Nursing foundation Unit-iii Hospital Admission and Discharge Bsc nursing 1st year
UNIT-III
HOSPITAL ADMISSION AND DISCHARGE
HOSPITAL
SHORT ANSWERS
1. Expand LAMA
Ans. LAMA: Leave Against Medical Advice.
The patient will leave the hospital against the Doctors advice even though after
explains patient health condition.
Consent for LAMA I am leaving the hospital ward against medical advice. Doctor
explained me about my disease condition and ill effects of discharge against
medical advice. Doctors and Nursing staffs will not be responsible for any ill effects
happening after my departure”.
2. Define abscond
Ans. ABSCOND: Abscond from Hospital
Absconding refers to the departure of patients from hospital wards without
permission. The definition of absconding can vary depending on the length of time
required for an absence to be considered absconding, and on the method of
departure (e.g. leaving a locked ward, leaving the hospital grounds, or failing to
return from day leave). Absconding status is influenced by the patient’s admission,
whether it be voluntary, involuntary, or legally detained. There are significant
implications of absconding for patients, carers and family members.
Absconding: where patients under an involuntary mental health order leave
hospital without permission, can result in patient harm and emotional and
professional implications for nursing staff. Patients absconded early in
admission.
3. Expand MLC
ANS. Medico-legal cases (MLC) are an integral part of medical practice that is
frequently encountered by Medical Officers
Definition:
MLC is defined as “any case of injury or ailment where, the attending doctor after
history taking and clinical examination, considers that investigations by law
enforcement agencies (and also superior military authorities) are warranted to
ascertain circumstances and fix responsibility regarding the said injury or ailment
according to the law”.
4. List down the types of discharge
Ans. Types of Discharge
1. PLANNED DISCHARGE: Patient completes the initial, actual management in
the hospital and now he or she need not to be under direct supervision of that
hospital.’
2. DAMA/LAMA: Discharge/Leave Against Medical Advice
3. TRANSFER: Transfer to other unit or hospital
4. ABSCOND: Abscond from Hospital
5. REFFERAL: Referred for further management
5. What is the meaning of referral?
Ans. Any hospital, including a district hospital, will receive referrals from lower
levels of care. Indeed, referral can be defined as any process in which health care
providers at lower levels of the health system, who lack the skills, the facilities, or
both to manage a given clinical condition, seek the assistance of providers who are
better equipped or specially trained to guide them in managing or to take over
responsibility for a particular episode of a clinical condition in a patient.
The process of directing or redirecting(as a medical case or a patient) to an
appropriate specialist or agency for definitive treatment. 2 : an individual that is
referred.
6.List down any four medico legal issues in admission of a patient ?
Ans.
✓ Attempted suicide
✓ Sexual Offences
✓ Burns and Scalds
✓ Poisoning, Alcohol Intoxication
✓ Cases of trauma with suspicion of foul play
✓ Electrical injuries
✓ Accidents like Road Traffic Accidents
7. Mention any two responsibilities of a nurse in discharge procedure
Ans..
• Planning in the beginning.
• See doctor’s written order
• Teach nursing procedures to be continued at home, get it’s practice done.
• Inform other departments regarding discharge
• Confirm bill paid.
• Check and receive any hospital property.
• Hand over personal belongings.
• Explanations..
• Plan for rehabilitation and follow-up need.
• Arrangement for transport.
8. Enlist medico legal issues in discharge of a patient
ans. Police have to be informed before the said patient leaves the hospital.
• If the patient is not serious and can take care of himself, he may be discharged
on his own request, after taking in writing from him that he has been explained
the possible outcome of such a discharge and that he is going on his own
against medical advice.
• Failure to do so renders the doctor liable for “negligence” and “deficiency of
service”.
• While discharging or referring the patient, care should be taken to see that he
receives the Discharge Card/Referral Letter, complete with the summary of
admission, the treatment given in the hospital and the instructions to the patient
to be followed after discharge. It is always better to inform the police through
the casualty of the hospital where the medico-legal register is usually
maintained and necessary entries can be made in it.
• Whenever a medico-legal case is discharged, the same should be intimated to
the nearest police station at the earliest.
9. Enlist types of referrals?
Ans. They are mainly two types of referral systems
1. Internal referral
2. External referral
Internal referrals indicates transfer of patient in same hospital from one speciality
to another speciality for diagnostic purpose and for treatment
External referral indicates transfer from hospital to other higher centers for
advanced treatment with good skilled staff and high technology equipped
technology.
10. What is planned discharge?
Ans. Planned Discharge: Patient completes the initial, actual management in the
hospital and now he or she need not to be under direct supervision of that hospital.
Patient can go to home with follow up instructions.
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