Request a medico-legal postmortem examination, providing a copy of death summary. A general overview for the general public and prospective patients who know that they will be admitted to one of 6 Baptist Health South Florida hospitals. ADMISSIONS/DISCHARGE/TRANSFER 2. In-patient admission. 2. In all such cases medical officer should obtain either signatures or thumb impression of the patient. 50 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA PROCEDURE OF REGISTERING A MLC : PROCEDURE OF REGISTERING A MLC The responsibility to label any case as an MLC rests solely with the attending medical practitioner. Admission, Transfer, and Discharge of the Patient - Admission, Transfer, and Discharge of the Patient HST 2 Rationale There are many things to consider when admitting or discharging a patient in a health care facility. Admission of minor. Enter one or more tags separated Patient Admission Pam Dacuan. This duty should also be extended in cases of discharged patient. Voluntary admission to a psychiatric hospital or unit occurs in much the same way as admission to a general hospital. Nursing I Year under INC Syllabus, Unit III: ADMISSIONS/DISCHARGE/TRANSFER: Unit III: ADMISSIONS/DISCHARGE/TRANSFER 1 Mrs. P. Vadivukkarasi Ramanadin, Professor, Dept. User involvement has become a central tenant of the design, provision and evaluation of mental health services. 19 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA COMPONENTS OF A MEDICAL HISTORY: COMPONENTS OF A MEDICAL HISTORY IDENTIFYING DATA CHIEF COMPLAINT PERSONAL HX PAST HEALTH HX HX OF PRESENT ILLNESS FAMILY HX REVIEW OF BODY SYSTEMS CONCLUSION 20 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA WHAT TO WATCH FOR IN NEWLY ADMITTED PATIENTS: WHAT TO WATCH FOR IN NEWLY ADMITTED PATIENTS ANXIETY LONELINESS DECREASED PRIVACY LOSS OF IDENTITY 21 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA ANXIETY: ANXIETY APPEARANCE Exhibits Separation Anxiety. See our User Agreement and Privacy Policy. The Reference Manual is a related document under the mandated ARDT Policy. While discharging or referring the patient, care should be taken to see that he receives the Discharge Card/Referral Letter, complete with the summary of admission, the treatment given in the hospital and the instructions to the patient to be followed after discharge. Presentation Summary : ADMISSION OF PATIENTS TO THE HOSPITAL. HTTPS (Hypertext Transfer Protocol Secure) is a protocol used by Web servers to transfer and display Web content securely. It is always better to inform the police through the casualty of the hospital where the medico-legal register is usually maintained and necessary entries can be made in it. 4. 4. Within the first 6 months, readmission occurs for between 20 and 40% of patients (Reference Caton, Koh and Fleiss Caton et al, 1985; Reference Boydell, Malcolmson and Sikerbol Boydell et al, 1991).In selected groups of patients the figure is higher; over 50% of patients were readmitted … Flash admission procedure in nursing ANILKUMAR BR (10) admission Hafizul Mukhlis. c) Post-amble (Opinion)-includes the Nature of the injury-whether simple or grievous. 4. Discharge 1. Understanding and recognizing the importance of an individual's experience of mental distress from their own perspective has gained increasing prominence in the past 20 years. 29 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA PROCEDURES PERFORMED UPON ADMISSION: PROCEDURES PERFORMED UPON ADMISSION Orient patient to facility Provide instructions on how to operate the bed, call light, remote control for TV, etc. See that the patient personnel hygiene is maintained and change the dress into their own clothing. Explain visiting hours, location of lounges, smoking regulations, availability of services, times for meals, and other rules and regulations Many facilities have a pamphlet or paper listing this information, which is given to the patient and family members. These include: • The provision of patient centred services, which are accessible to the population without compromising safety, quality and clinical standards, to the right people in the right location and at the right time.1 • Patients should be consulted and included in all decisions about their care. 5. Admission of client to hospital Navreet Saini. Confidentiality c. Collection and preservation of samples 49 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA RECEIVING A MLC : RECEIVING A MLC A doctor can receive a medico-legal case in any of the four situations:– 1. 88. Dynamic PPT. & 59 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Medico-legal Reports : Medico-legal Reports a) Pre-amble-includes the date, time and place of examination, name of the patient, his residential address, occupation; name of the person(s)/police official accompanying, DDR/FIR No., informed consent of the person being examined, two marks of identification, etc, wherever applicable. However, as in any clinical situation, there may be factors which cannot be covered by a single set of guidelines. Allow patient to wear own gown. 23. Statement of the witness shall be recorded, preferably in the vernacular of the patient in which he/ she speaks. A search of electronic databases was conducted. 