Admission policy and procedure to Nursing Home



Admission policy and procedure to Nursing Home

Introduction

• When a prospective resident or representative enquires about admission they are given a patients guide that provides comprehensive up-to-date information about the home and the services provided. The information is available in a format and language suitable for their prospective resident or representative.

• The patients guide includes a summary of the statement of purpose, services and facilities provided location of home, name of nurse manager and general staffing arrangement. Current programme of activities are displayed in the home. The views of residents and representatives are discussed at residents/relatives meetings.

• If possible the Nurse Manager or competent home representative visits the patient and assesses them for possible admission. Information can be obtained at this time from relatives, named worker and medical input if possible and any other relevant bodies.

• An agreed plan of care should be established at this stage.

• Should the admission be agreed by the Nurse Manager and approved by the Named Worker the date and time of admission can then be arranged.

• A confirmation letter agreeing at this time the home is able to meet the patient’s needs, but will remain under review throughout their stay.

• The patient or relative will be invited if possible to visit the Home prior to admission this being an opportunity to meet staff and choose their room if a choice is available.

• If the patient is being admitted in emergency circumstances (unplanned or out of hours Mon-Fri) it may not be possible to complete an assessment prior to admission.

• The registered nurse must contact the Nurse Manager to discuss bed availability and accept duration of care. Assess the risk of admitting the individual and satisfy them that they can meet their needs.

• In order to do this the following information should be obtained:

• a baseline needs assessment

• details of medication and any special needs of the individual

• name and contact numbers of GP and next of kin

• relevant information from relatives or main carer

• immediate health and safety risks

• The care plan must be received within two days of admission. This must be dated when received and if not received the date of request documented until the care plan is received.

• If the resident is self referred, the manager advises the resident or the representative to contact the local trusts care management service.

Admission Procedure

• The resident may be brought to the Home by relatives, friends or ambulance. On arrival at the home the nurse on duty welcomes them. The patients named nurse is introduced as is the other members of the team.

• The resident and their relatives are offered tea/coffee or lunch, depending on the time of day and they are given an opportunity to feel at ease and become comfortable and relaxed in their new surroundings.

• The Financial Administrator will provide the resident and or their relative with a “Nursing Home Contract”. This will be fully explained to them and they will be requested to sign this contract, unless they have already done so.

• When clothing and property has been listed the relative and the nurse signs the page in agreement that it is an accurate record.

• If the personal clothing has not been marked it must be done so as soon as possible.

• The residents General Practitioner should be informed that the admission has taken place. If the resident does not have a GP action should be initiated to have one allocated.

• If a relative accompanies the patient on admission the admitting nurse ensure that a full interview with the relative takes place. If no relative is present during the admission process it should be completed as soon as possible. During this time as much as possible should be obtained about the person’s previous lifestyle, habits, likes and dislikes and hobbies. All information should be recorded on file and utilises for planning purposes once they have settled into their environment.

• Should the patient be on drug therapy the “Guidelines for the safe Handling, Administration, Storage and Control of Medicines in Residential and Nursing Homes” will be applied. Medications are entered on the Drug Kardex following verification from the GP.

• Following assessment the patient may be bathed or showered. If this is not appropriate at the time, it is necessary that they be thoroughly checked for any marks, bruises or abrasions that they may have occurred prior to admission. Dressings are checked, and findings noted. Anything untoward should be reported to nurse in senior nurse on duty. It may be necessary to take photographs of any marks, abrasions, etc. but only with the consent of patient or relative.

• An initial care plan should be prepared determining the immediate physical, psychological and social needs this can be within the first 24 hours. This care plan shall be relevant to the individual and evident based. However the total care plan must be completed no later than 11 days following admission. A social history is also required but this can be completed when they have fully settled.

• The nurse on duty at the time of admission should ensure that the staff of the next shift is officially introduced to the new admission before they go off duty.

25thFeb 2013

Pepsi Latta Nurse Manager

Lynne Mellon Deputy Nurse Manager

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