ADMISSION OF CLIENT TO

HOSPITAL
NAVREET KAUR
SAINI
OBJECTIVES
•Admission- types
•Admission procedure
•Preparation of unit
•Transfer procedure
•Role of nurse
ADMISSION :
It means allowing a client to stay in the
hospital for observation, investigations
and treatment of disease he is suffering
from.
TYPES OF ADMISSION
1. Emergency Admission : Clients are
admitted in acute conditions requiring
immediate treatment.
Ex: Client with heart attack, accidents,
poisoning etc
2. Routine Admission : Clients are
admitted for investigations and planned
treatments and surgeries.
Ex: Client with hypertension, diabetes,
bronchitis etc
3. Transfer from one ward to another
ADMISSION PROCEDURE
a) O.P.D (Out patient department)
1. Receiving the client : The personnel in
admitting department should greet and
make patient feel comfortable.
• In emergency condition no time should
be waste to initiate the treatment.
• The manner in which doctor or nurse
receive the client is most important aspect
of reception.
2. Recording of Social and
Medical data: Clerk in record
section records data essential
for identification of client.
Social data: name, age, sex,
education, address,
occupation, religion, income,
marital status, telephone no.
etc.
Medical data: Diagnosis,
provisional diagnosis,
duration of illness, name of
3. Medical Examination : A
detailed social and medical
history of the client is taken
by physician and recorded.
Patient’s temperature, BP,
Pulse, respiration etc are
recorded.
• The necessary
investigations such as x-
ray, lab test are done to
diagnose the disease and
prescribe treatment.
 b) I.P.D (Inpatient department):The clients who
are suffering from mild ailments are sent
home with necessary treatment. Others are
admitted to hospital for further investigations
and treatment.
1) Transporting the client from O.PD to I.P.D
•Clients who are not very ill and are allowed to
walk are escorted to ward by a nurse or
attendant.
•Wheel chairs should be available for those
who are too sick, weak , not able to walk.
•Clients who are bought to hospital on
ambulance should be carried to their
 2. Reception of the client by ward sister
•The ward sister or the nurse admitting the
client should introduce herself and greet
the client and his relatives with
friendliness. Her behavior should be such
that she gains the confidence and
cooperation of the client.
•If the client is very sick she should put
him on bed immediately.
•The client who is not very ill is allowed to
move about and can be taken to a round
• Introduce the other clients to him and
vice versa and also with nursing personnel
in the ward.
•Orient the client to whole ward, duty
room, toilet rooms and unit prepared for
the client.
•Explain hospital policies, procedures,
routines to the client and relatives.
•Explain to client the time for meal
servings, doctor’s visit, visiting time,
prayer hours.
•Make arrangements for paying hospital
•3. Preliminary Observation of client: The
first few moments with client , facial
expressions will denote his emotional
reactions and presence of pain, fatigue.
•Any discoloration of skin such as
jaundice, cyanosis, facial paralysis should
be noted. Further observations can be
made while giving care to the client.
4. Helping the client to occupy his bed: A
closed bed is converted to open bed on
admission of client.
• His temperature, pulse and
respirations are recorded at the
time of admission and later on at
regular intervals.
•Check the doctor’s orders that
are to be carried out
immediately.
•Record in the inpatient chart,
date and time of admission,
condition of patient and
observations made on the client.
•Give time to patient to change
his dress with hospital dress.
Give assistance if client is not
•If the client have to bath on admission ,
bathroom should be given.
•Bed bath should be given to a client not fit for
bathroom bath.
•Bed bath gives opportunity to the nurse to
examine client carefully.
•Never leave a seriously ill client alone in the
private room without any help.
•If any tests are ordered by doctor, the nurse
must make arrangements to carry out.
•Carry out other procedures prescribed by
doctor, if any.
 5. Care of valuables and clothing :
• If patient is wearing hospital dress,
patient’s clothing should be handed over
to relatives.
•In case of absence of relatives, clothing is
numbered, labelled and kept in store until
such time it is handed over to relatives.
•Encourage the client to send jewellery,
money and other valuables such as watch
to home with relatives. Make him
understand if he keeps something with
himself, it is on his own risk.
PREPARATION OF UNIT
Charts

Preparation of Equipment: doctors orders

general history sheet
• Patient Bed
nurses record
• Linen, Sheets
TPR chart (temperature,
• Patient Locker pulse, respiration chart)
• Patient Chart progress record
• Adequate light, clock, intake output record
ventilation. Investigation record
• Wheelchair/Stretcher  operation record
Discharge sheet
TRANSFER OF PATIENT FROM
ONE WARD TO ANOTHER
•The doctor in-charge will write the transfer order
in the client’s chart
•The sister in charge should inform the sister in-
charge of the new ward
•Clients chart should be completed and made up
to date
•The clients record with x’rays , ECG, lab reports
and the medicine cards should be sent with the
patient
•The belongings of the patient should be checked
and handed over to the sister
TRANSFER OF PATIENT FROM
ONE WARD TO ANOTHER
•The client and his relatives should be told
about the purpose of the transfer to prevent
anxiety
•The client should be introduced to the sister
in -charge of the new ward and vice versa
•Arrangement for the diet should be made with
the dietician
•The procedure in the new ward will be similar
to the admission procedure
 ROLE OF NURSE IN
ADMISSION
oArrange patient’s unit.
oGreet the patient and orient to
ward, other patients, patient’s
room, equipments.
oTell rules and regulations to
patient.
oComplete patient’s admission
charts.
oTake temperature, blood
pressure, respiration, pulse of
ROLE OF NURSE IN
ADMISSION
oCarry on required investigations.
oFollow physician orders, administer
prescribed medicine.
oEnquire from patient if he is allergic
to any medicines, apply allergy band
and inform to physician
oGive instructions to patient to take
care of belongings and valuables.
SUMMARY
•Admission- types
•Admission procedure
•Preparation of unit
•Transfer procedure
•Role of nurse