Admission and Discharge Procedure of Sick Children

Subject: Child Health Nursing

Overview

Hospital admission is one of the stressful events for every child. The preparation that children require during the day of admission depends on pre-hospital counseling.Admission procedure includes introducing primary nurse to child and family, orient child and family to inpatient facilities, especially to assigned room and unit in the following area: room, call light, bed controls, bathroom, play room, desk, etc. and introduce family and child to roommate and his/her parents.And also apply identification band to baby’s hand or bed and also explain hospital rules and regulations such as visiting time and give written information if possible. Likewise, for discharge procedure there are common steps are their like; assessment, planning, transitional care, evaluation and continuing support.Preparation for discharge from hospital and home care begins during the admission assessment with the establishment of short and long-term goals.

Hospital admission is one of the most stressful events for every child. The preparation that children require during the day of admission depends on pre-hospital counseling.

Admission procedure

  •  Introduce the primary nurse to the child and family.
  •  Orient child and family to inpatient facilities, especially to assigned rooms and units in the following area: room, call light, bed controls, bathroplayroomroom, desk, etc.
  • Introduce family and child to roommate and his/her parents.
  •  Apply the identification band to the baby’s hand or bed.
  • Explain hospital rules and regulations such as visiting time and give written information if possible.
  • Perform nursing admission history that should include health perception-health management pattern:
  • Nutrition
  • Elimination pattern
  • Sleep-rest pattern
  • Activity-exercise
  • Cognitive-perceptual eg: what is the child’s grade in the school?
  • Self-perception
  • Sexuality and reproductive pattern
  • Coping mechanism and pattern
    • Take vital signs including height and weight measurement.
    •  Obtain specimens as needed and order required laboratory studies.
    • Support a child and perform or assist the practitioner with a physical examination.

Discharge procedure for sick children

Preparation for discharge from the hospital and home care begins during the admission assessment with the establishment of short and long-term goals. Common steps involve in the discharge procedure:

Assessment

These include discharge planning for home care must begin with an assessment of the family's desire and capability in assuming care responsibilities. It is necessary to ensure that appropriate support agencies are available such as emergency facilities, home health agencies, etc in the community.

Planning

Planning includes a teaching plan that should incorporate a level of learning, observing, participating with assistance, and acting without support. All families should receive detailed written instructions about home care before they leave the hospital including telephone numbers.

Transitional care

This is an important step in discharge for a sick child which provide a safe practice period for the family with assistance readily available when needed and are especially valuable when the family lives far from the hospital after discharge. In this case, a family should have a transition or trial period to assume care with minimum supervision.

Evaluation and continuing support

It is needed for subsequent hospitalization, the progress of children, follow-up visit, effects of home care on the family, use of resources by the family and home care team, and financial costs and savings.

 

 
Things to remember
  • Hospital admission is one of the stressful events for every child. The preparation that children require during the day of admission depends on pre-hospital counseling.
  • Admission procedure includes introducing primary nurse to child and family, orient child and family to inpatient facilities, especially to assigned room and unit in the following area: room, call light, bed controls, bathroom, play room, desk, etc. and introduce family and child to roommate and his/her parents.
  • Preparation for discharge from hospital and home care begins during the admission assessment with the establishment of short and long-term goals.
  • Common steps involve in discharge procedure: assessment, planning, transitional care, evaluation and continuing support.
Questions and Answers

Admission procedure

  • Introduce the child's primary nurse to the family.
  • Introduce the kid and family to the inpatient facilities, paying particular attention to the allocated room and unit's room, call light, bed controls, bathroom, playroom, desk, etc.
  • Introduce your roommate's family and your child to theirs.
  • Put an identification bracelet on the child's hand or crib.
  • Give written information and explain hospital policies, such as visiting hours, in detail.
  • Perform a health perception-health management pattern nurse admission history:
    • Nutrition
    • Elimination pattern
    • Sleep-rest pattern
    • Activity-exercise
    • Cognitive-perceptual 
    • Self-perception
    • Sexuality and reproductive pattern
    • Coping mechanism and pattern
  • Measure your vital indicators, such as your height and weight.
  • Obtain samples as necessary, then request the necessary laboratory tests.
  • Support the child while performing or helping the doctor with a physical exam.

Discharge procedure for sick children

Setting short and long-term goals during the admission assessment is the first step in preparing for hospital and home care discharge. Typical steps in the discharge process include:

  • Assessment:
    • These include the need that discharge planning for home care start with an evaluation of the family's willingness and capacity to take on caregiving obligations. It is essential to guarantee that the community has access to the necessary support organizations, such as emergency facilities, home health agencies, etc.
  • Planning:
    • Planning involves creating a lesson plan that should contain elements of learning, observing, engaging with help, and acting independently. Before they leave the hospital, all families should receive thorough written instructions for home care that include contact information.
  • Transitional care:
    • This is a crucial phase in the discharge of a sick kid because it gives the family a safe practice time during which help is accessible when needed. This is especially helpful if the family will be living far from the hospital following discharge. A family should be given a transitional or trial time to take over care with the least amount of supervision in this situation.
  • Evaluation and continuing support:
    • It is required for following hospitalization, child development, follow-up visits, family effects of home care, family and home care team resource use, and financial expenses and savings.

 

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