Admission
Admission to the nursing unit prepares the patient for his stay in the health care facility. Whether the admission is scheduled or follows emergency treatment, effective admission procedures should accomplish the following goals: verify the patient's identity and assess his clinical status, make him as comfortable as possible, introduce him to his roommates and the staff, orient him to the environment and routine, and provide supplies and special equipment needed for daily care.
Because admission procedures can color the patient's perception of the environment, they have a significant impact on subsequent treatment. Admission routines that are efficient and show appropriate concern for the patient can ease his anxiety and promote cooperation and receptivity to treatment. Conversely, admission routines that the patient perceives as careless or excessively impersonal can heighten anxiety, reduce cooperation, impair his response to treatment, and perhaps aggravate symptoms.
Equipment
Gown • personal property form • valuables envelope • admission form • nursing assessment form, if appropriate • thermometer • emesis basin • bedpan or urinal • bath basin • water pitcher, cup, and tray • urine specimen container, if needed.
An admission pack usually contains soap, comb, toothbrush, toothpaste, mouthwash, water pitcher, cup, tray, lotion, facial tissues, and thermometer. Because the patient's pack is included in his bill, he can take it home with him. An admission pack helps prevent cross-contamination and increases nursing efficiency.
Preparation of equipment
Obtain a gown and an admission pack.
Position the bed as the patient's condition requires. If the patient is ambulatory, place the bed in the low position; if he's arriving on a stretcher, place the bed in the high position. Fold down the top linens.
Prepare any emergency or special equipment, such as oxygen or suction, as needed.
Implementation
  • Adjust the room lights, temperature, and ventilation.
  • Make sure all equipment is in working order prior to the patient's admission.