Registration and admission of patient to hospital

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2018-03-24 13:13:22

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In most cases, the patient's condition requires hospital treatment. Admitting the patient to the hospital is through one of the most important medical diagnostic structural divisions LPU - er. Qualifications and training of medical staff working here are directly displayed on the health and sometimes the life of the patient.

In the emergency Department begins service and first aid to the patient: check the patient, primary inspection, anthropometry, sanitation, provision of emergency assistance in urgent conditions.

patient in hospital

Informing applicants in hospitals

Reception and registration of patients admitted to hospital, has a clear documented justification which can be found in the case of admissions. The scientific material for the medical staff and awareness of relatives of patients within a specially crafted news angles.

For patients and their families:

  • The scoreboard with a neon sign saying "emergency Department" over the entrance;
  • Hours of planned admission patients;
  • The announcement of time visiting hospital patients, the issuance of certificates of health professionals, number and hours of operation reference service;
  • Internal regulations of MPI;
  • The list of products allowed for transmission;
  • Marking of areas of the receiving Department;
  • A copy of the document confirming the right of enterprises to engage in medical practice;
  • Everyone admitted to hospital is given a note which outlines the main requirements and rules of the hospital.

Information for staff employees

For medical officers area filled with specialized documents, orders and instructions used in daily work:

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  • Instruction, execution of which is necessary in identifying serious infection;
  • Table of poisons and their antidotes;
  • The algorithms of emergency care for a variety of urgent conditions;
  • Folder with laws and regulations for work in the emergency Department;
  • The duty roster of doctors of the hospital's departments;
  • Evacuation plan in case of fire or emergency.

Admissions

Admitting the patient to hospital, the documentation - not all of the functions conferred upon medical staff. Among the main functions of the receiving offices of the following:

  • Registration of patients, entering treatment in the Department of hospitals;
  • Primary inspection duty specialist;
  • Emergency care;
  • The definition of the diagnosis unit, which receives the patient;
  • Carrying out sanitary treatment of patients;
  • Completing relevant documentation;
  • Transportation to the Department or operating unit (optional);
  • The provision of reference services.

admission of the patient to the hospital algorithm

How does the receiving office

Construction of offices and premises offices depends on the profile of the medical institution. Admitting the patient to the hospital, the algorithm of which is quite extensive, begins with the fact that the patient is in the waiting room. This room, where the waiting relatives of patients and patients themselves who do not need bed rest.

Hall is equipped with table and required number of chairs to create comfort. On the walls equipped with information angles, including rules and instructions for patients and their relatives.

Reception and registration of patient in a hospital requires the registration Desk - spaces, which issued the necessary accompanying documentation:

  • A log of patients who are admitted for inpatient treatment;
  • Alphabetical book used for the provision of reference services;
  • The log for the commit failure hospitalization;
  • Expert advice;
  • Log inspection for head lice;
  • Log the movement of patients in the hospital.

Next is an examination room in which doctors perform the initial examination of patients. Clarifies the need for diagnostic and sanitary measures. Then is a sanitary inspection room equipped with a bathroom and a dressing room.

Admitting the patient to hospital requires the availability of diagnostic facilities for admission of persons with unknown diagnosis. Here the patient lies until then, until it is determined the ward for further treatment. These offices are in the large institutions. To properly diagnose the help of the experts provide laboratory, ECG room, endoscopy, x-ray. These structural units must be on-site admissions or close to it. For patients with suspected infectious disease it is also an insulator.

the algorithm of a patient in a hospital

The responsibilities of the medical staff of reception-diagnostic unit included providing emergency assistance to persons in need of further hospitalization. All the means must be equipped with a dressing room, a small operating room and a facial room.

Also in the admissions Department includes the office of the chief doctor of medical institutions, the head of the room where the clothes of incoming and powder room.

The Wayadmission

The Implementation of a patient in a hospital is carried out after its immediate transportation to the Department of admissions. There are four principal ways of admission:

  1. Ambulance can collect a patient from home or on the street. This occurs in cases of trauma, acute illness or exacerbation of chronic diseases, poisoning, the onset of early labor.
  2. In the case of lack of efficacy of outpatient treatment in a doctor writes a referral for inpatient treatment. Such a document can make medical-rehabilitation expert Commission or the military.
  3. If necessary, specialized assistance or temporary closure of the hospital maternity patient in agreement with the administration being transferred to other hospitals.
  4. In the event of a sharp deterioration of the state may apply independently to the nearest hospital.

Depending on the condition of the patient and timing of admission to health care facility admitting the patient to hospital may be planned or emergency.