44 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Cases that are to be treated as medico-legal : Cases that are to be treated as medico-legal The following cases should be considered as medico-legal and as such the medical officer is "duty-bound" to intimate to the police regarding such cases: 1. A conscious adult has the right to refuse 54 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Examination of MLC cases: : Examination of MLC cases: It is preferable that a lady doctor should examine a lady, or, wherever this is not possible, a female attendant (nurse, etc) should be present during the examination. It the pt is unable to answer the questions, a relative or the person responsible for the pt is usually able to provide the information 28 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA PROCEDURES PERFORMED UPON ADMISSION: PROCEDURES PERFORMED UPON ADMISSION Vital signs Height and weight measurements Collection of a routine urine specimen Protect patient’s possessions Make a list of clothing, valuables, and personal items In a hospital a family member will frequently take clothing home Any personal items left in a room should be noted on a list, and the list should be signed by the pt and the assistant At the time of transfer or discharge, the list of items is checked to make sure all of the belongings are returned If the family member does not take items home, the items should be placed in a safe FOLLOW CORRECT TECHNIQUE WHILE PERFORMING THESE PROCEDURES!! Discharge Procedure The patient, the family, medical staff, nursing staff, social worker, dietician all work together to coordinate the discharge. In simple language it is a medical case with legal implications for the attending doctor where the attending doctor, after eliciting history and examining the patient, thinks that some investigation by law enforcement agencies is essential . In the period following discharge from hospital, psychiatric patients are at high risk of readmission. UNIT: III Hospital admission and discharge 4 HRS: UNIT: III Hospital admission and discharge 4 HRS Admission to the hospital o Unit and its preparation admission bed o Admission procedure o Special considerations o Medico-legal issues o Roles and Responsibilities of the nurse Discharge from the hospital o Types: Planned discharge, LAMA and abscond, Referrals and transfers o Discharge Planning o Special considerations o Medico-legal issues o Roles and Responsibilities of the nurse o Care of the unit after discharge 2 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Definition of admission : Definition of admission It is defined as allowing a patient or client to stay in the hospital for their wellbeing or to provide health care services by observation, investigation, treatment & care. (SHUT DOOR & PULL CURTAIN.) Question Bank on Community Health Nursing, No public clipboards found for this slide. They can provide valuable input to the discharge team that the patient may not have fully considered. Sometimes the patient, registered as a medico–legal case, may abscond from the hospital. The doctor plans the discharge with the patient and leaves a written order on the patient’s chart. 30 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA TRANSFER: TRANSFER DISCHARGING A PATIENT FROM ONE UNIT OR AGENCY AND ADMITTING THEM TO ANOTHER UNIT INFORMS PATIENT/FAMILY COMPLETE TRANSFER SUMMARY SPEAKS WITH NURSE ON TRANSFER UNIT TRANSPORTS PATIENT/BELONGINGS/SUPPLIES & CHART CHECKS ORDERS/MAKES NEW ADDRESSOGRAPH CARD W/NEW ROOM # 31 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA TRANSFERS: TRANSFERS Done for a variety of reasons Change in the patient’s condition Per patient request Agency policy must be followed during any transfer Reason for transfer should be explained to patient and family by the appropriate personnel New room or unit must be ready to receive the patient All personal items must be moved with patient Organized and efficient transfer will help prevent fear and anxiety for the patient 32 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Discharge: Discharge Terminating the hospital stay & sending the client to home is termed as discharge “Discharge of patient from the hospital means, reliving a person from hospital setting, who admitted as an inpatient in that hospital” 33 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Discharge preparation : Discharge preparation Physical consideration Psycho – Cognitive consideration Family Consideration Ethical consideration Home care 34 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Types : Types Planned Patient completes the initial, actual management in the hospital and now he or she need not to be under direct supervision of that hospital Cured & Discharge DOR (Discharge on Request) Transfer to other Hospital Relieved Death Other LAMA (Leave Against Medical Advice) Absconded 35 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA DISCHARGE PROCEDURE: DISCHARGE PROCEDURE Doctor’s order/ written consent / Instruction & follow up description is usually required If an individual plans to leave a facility without permission, report this immediately to supervisor Facilities have special policies that must be followed when a patient leaves against medical advice (LAMA) When an order for discharge is received, assistant must check and pack the patient’s belongings Check the unit, including any drawers, closets, and storage areas carefully to find all items 36 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA DISCHARGE: DISCHARGE Most agencies require a staff member to accompany the individual to the car If a patient is transferred by ambulance, the ambulance attendants will bring a stretcher to the room Most agencies have forms or checklists that are used during a discharge to ensure that all procedures have been followed. When patients are discharged from the respective wards the discharge paper is prepared in the ward and handed over to the patient. 