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Admission Procedures

 
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Dołączył: 13 Lis 2010
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PostWysłany: Pon 6:15, 29 Lis 2010    Temat postu: Admission Procedures

The procedures you follow on admission to a hospital vary from one
hospital to another, but basically the process is the same in most
institutions in the United States.







Admission Procedures
You will most probably be admitted into a short-term hospital,
which is a hospital that seldom has patients for longer than a month,Ultra Tall ugg boots,
and usually for 3 to 10 days. Long-term hospitals treat patients with
psychiatric problems or long-lasting physical illnesses.
The hospital will probably be a general hospital, that is, one
that deals with a complete range of treatment. However, some patients
require care in a special hospital, for example, a pediatric hospital,
if the patient is a child, or a maternity hospital, if a woman is
having a baby. Your physician will recommend the most appropriate kind
of hospital for your particular condition.
Elective Admission is admission to a hospital after at least one
day of planning before the actual date of entry. Many such admissions
are for surgery. Others are for tests that cannot be performed on an
outpatient basis. Medical conditions that require an elective admission
are less common, but if a hospital is full and the condition is not an
emergency, a patient may remain at home for a day or two until a bed
becomes available.
The admissions office is usually located in the main lobby near
the information desk. When you arrive at the desk, there are a number
of questions that the admissions office clerk will ask. Your name,
address, and date of birth are required, and you will probably be asked
to 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 of
kin or another responsible party in case an emergency develops during
your stay in the hospital. Many hospitals want to know your religion
because some religious groups place restrictions on what procedures may
be done, and it is important that the hospital knows this in advance.
For example, some sects do not allow the use of blood transfusions, and
the hospital would be liable if one were given without the patient's
consent.
The clerk must know the details of your insurance coverage, and
you should take any necessary identifying information with you. Your
Social Security number will be required.
During the interview, the clerk may or may not ask for your
family physician's name. If you are being admitted under his or her
care, the question is unnecessary because your physician will have
already been identified when the admissions office was notified of your
arrival. If, however, your physician has referred you to another
physician or surgeon for inpatient care, then make sure that your
physician's name is also on your chart.
Once the clerical part of the work is complete, you will have
some tests done. In some hospitals, a technician waits close to the
admissions office, and in others you are escorted to the laboratory for
the tests. If you have been admitted for surgery, the operation will
usually be done the following day. It is important that preoperative
test results be available as soon as possible, because they may affect
the decision to operate. If you are found to be anemic, you may need a
transfusion before surgery. Your blood group must be identified before
any operation, so that blood can be standing by for transfusion if any
is needed during surgery. Your blood is cross-matched to make sure that
it reacts favorably with blood of the same group, and its clotting
ability is also tested. Most surgeons like the patient to have a
routine electrocardiogram and chest X ray done before surgery, and
these are also carried out before you reach your hospital room.
You are usually escorted to your room by a hospital patient
escort,Roxy Tall ugg boots sale, often a volunteer. Before leaving the main lobby, you may be
asked to hand over any valuables or money you brought in with you for
storage in the hospital safe. It is advisable to have only a few
dollars in your room.
Shortly after your arrival in your room, a member of the nursing
staff greets you,UGG Classic Cardy boots, explains the facilities, and shows you how to use the
nurse call system. You are then asked to change out of your street
clothes into pajamas or a nightgown, or the hospital may provide a
hospital gown.
If you still have valuables and money in your possession, you
can hand them to the nurse, who will place them in an envelope and give
them to a security guard for storage in the hospital safe. A receipt
for the valuables will be attached to your chart.
Once you are in bed, a nurse will take your temperature, check
your pulse and blood pressure, and record your weight. The wristband
will be checked to make sure that the name is correct. It is fixed with
a permanent clasp, and you must not cut the band off until you leave
the hospital.
The ward clerk will check your signature on the admitting forms
and see what tests and treatments have been ordered by looking at your
chart. The clerk will give you the hospital information booklet and
personal toilet kit. If you have any questions, do ask.
A nurse will then ask you a number of questions about your
health and the reasons for coming into the hospital. He or she will
want to know general health points, such as how regular your bowel
movements are. He or she will also need to know if you are taking any
other kind of medicines. If you have these with you, the nurse will
take them and place them in a locked closet to make sure that all the
medicines you take during your stay in the hospital come from one
source and are carefully recorded.
If you have been taking contraceptive pills, you may need to
stop dosage before surgery. The contraceptive pill can increase the
chance of postoperative blood clotting in the veins of the legs, but
many women do not regard the pills as drugs, possibly because they are
not treating an illness. If you are taking contraceptive pills, always
inform your doctor and the hospital staff. You may be advised that for
your condition the birth control pills are not contraindicated, and you
may then continue to take them while in the hospital.
You must also tell the nurse if you are allergic to any sort of
medication or adhesive dressing. If you are, it should be recorded not
only on the nursing notes, but also on the front of your chart and on
your treatment card. The medications for all the patients on the floor
are kept on a medicine cart with treatment cards for each patient. The
nurse will take the cart around the floor regularly and record each
medication and dosage.
The process of elective admission is now complete. On a busy day
it may take several hours from the time you arrive at the hospital door
to the time when you are finally settled down in your hospital bed.
Emergency Admission. Although the majority of hospital
admissions are elective, you may be admitted to a hospital following an
accident or for some other serious emergency. When you arrive at the
emergency room, the clerk on duty needs information similar to that of
the admissions clerk. He or she must know your name, address, insurance
details, and major injury or complaint. The clerk is trained to
recognize potentially dangerous symptoms.
Once the clerk has seen you, a registered nurse (RN) examines
you to see if you need urgent treatment. If the nature of your injury
is not life-threatening, you may have to wait for some time in an
emergency room because the staff is dealing with other patients.
However distressing the wait may be, a patient's health is in far less
danger if he or she is in the emergency room. Should something
life-threatening happen, such as a cardiac arrest, then the patient is
only seconds away from a team of experienced physicians and nurses and
specialized equipment.
If you are brought to the emergency room following an accident
and are subsequently admitted to the hospital, remember to ask a friend
or relative to bring in a clean set of clothing before you are
discharged. You must remember that the hospital cannot clean the
clothes you wore on admission.


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