Medical treatment in the emergency room

The examination, the doctor determines the need for sanitization and its form, given the General state of the patient. The treatment is performed, the average and younger medical personnel in the room sanitary inspection room. Inspect the head and the pubic area to determine the causative agents of pediculosis. Upon detection of lice or their nits is protivopedikuleznoe treatment with special drugs. Accompanied by filling the documents.

rules of admission of the patient to the hospital

Distinguish the complete and partial treatment of the patient. The full scope of activities includes bathing. The duration of the bath about 20 minutes. A partial form is used for bedridden and critically ill patients, the use of rubbing and washing. If necessary, cut hair, nails, shaving is performed.

The Medical staff are in control of the optimal conditions of the procedure, absence of draughts, the observance of sanitary-epidemiological measures, including the timely processing bath and shower.

Protivopedikuleznoe processing

Admitting the patient to the hospital, the algorithm of which includes the examination, treatment against lice, requires registration of every case of head lice in "the Journal of infectious diseases". In the sanitary-epidemiological service and the clinic at the place of residence passed the extra written notice.

Before handling an infected healthcare worker puts on protective clothing: a scarf, an extra Bathrobe, apron, goggles. The patient is seated on a chair or couch and covered the shoulders with a diaper or towel. Next is preparing pediculicide ("Nittifor", "Medifax", "Permethrin", "Malathion") which is applied over the entire length of hair.

The Head tie a scarf and kept the exposure time in accordance with the instructions for use of the drug. After some time wash the hair using shampoo and rinse with vinegar. Then a thorough combing of dead insects and nits thick comb. All the instruments used and the premises disinfected.

reception and registration of patients entering the hospital

Anthropometry

Algorithm of a patient to the hospital involves performing anthropometric measurements:

  • Body mass;
  • Growth;
  • Chest volume.

The Measurement of growth is carried out with the help of stadiometer. The patient becomes back to front, touching her neck, shoulder blades, buttocks and heels. The bar is lowered on the head, fixing the number of inches. Indicators in the temperature record sheet patient.

Definition of body weight carried out using a special medical scales come with weights to indicate indicators up to grams. Is the measurement procedure for the study of physical development entering treatment. A contraindication is a serious condition of the patient, the need for strict bed rest or strong excitement.

Transporting patients to the Department or operating unit

The Way to carry or transfer the patient to the office, where he will continue treatment determined by the doctor who conducted the initial examination. Patients who can move independently and do not have contraindications, take to the office, accompanied by nurses. Those who can not move independently or have contraindications, are transported in a recumbent (on a stretcher, a gurney supine) or sitting (in a wheelchair).

The Rules of admission of the patient to the hospital, if it belongs to the category "non-transportable" include the provision of first aid in the emergency room, and then the patient is transferred to the Department of resuscitation and intensive therapy.

reception and registration of patient in hospital

Features of transportation in individual cases

Algorithm of a patient in the hospital with a skull fracture includes transportation as follows: the patient is placed on the back, and the head end of the stretcher is lowered without using a pillow. Around her head lay a moderately deflated a circle or roll of clothing.

Fracture of the spine requires placing the victim on a hard bed on your back, when using a conventional stretcher on your stomach to headdown.

Fracture or dislocation of upper extremity requires tilting the body to the healthy side. Hand tire privinchivayut to the chest, when moving support. When a broken leg the injured limb is placed on a raised platform of cushions or folded blankets.

Broken ribs - patient in polusidya position to ease the breathing process, and the fracture of the pelvis, the patient laid on his back, legs bent at the knees, under which are placed the rollers, blanket, and pillow.

Wound to the chest requires placing the patient on the wounded side or back in polusidya position. In wounds of the abdomen the patient lies on the back with padded cushions under the knees to relax the abdominal muscles.

The presence of hemorrhage in the brain of the victim laid on his back, a head turn to the side to avoid the aspiration of vomit.

Admission of the patient to the infectious diseases hospital

The Hospital having a narrow focus on infectious diseases differ from other health care facilities. Their admissions departments have the structure of boxes within which the admission of the patient to the hospital in accordance with strict sorting. The patient comes in a separate box where all necessary measures:

  • Medical examination;
  • Nursing tests
  • Sanitized;
  • Documentation;
  • Conducting diagnostic and laboratory examinations.

admission of the patient to the infectious diseases hospital

Then ill spend the necessary Department, controlling, so there was no contact with other patients, and used Boxing to be disinfected.

Sanitary-and-epidemiologic mode

The Main provisions of sanitary-epidemiological regime, the admissions are an important part of the hospital and include the following items:

  • Mandatory sanitary treatment of patients;
  • Making emergency notifications to the sanitary-epidemiological service about the discovery of head lice, infectious diseases, intestinal poisoning;
  • Previous, current and final disinfection of objects of use and areas of admissions;
  • Strict observance of instructions and orders for work with patients.

Conclusion

The article considers the reception and registration of patients in the hospital, documentation of admissions, features of transportation, examination and sanitary treatment of patients. Well-coordinated and timely work of the medical admissions allows you to organize quick relief and to minimize the risk of fatalities.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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