Hospitalization,Admission,Proc health Hospitalization - Admission Procedures


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Admission ProceduresYou will most probably be admitted into a short-term hospital,which is a hospital that seldom has patients for longer than a month,and usually for 3 to 10 days. Long-term hospitals treat patients withpsychiatric problems or long-lasting physical illnesses.The hospital will probably be a general hospital, that is, onethat deals with a complete range of treatment. However, some patientsrequire care in a special hospital, for example, a pediatric hospital,if the patient is a child, or a maternity hospital, if a woman ishaving a baby. Your physician will recommend the most appropriate kindof hospital for your particular condition.Elective Admission is admission to a hospital after at least oneday of planning before the actual date of entry. Many such admissionsare for surgery. Others are for tests that cannot be performed on anoutpatient basis. Medical conditions that require an elective admissionare less common, but if a hospital is full and the condition is not anemergency, a patient may remain at home for a day or two until a bedbecomes available.The admissions office is usually located in the main lobby nearthe information desk. When you arrive at the desk, there are a numberof questions that the admissions office clerk will ask. Your name,address, and date of birth are required, and you will probably be askedto give your employer's telephone number as well as your home number.The clerk will also need to know the name and address of your next ofkin or another responsible party in case an emergency develops duringyour stay in the hospital. Many hospitals want to know your religionbecause some religious groups place restrictions on what procedures maybe done, and it is important that the hospital knows this in advance.For example, some sects do not allow the use of blood transfusions, andthe hospital would be liable if one were given without the patient'sconsent.The clerk must know the details of your insurance coverage, andyou should take any necessary identifying information with you. YourSocial Security number will be required.During the interview, the clerk may or may not ask for yourfamily physician's name. If you are being admitted under his or hercare, the question is unnecessary because your physician will havealready been identified when the admissions office was notified of yourarrival. If, however, your physician has referred you to anotherphysician or surgeon for inpatient care, then make sure that yourphysician's name is also on your chart.Once the clerical part of the work is complete, you will havesome tests done. In some hospitals, a technician waits close to theadmissions office, and in others you are escorted to the laboratory forthe tests. If you have been admitted for surgery, the operation willusually be done the following day. It is important that preoperativetest results be available as soon as possible, because they may affectthe decision to operate. If you are found to be anemic, you may need atransfusion before surgery. Your blood group must be identified beforeany operation, so that blood can be standing by for transfusion if anyis needed during surgery. Your blood is cross-matched to make sure thatit reacts favorably with blood of the same group, and its clottingability is also tested. Most surgeons like the patient to have aroutine electrocardiogram and chest X ray done before surgery, andthese are also carried out before you reach your hospital room.You are usually escorted to your room by a hospital patientescort, often a volunteer. Before leaving the main lobby, you may beasked to hand over any valuables or money you brought in with you forstorage in the hospital safe. It is advisable to have only a fewdollars in your room.Shortly after your arrival in your room, a member of the nursingstaff greets you, explains the facilities, and shows you how to use thenurse call system. You are then asked to change out of your streetclothes into pajamas or a nightgown, or the hospital may provide ahospital gown.If you still have valuables and money in your possession, youcan hand them to the nurse, who will place them in an envelope and givethem to a security guard for storage in the hospital safe. A receiptfor the valuables will be attached to your chart.Once you are in bed, a nurse will take your temperature, checkyour pulse and blood pressure, and record your weight. The wristbandwill be checked to make sure that the name is correct. It is fixed witha permanent clasp, and you must not cut the band off until you leavethe hospital.The ward clerk will check your signature on the admitting formsand see what tests and treatments have been ordered by looking at yourchart. The clerk will give you the hospital information booklet andpersonal toilet kit. If you have any questions, do ask.A nurse will then ask you a number of questions about yourhealth and the reasons for coming into the hospital. He or she willwant to know general health points, such as how regular your bowelmovements are. He or she will also need to know if you are taking anyother kind of medicines. If you have these with you, the nurse willtake them and place them in a locked closet to make sure that all themedicines you take during your stay in the hospital come from onesource and are carefully recorded.If you have been taking contraceptive pills, you may need tostop dosage before surgery. The contraceptive pill can increase thechance of postoperative blood clotting in the veins of the legs, butmany women do not regard the pills as drugs, possibly because they arenot treating an illness. If you are taking contraceptive pills, alwaysinform your doctor and the hospital staff. You may be advised that foryour condition the birth control pills are not contraindicated, and youmay then continue to take them while in the hospital.You must also tell the nurse if you are allergic to any sort ofmedication or adhesive dressing. If you are, it should be recorded notonly on the nursing notes, but also on the front of your chart and onyour treatment card. The medications for all the patients on the floorare kept on a medicine cart with treatment cards for each patient. Thenurse will take the cart around the floor regularly and record eachmedication and dosage.The process of elective admission is now complete. On a busy dayit may take several hours from the time you arrive at the hospital doorto the time when you are finally settled down in your hospital bed.Emergency Admission. Although the majority of hospitaladmissions are elective, you may be admitted to a hospital following anaccident or for some other serious emergency. When you arrive at theemergency room, the clerk on duty needs information similar to that ofthe admissions clerk. He or she must know your name, address, insurancedetails, and major injury or complaint. The clerk is trained torecognize potentially dangerous symptoms.Once the clerk has seen you, a registered nurse (RN) examinesyou to see if you need urgent treatment. If the nature of your injuryis not life-threatening, you may have to wait for some time in anemergency room because the staff is dealing with other patients.However distressing the wait may be, a patient's health is in far lessdanger if he or she is in the emergency room. Should somethinglife-threatening happen, such as a cardiac arrest, then the patient isonly seconds away from a team of experienced physicians and nurses andspecialized equipment.If you are brought to the emergency room following an accidentand are subsequently admitted to the hospital, remember to ask a friendor relative to bring in a clean set of clothing before you aredischarged. You must remember that the hospital cannot clean theclothes you wore on admission. Article Tags: Elective Admission, Admissions Office, Make Sure, Before Surgery, Emergency Room

Hospitalization,Admission,Proc

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