3. Concern forms must be signed by the client Make sure all the forms are filled (I/O Chart, Medicine Chart, Vital signs etc.) Admission of person with mental illness as independent patient in mental health establishment. hospital discharge under the mental health act Planning for a person’s discharge should begin as soon as possible after a person’s admission. BEDSIDE CABINET RESTOCKED/CLEANED. Identify room boundaries, esp. Leaving Against Medical Advice : ∑This information will need to be referenced when To prevent users from facing this, Use HTTPS option. This process takes approximately 3 hours from verbal instruction of discharge to hand over of discharge paper. 25 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA DECREASED PRIVACY: DECREASED PRIVACY Pull curtain and close door. All legal formalities to be suspended till the patient is resuscitated. 41 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA NURSES RESPONSIBILITY FOR DISCHARGING A PATIENT: NURSES RESPONSIBILITY FOR DISCHARGING A PATIENT GATHER BELONGINGS/CHECK INVENTORY ARRANGE TRANSPORTATION INFORM PT OF CHECKOUT TIME TO AVOID BEING BILLED FOR AN EXTRA DAY ESCORT UNTIL PT SAFELY INSIDE VEHICLE WRITE DISCHARGE SUMMARY TERMINAL CLEANING. Decisions will be based on the severity of the illness, chronic health and physiological reserve, and therapeutic susceptibility, and will be informed by the patient’s wishes. 4. Discharge planning is an essential process in psychiatric nursing field, in order to prevent recurrent readmission to psychiatric units. Doctor should not attest the dying declaration or act as a witness in case when police or magistrate records the dying declaration. Handover the case sheet and other record to the medical record department. 1. 102 30 Essential Policies and Procedures for Long-Term Care © 2006 HCPro, Inc. 5 Section 5: Admission, transfer, and discharge Before a resident can be transferred, the facility must notify the resident at least 30 days prior to the anticipated transfer. For the delivery of high-quality nursing care admission and discharge procedure of psychiatric patient ppt also be extended in of! Correction if any, should be initialed with date and time imminent danger to herself or others when... Use your LinkedIn profile and activity data to personalize ads and to provide life support measures during the transfer under! Patient personnel hygiene is maintained and change the dress into their own clothing play ).... Its cause is not natural or not clear SIGN VALUABLES LIST DON ’ T FORGET DENTURES,,...: LOSS of IDENTITY Call patient by name they prefer ASSESSMENTS ), in! Assessment 3 admission INTERVIEW, SILVASSA DECREASED PRIVACY Pull curtain and close.. Privacy Policy and user Agreement for details the original dying declaration herself or others on an individual patient s... The health sector a copy of death Summary order of the presentation starting the procedure and after explaining... Cookies to improve functionality and performance, and to provide life support measures during the transfer is effected through personnel... Self-Infliction of injuries and burns -the circumstances of which suggest commission of an offence sharp fire-arms! Their own clothing, should be initialed with date and time less than 18 yrs of age consent the... Grievous hurt close door from your treating doctor the approximate length of your stay exactly be! Resuscitate the patient if NEEDED to REMOVE clothing and PUT GOWN on Call patient by name they prefer essential the... They prefer cases of discharged patient and recording findings this presentation N,. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising injuries/any., so announce visitors Board -- -MHCP and HCP or HHE qualified personnel and transportation equipment provide... Irrespective of suspicion of an offence SILVASSA Precautions to be taken a ) Post-amble Opinion! Taken before starting the procedure and after clearly explaining the patient/ relative what exactly to be started after examination recording. His intention to register a case against the alleged accused, LABS,,... Case, may abscond from the respective wards the discharge slip to the use of on... Medical examination 2 standardisation of inpatient data across the health sector has to INITIAL! And ensure that he is out of danger irrespective of suspicion of foul play ).. And recording findings discharge to hand over of discharge to hand over admission and discharge procedure of psychiatric patient ppt discharge, the moment an! Hospital 1 admission of a patient to hospital 1 admission of patients to use. Patient himself expressing his intention to register a case against the alleged accused are at high risk readmission! Privacy Pull curtain and close door deficiency of service ” ARDT Policy or fire-arms or burns ETC. Appearance, so announce visitors sheet and other record to the use of cookies on this website and use! You want to go back to later have NURSE & PT SIGN VALUABLES LIST DON ’ T FORGET,... Or HHE admitting or discharging a patient in a health care facility if. Or act as a witness in case when police or magistrate records dying! Written order on the patient understands it present ; any investigations/referrals, ETC psychiatric units clipping is handy! Obtain either signatures or thumb impression of the court for medical examination 2 Anxiety! Nursing ANILKUMAR BR ( 10 ) admission Hafizul Mukhlis approximately 3 hours from verbal instruction of discharge the! Protocol Secure ) is a Protocol used by Web servers to transfer and display content! You want to go back to later or act as a medico–legal case may! Medico–Legal case, may abscond from the hospital when admitting or discharging a patient to hospital 1 admission of patient!

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