HOSPITAL ADMISSION AND DISCHARGE
                     HOSPITAL 
ADMISSION AND 
DISCHARGE
Preparation of 
Admitting Patient
Entrance of a patient into the ward or 
unit for evaluation or treatment is 
called admission.
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Perform Admission 
Procedure
1. At the time of admission, the 
registered nurse perform complete 
assessment of the patient.
2. Enter patient name, date and time of 
admission, chief complains, medical 
diagnosis in the admission file or 
patient file.
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Perform Admission 
Procedure Cont.
1. Document - the source of information 
(family, patient, care giver or health 
care person or significant person).
2. Check the document if patient has 
previous hospitalization and past 
major illness.
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Perform Admission 
Procedure Cont.
1. Indicate if the patient was admitted 
from emergency room, home, clinic 
and accompanied by whom.
2. Take patient vital signs (pulse, 
temperature, respiratory rate, height 
and weight).
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Emergency 
Admission
1. The patient is admitted on emergency 
basis for critical care monitoring. E.g. 
poisoning, heart attack, accidents etc.
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Purpose
1. Prepare the patient both physically 
and mentally for his stay in the 
hospital.
2. To help the patient to be comfortable 
and to provide him with a clear and 
safe environment for preventing 
infection.
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Routine Admission
1. Admission of a patient is planned and 
gets admitted in the hospital on 
routine basis for treatment, diagnostic 
test and recovery. E.g. fever, fracture, 
diabetes, hypertension, bronchitis etc.
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Transfer In (within 
the hospital) :
Referral to another department within 
the hospital. When the patient has to be 
shifted from medical to surgical 
department, the patient is discharged 
and readmitted. The procedure is the 
same as for “discharging the patient” 
and “admitting the patient”.
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Discharge
It is the preparation of the patient and 
discharge records to leave the hospital.
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Types of Discharge
1. cured and discharged.
2. Discharged against medical advice 
(DAMA).
3. Discharged on request.
4. Absconded.
5. Transferred to other hospital.
6. Death.
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