1. Admissions, Transfer, and Discharge of a Patient

2. Admitting Patients to the Hospital
How did you feel when you were admitted to a hospital?
Every patient is nervous, even if it is not a first admission

3. Room Preparation Make necessary equipment available:
Admission checklist
Gown or pajamas
Lighting
Open bed technique
Patient supplies: washbasin, emesis basin, soap, towels, lotion, bedpan, urinal, etc.

8. Greet the Patient First impressions are important!
Greet each pt and their family in a friendly, cheerful manner
Introduce yourself
Make pt comfortable, provide privacy
Admission procedures depend on the policy of the healthcare facility

9. Admissions Procedure Place ID bracelet
Preliminary interview of the pt is done to obtain medical information-may need family present
Explain the facility’s policy on visitors, and the use of television and telephone

10. 4. Demonstrate how to use equipment (bed, telephone, remote, call-button)
5. Explain meals and how to order meals
6. Answer questions about hospital routines
7. Show the pt where storage areas are, restrooms, etc.
8. Remove and store all valuables (or send them home)

11. 9. Assess patient, take vital signs
10. Begin admission questions

12. Transferring the Patient
A pt may be transferred from one room to another or to another unit for different reasons
Make sure all pt’s belongings are transferred with him/her

13. Discharging Patients
Planning for the patient’s discharge involves the entire healthcare team
The doctor:
plans the discharge with the pt and leaves a written order on the pt’s chart
The nurse:
Makes sure the discharge order has been written by the doctor

14. - Makes necessary arrangements with other depts to prepare for the discharge
Give discharge instructions for home care
Give a written copy of the diet, appointments and discharge instructions
Document date and time pt was d/c’d, the condition of the pt upon d/c, mode of d/c, special instructions given, etc.