amount received in his and
generates ip number.
 In case of patient is not ready for paying advance , then be shall take approval of managing
director / medical superintendent, other authorized person for credit approval and acknowledge
the same in case sheet , shall update in his with the name of the person approving credit in the
ip bill in his.
 FOE/ PRE /BE shall handover a ‘general consent’ and inform them the purpose and meaning of
the form, get it signed by the patient / patient’s attendant.
 Make patient file with patient details (name, hospital ID, IP number, age, sex, demographic
details, admission form, general consent, visitor’s pass etc)
 Prior communication is must to concerned ward nurse for making all required arrangements
based on the preferred room requested by patient.
 Concern ward nurse and housekeeping desk checks the information related to room / ward and
ensures bed is prepared and room/ bed is ready to receive patient. As per checklist for room
preparation.
 BE / PRE shall get confirmation from nurse in charge before sending the patient to IP ward.

 Patients are directed to the allotted ward with the admission case sheet/ patient file and attendant
pass for patient’s attendant accompanied by the PRE / ward attendant.
 In case the patient requires any stretcher / wheel chair for transporting him/her to respective
ward / room, be intimates ward boy to guide and transfer the patient to respective ward.
 During admission process, if by chance the required eligible bed/room is not available prior
information is given to patient/family members & choice is given to them. According to their
choice admission is made explaining whenever vacancy arises transfer would be made.
2. Emergency admission:
 All patients attended in ER shall be assessed by the emergency medical officer and he decides
about admission by consulting the consultant.
 If a patient is sick and in need of intensive care then the ICU consultant / intensivist is contacted
by the ER doctor.
 The ER doctor shall counsel the patient attendants regarding the condition, treatment, outcome
results and the PRE/MOD will counsel them about the cost of treatment and send the patient to
the admission office for further process.
 Admission process is carried out in emergency as explained above.
 Patients are shifted to the allotted ward with the admission case sheet/ patient file and attendant
pass for patient’s attendant accompanied by the ER nurse & ward attendant.
 If unaccompanied / unidentified patient arrives at ER the staff of ER shall give first aid and
simultaneously ask the patient for contact details of friends/relatives.
 If the patient is not critical and provides the contact details, the nurse shall contact the relatives
and the situation shall be explained to them over phone.
 Thereafter, the EMO shall ask for administrative clearance for further treatment from the
managing director/ medical superintendent.
 Further treatment shall be given once administrative clearance is obtained.
 Lab and diagnostic investigations (if required) nurse / PRE shall take undertake form.
 If patient is critical & either does not provide the contact details of friends/relatives nurse/EMO
shall start the minimum life saving measures like intubation, CPR, stomach wash for poisonings
etc,.
 Nurse shall check the pockets for patient’s identification and contact details and simultaneously
police shall be informed through the security department. Patient shall be transferred to a
government hospital with a copy of the ER form.
3. Corporate / referral admissions
 In case of corporate, the BE shall take clearance from the manager corporate desk prior to
admission formalities.
 BE / PRE at admission desk shall guide the patient to TPA desk for credit billing initiation (refer
IP credit patients – TPA / state government health scheme).
 BE / PRE shall verify the acknowledged referral letter obtained by patient from concerned TPA /
state government health scheme and verifies the availability of bed in respective wards as per the
eligibility of the patient.
 In case the patient is not eligible for TPA claim then, patient is intimated and counseled by
providing the details as to the reasons for non-eligibility of the patient and guides the patient to
admission desk for IP cash patient process.
 If the patient is eligible for TPA claim, then the patient is requested to acknowledge on the
undertaking (as to pay the bill amount in case of part or full rejection of the claim by the TPA)
and prepares pre- authorization form and obtains signature of the patient and authorized
employee.
 If the patient is eligible for TPA claim, then the patient is requested to acknowledge on the
undertaking (as to pay the bill amount in case of part or full rejection of the claim by the TPA)
and prepares pre- authorization form and obtains signature of the patient and authorized
employee.
 Billing executive (credits) desk acknowledges the prescription or other document forwarded by
the patient / attendant and guides them to admission desk to confirm the approval of credit.
 Billing executives (credits) desk forwards the pre-authorization form to TPA
 The corporate desk then waits for an approval from the TPA. In case any queries are raised by
TPA, the replies are communicated by the corporate desk after consulting the respective
departments to which the queries are raised.
 On receiving the approval for pre-authorization from TPA, intimation is sent to patient / attendant
and billing team. A copy of the approved intimation is sent to billing.