ADMISSION

Wong Lai Kun

 LEARNING OUTCOMES
At the end of the lecture, the students will be able
to:
1. Define admission process
2. Discuss nursing responsibilities with regard to an
admission
 Patient’s reaction

•Frighten
•Worried
•Anxious
 Frighten and anxious
1. Preconceived ideas regarding treatment in
the hospital
2. Operation to be done on him/her
3. Perception of rude nurses
4. Family not with him/her
 Worried
1. Whether his health problem will become
better or worse
2. Hospital bills
3. How long he will be on medical leave and will
it effects his work
4. Unable to take care of himself after operation
5. Children in the house
 Nursing intervention to reduce
worries and anxiety
1. Receive patient with a smile and positive
attitude
2. Perform nursing care without interfering with
his feelings and beliefs
3. Show that you are sincere in helping him to
get better
4. Converse with the patient gently and answer
his question honestly, refer to the Staff Nurse
or doctor if necessary
 Nursing intervention to reduce
worries and anxiety
5. Orientate patient- how to call for help using
call bell
6. Reassure patient by telling him/her that the
hospital staff will do their best to help him/her
to recover
7. Be patient to listen to patient’s problem and
advice where necessary
8. Receive the relatives well
.
 Nursing intervention to reduce
worries and anxiety
9. Reassure his/her confidence on the hospital
by being efficient, fast and accurate in
performing your service
10. Give the patient a bed near the nurse’s
station if necessary
11. Attend to patient immediately when called
12. Check patient more often
 Receiving the patient in the ward
1. Assess the patient
- walk-in
- wheelchair
- stretcher
2. Welcome the patient and family with:
- Greet the patient
- smiling
- Politeness
3. Take patient weight and height
4. Invite and bring the patient to the bed
 Receiving the patient in the ward
5. Introduce yourself
6. Ask the patient’s name
7. Wear wrist band for patient
8. Assist patient change into hospital clothings
9. Explain the procedure will be perform eg;
taking vital signs.
10. Record the finding of vital signs in the
temperature chart
11. Report any abnormalities.
 Orientation
1. ID bracelet / wrist band
- do not remove
2. Hospital clothings
- advice to change into hospital clothings
3. Nurse call system
- how to use call bell to call nurses for help
 Orientation
4. Basic supplies
- face towel
- tooth brush
- hot water flask
5. Bed mechanic
- how to operate the electrical bed
- how to wind up and down of the bed
 Orientation
6. Handphone
- do not bring handphone
- if found missing, hospital are not responsible
for the loss
- not allow to charge handphone in the ward
** ask the nurse to contact
** use public phone outside the ward
 Orientation
7.Bathroom / toilet
- location
- careful on the slippery floor
8. Meals
- breakfast: 0730 hrs
- lunch: 1200 Noon
- Tea: 1530 hrs
- dinner: 1800 hrs
 Orientation
9. Hot water
- every shift / PRN (When necessary)
- 0830 hrs
- 1430 hrs
- 2130 hrs
 Orientation
10. Visiting hours:
- 1230 hrs – 1400 hrs
- 1630 hrs – 1930 hrs
- relative / family member not permitted in
the ward unless permission given
 Orientation
11. Lodging
- only 1 lodger is allowed to lodge with the
patient

12. Next of kin's

- address and contact number to include in
the case of emergency
 Orientation
13. Electrical appliances
- do not allow to bring in personal electrical
appliances such as fan, radio, television

14. No smoking policy

 Orientation
15. Care of valuable
a) Clothing
Patient’s soiled clothing
- Keep them in plastic bag and return to patient
to be sent home for washing
- Do not throw away patient’s clothing without
his permission
 Orientation
15. Care of valuable
b) Dentures
If patient is not using it, keep the dentures in a
container with water, and label the container.
Inform patient where about is his/her denture
 Orientation
15. Care of valuable
c) Valuable and cash
* cash money
* jewelry
* wrist watch
* handphone
* key
* important document
 Orientation
15. Care of valuable
c) Valuable and cash
If patient is rational, not ill and conscious. Nurse
can identify and list the patient’s valuables
with a witness in front of the patient in 3
copies.
 Orientation
15. Care of valuable
c) Valuable and cash
-The patient’s valuables and the original is placed in
a bag and sent to the office for safe keeping.
-The second copy is put together with the
patient’s notes .
-The third copy is given to the patient. Inform the
patient to collect his properties on discharge.
 Orientation
15. Care of valuable
c) Valuable and cash
- If the patient is ill, unconscious or irrational-
keep the patient’s copy till he is discharged
- If patient’s family is with him, advice patient to
send back his valuables
 Documentation
Record all the patient’s personal information in
the admission book:-
* Name of the patient
* Age
* Sex
* Identification No.
* Registration No.
 Documentation

* Date and time of admission:

* The name of the next of kin & telephone no:
* Address:
* Diagnosis:
 Procedure
1. Get the instruction from the staff nurse in
charge.
Rationale: to get the correct information
regarding the task to be done.
2. Prepare the bed
3. Welcome the patient:
3.1 Greet the patient & introduce your self.
3.2 Bring the patient to the bed.
 Procedure
4. Ask the patient to sit or lying down on the bed
Rationale: to provide comfort.
5. Assess the patient’s general condition.
5.1 Report if any abnormalities.
6. Give time to the patient for him to be together
with his family
Rationale: for the patient’s comfort and
emotional support.
 Procedure
7. Take the vital signs.
Rationale: Assess the patient’s condition and
as a base line data
8. Orientate the patient and family.
Rationale: to make them familiar with the ward
 Procedure
9. Advise patient and family to take home
valuables.
Rationale: to ensure the safety of valuables.
10. Inform the doctor regarding admission of
patient.
Rationale: in order to get prompt treatment.
 Procedure
11. Record the admission of the patient :
Rationale: update of the latest record of
admission
11.1 Admission book
11.2 Census book
11.3 Diet chart
11.4 Notice board
12. Arrange the form accordingly into the Bed
Head Ticket(BHT).
ADMISSION FLOW
 GREET THE PATIENT

WEIGHT & HEIGHT

BED LOCATION

ORIENTATION

VITAL SIGN

CARRY OUT TREATMENT

ENTER IN ADMISSION BOOK &

CENSUS BOOK

COMPLETE NURSING ASSESSMENT RECORD

& NURSING NOTE WRITING
 IMPORTANT …

**No delay in admission

**Plan and prioritize your care

**Carry out treatment accordingly