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OPD Admission Process

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131 views10 pages

OPD Admission Process

Uploaded by

serlinamagi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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OPD Admission Process

Prepared by:
Claudine Kier G. Yuzon
DEFINITION
Admission: MRP: Main
refers to the acceptance of a
Responsible Physician
patient to receive care in DMF . A physician with admission
hospital privileges granted by the
Credentials and Privileges
Committee.

Elective admissions Guardian Boarded patients


Emergency admissions Cases where the patient's condition is a person who is, based on relationship Admitted patients, while
is such that a delay in admission or legal appointment, responsible for, physically located in ER
would NOT result in a threat to the and authorized to, make decisions while a waiting for bed
Cases where the patient's regarding medical care and other matters
condition is such that a delay patient's life or well-being. availability.
on behalf of a patient who, for reasons of
in admission would result in Optimally, these admissions should
age or defect in capacity, is incapable of
a threat to the patient's life or be planned in advance to allow for making such decisions for him or herself.
well-being. out-patient pre-admission work up, The most common example of a legal
and to check for bed availability. guardian is the parent of a minor child.
. .
POLICY
 Only physicians with admission privileges granted by the Credentials and Privileges Committee are allowed to
admit patients under their care.
 Admitting a patient through ER should only be performed by a physician from the admitting department after
getting the approval of the MRP.
 In cases of transfer from another hospital, admission is only carried out after agreement of the MRP. The MRP
who accepted the case should make the necessary arrangements to receive the admission.
 Patients shall be admitted under one of the following classifications; emergency admission or elective
admission. Day case surgery admissions follow the same elective admission process and pathway. Patients
received from outside the hospital on basis of a prior arrangement with the admitting physician follow the same
emergency admission process and pathway.
 The classification of an admission as an emergency or an elective admission is determined by the admitting
MRP.
 Medical management and treatment should not be delayed while waiting for a vacancy.
Admission orders (labs, radiological investigations, and medication) should be carried out in ER pending the
availability of a bed.
POLICY
 The admission diagnosis, the reason for admission, and its type (emergency vs. elective)
should be clearly documented in the "Diagnosis and Plan" part of initial the assessment form
SII>>Provider's templates>> Initial assessment form>> Diagnosis and plan)
(Appendix A: Initial Assessment Admission and Discharge Planning Form)
 The MRP decides the area of admission (ward or critical care area), however, the final choice
of specific room or bed placement is at the discretion of the admission office depending on
the patient's age, condition, and bed availability, in coordination with the Nursing Supervisor
of the receiving unit.
 OPD patients who prove to have an emergency condition that needs admission will be
transferred to ER for emergency evaluation and management, followed by the admission to
either a critical care unit or ward.
FLOW CHART FOR OPD ADMISSION
PROCEDURES

“
>The admitting physician should explain to the patient (or guardian) his/her
condition and the need for admission, the management plan, expected outcome,
and the possible complications.
>The admission office employee should verify the patient's eligibility for
admission, get necessary approvals (in insured patients), determine payment
status, and check bed availability. He/She should explain to the patient/ guardian
the expected cost.
>The admission office employee shall request patient/guardian to read and sign
Admission Consent Form
>The admission office and the ER nurse should notify the concerned ward by
phone about the admission, including the diagnosis, bed allocation, and the MRP
name.
>The ER nurse responsible for the case should escort the patient along with the
relevant documents to the receiving unit, and endorse the case to the receiving
nurse. All critical patients should be escorted by an intensivist during transfer to
the concerned unit.
PROCEDURES

“
>ICU, CCU, PICU, NICU, etc.) Once the patient is admitted through the
admission office, he/she becomes the responsibility of the MRP and his/her
admitting team. From that point on, all orders, including labs, imaging studies,
medication, and nursing care instructions should be placed by the admitting team
in the patient's EMR. However, in case of delay of transfer to floor, the ER
nursing team are responsible for carrying the admitting team's orders
>The ER physician is responsible to raise the issue to Medical Director without
delay in cases of dispute between specialties.
PROCEDURES

“
Elective cases:
>Admission is through the OPD admission office, The patient will have in his/her EMR a
document by the MRP or his/her designee explaining the reason for admission and the treatment
plan (YASASII>> Provider's templates>> Initial assessment form>> Diagnosis and plan). An order
for admission by the MRP or his designee should also be available in the patient's EMR.
>Admission order should specify the date of admission, and a provisional diagnosis. The
admission office should inform the MRP of the admission and the room number to which the
patient was admitted.
>consent for surgery or intervention, as per consent policy, obtained by the MRP or his designee
should be also available in the patient's EMR. This consent should be obtained at the time of the
OPD encounter.
>The admission office should notify the concerned ward by phone about the admission, including
the diagnosis, bed allocation, and the MRP name,
>The admission office employee shall request patient/guardian to read and sign Admission
Consent Form.
>The admission office employee then directs the patient to the designated admission unit.
PROCEDURES

“
Day case surgeries
>. Admission is planned in advance, and therefore day case surgeries follow the same processes
and procedures of elective admission. Admission is through the
OPD admission office.

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