Unit XI-Process of Hospitilization.pptxx
- 1. Unit XI Process of Hospitalization Adil Lughmani
- 2. Admission
- 3. Admission • (Entering a health care agency for nursing care and medical/surgical treatment) • involves: – Authorization from a physician – collection of billing info from the admitting department – Completion of the admission process by nursing – Documenting pt’s med hx & physical exam – Initial med orders for treatment
- 4. Admission • The act or process of accepting someone into a hospital, clinic, or other treatment facility as an inpatient. • Admission is the act of transferring care from community or another environment to a Trust in-patient service.
- 5. TYPES OF ADMISSION • INPATIENT • OUTPATIENT
- 6. INPATIENT STAY • Longer than 24hrs • Planned: No immediate threat Planned elective surgery, tests Pt is prepared • Emergency: Unplanned Stabilize in emergency room (chest pain, trauma)
- 7. OUTPATIENT STAY • LESS THAN 24 HRS • Observational: Head injury Unstable vital signs
- 8. Transfer • Discharging a patient from one unit and admitting them to another unit • Informs patient/family • Complete transfer summary
- 9. Transfer • Speaks with nurse on transfer unit • Transports patient/belongings/supplies & chart • Check new orders • Room #
- 10. Discharge • Termination of care from a health care agency
- 11. Nursing Responsibilities • PREPARE ROOM • IDENTIFY SELF • ORIENT PATIENT • GATHER INFO
- 12. PREPARE ROOM • Provide personal care items • Suction • Oxygen • Iv pole • Bed positions, high or low
- 13. IDENTIFY SELF • Makes pt feel secure • Makes pt feel welcome • Alleviates anxiety/fear
- 14. ORIENT PATIENT • Location of nurse’s station • Clothes storage • Nursing bell • Bed controls • Light switches • Telephone policy • Tv controls • Mealtimes • Safety measures such as bedrails • Visiting hours • What tests are scheduled • Diet • Room boundaries • Times for dr visits
- 15. GATHER INFORMATION THE NURSE WILL GATHER INFO ABOUT: • MEDICAL ORDERS • TX’S • LABS • TESTS • DIET • ACTIVITY
- 16. Ask about… • All allergies, side effects and intolerances – Drug – Environmental – Food • As well as reaction symptoms
- 17. GATHER INFORMATION • Allergy Assessment • Chief Complaint/Reason For Admission • Past Health History • Current Home Medication List • Personal & Social History • Review of Systems
- 18. Nursing Responsibilities (Discharge) • Discharge planning is a crucial aspect of patient care. • It ensures that the same quality and frequency of medical care is provided in order to prevent re-hospitalization
- 19. Cont… • Describe what life at home will be like. Include the home environment, support needed, what the patient can or cannot eat, and activities to do or avoid. • Review medications to discuss the purpose of each medicine, how much to take, how to take it, and potential side effects
- 20. Cont… • Highlight warning signs and problems. Identify warning signs or potential problems. Write down the name and contact information of someone to call if there is a problem. • Make follow-up appointments.. Make sure that the patient and family know what follow- up is needed.
- 21. Cont… • Teaches the patient and the family. This might mean teaching the adult to interpret glucometer readings. • Instruct the patient and family members about the diet as ordered by physician. • Assists with other aspects of care. The discharge nurses verify that the patient has the devices needed for nursing and home care
- 22. Normal Reaction Towards Hospitalization • Irritability caused by a disruption, or change, in their normal routine. • Fear of pain; real or imagined • Fear of loss of control; fear of inability to return to doing what he or she was able to do before hospitalization • Stress regarding separation from friends
- 23. Normal Reaction Towards Hospitalization • Fear of loss of status • Anxiety related to changes in physical appearance • Anxiety related to long term illness • Concern for privacy • Loss of freedom and independence
- 24. Thanks