What is patient hospital admission. How does elective admission differ from emergency admission. What are the key steps in the admission process. What role do nurses play in ensuring patient comfort and care during hospital admission.

Understanding Patient Hospital Admission: Types and Purposes

Patient hospital admission is a crucial process in healthcare delivery, involving the acceptance and integration of a patient into a medical facility for observation, diagnosis, and treatment. This process can be categorized into two main types: elective and emergency admissions. Each type serves different purposes and follows distinct procedures to ensure optimal patient care.

Elective Admission: Planned and Prepared

Elective admission is a pre-arranged process where healthcare professionals and patients agree on a specific date for hospital entry. This type of admission allows patients to prepare mentally and logistically for their hospital stay. It’s typically used for non-urgent procedures, scheduled surgeries, or treatments that require hospital-based care but are not immediately life-threatening.

Emergency Admission: Urgent and Immediate

In contrast, emergency admission occurs when a patient requires immediate medical attention due to a critical condition. These patients are often brought to the hospital by relatives, friends, or emergency services. The focus in emergency admissions is on rapid assessment and immediate treatment to stabilize the patient’s condition.

The Elective Patient Hospital Admission Procedure: A Step-by-Step Guide

The elective admission process is designed to be thorough and patient-centered. It involves several key steps that ensure a smooth transition from community to hospital care:

1. Patient welcome and staff introduction
2. Document collection and verification
3. Patient identity confirmation
4. Comfort assurance for patient and relatives
5. Additional information gathering
6. Appropriate bed assignment
7. Assistance with changing into hospital attire
8. Baseline vital signs measurement and documentation
9. Specimen collection (if required)
10. Administration of urgent medications
11. Safeguarding patient valuables
12. Obtaining informed consent
13. Informing relatives about visiting hours and patient needs
14. Patient orientation to the ward environment
15. Implementation of nursing care based on The Nursing Process
16. Documentation and system updates

This structured approach ensures that all necessary steps are taken to provide comprehensive care from the moment the patient enters the hospital.

Emergency Patient Hospital Admission: Rapid Response and Critical Care

Emergency admissions require a swift and efficient approach to address potentially life-threatening situations. The procedure for emergency admissions includes:

• Immediate hand hygiene and preparation of emergency equipment
• Rapid patient assessment and bed assignment
• Quick collection of vital information and patient history
• Prompt administration of necessary treatments
• Obtaining informed consent for emergency procedures
• Efficient documentation and system updates

The key difference in emergency admissions is the urgency and immediacy of care provided, with a focus on stabilizing the patient’s condition as quickly as possible.

The Nurse’s Pivotal Role in the Hospital Admission Process

Nurses play a central role in the hospital admission process, serving as the primary point of contact for patients and their families. Their responsibilities extend far beyond mere administrative tasks, encompassing a wide range of patient-centered duties:

Ensuring Physical and Emotional Comfort

How do nurses address both the physical and emotional needs of patients during admission? Nurses are trained to assess and respond to a patient’s physical condition while also providing emotional support. This may involve offering reassurance, explaining procedures clearly, and creating a calm environment to help alleviate anxiety associated with hospital admission.

Comprehensive Patient Assessment

Nurses conduct thorough assessments using The Nursing Process, a systematic method that includes:

1. Assessment: Gathering patient data
2. Diagnosis: Identifying patient problems or potential risks
3. Planning: Developing a care plan
4. Implementation: Carrying out nursing interventions
5. Evaluation: Assessing the effectiveness of care

This process ensures that each patient receives individualized care tailored to their specific needs.

Holistic Approach to Patient Care

Why is a holistic approach important in nursing care during hospital admission? A holistic approach considers all aspects of a patient’s well-being, including physical, psychological, social, spiritual, and cultural needs. This comprehensive perspective allows nurses to provide care that addresses the whole person, not just their medical condition.

Ensuring Patient Comfort and Reducing Anxiety During Admission

One of the primary goals of the admission process is to ensure patient comfort and minimize anxiety. Nurses employ various strategies to achieve this:

Creating a Welcoming Environment

How can nurses create a welcoming environment for new patients? They can:

• Greet patients warmly and introduce themselves
• Explain the admission process clearly
• Show patients around the ward
• Ensure the patient’s bed and surrounding area are clean and comfortable
• Offer to answer any questions or address concerns

These simple actions can significantly reduce a patient’s stress and make them feel more at ease in the unfamiliar hospital environment.

Effective Communication

Effective communication is crucial in reducing patient anxiety. Nurses should:

• Use clear, non-technical language when explaining procedures
• Listen actively to patient concerns
• Provide information about what to expect during their stay
• Offer reassurance and support

By maintaining open and empathetic communication, nurses can help patients feel more in control and less anxious about their hospital experience.

The Importance of Documentation in Hospital Admissions

Accurate and comprehensive documentation is a critical component of the hospital admission process. It serves multiple purposes:

Ensuring Continuity of Care

How does proper documentation contribute to continuity of care? By maintaining detailed records of the patient’s condition, treatments, and care plan, healthcare providers across different shifts and departments can access crucial information. This ensures that care is consistent and that important details are not overlooked as the patient moves through the healthcare system.

Legal and Ethical Considerations

Documentation also serves important legal and ethical functions. It provides:

• A record of informed consent
• Evidence of care provided
• A basis for billing and insurance claims
• Protection for both patients and healthcare providers in case of disputes

Proper documentation is thus not just a administrative task, but a crucial aspect of patient care and professional responsibility.

Adapting Admission Procedures for Special Populations

Hospital admission procedures may need to be adapted for certain patient populations to ensure their specific needs are met:

Pediatric Admissions

What special considerations are necessary for pediatric hospital admissions? When admitting children, healthcare providers must:

• Involve parents or guardians in the admission process
• Use age-appropriate communication techniques
• Ensure the environment is child-friendly
• Be aware of child protection protocols
• Consider the emotional impact of hospitalization on children

These adaptations help make the hospital experience less frightening for young patients and facilitate better care outcomes.

Geriatric Admissions

Elderly patients may require additional support during the admission process. This can include:

• Allowing more time for explanations and questions
• Assessing for cognitive impairment or confusion
• Ensuring proper fall prevention measures are in place
• Considering the need for specialized equipment (e.g., pressure-relieving mattresses)
• Involving family members or caregivers in the admission process

By addressing these specific needs, healthcare providers can ensure that older patients receive appropriate care from the moment they enter the hospital.

Admissions for Patients with Special Needs

Patients with physical disabilities, sensory impairments, or mental health conditions may require additional accommodations during the admission process. This might include:

• Ensuring accessibility of facilities
• Providing communication aids for hearing or visually impaired patients
• Offering additional emotional support for patients with anxiety or mental health conditions
• Adapting assessment procedures to account for physical or cognitive limitations

By tailoring the admission process to meet these diverse needs, hospitals can provide more equitable and effective care to all patients.

The Role of Technology in Modernizing Hospital Admissions

Advancements in technology are transforming the hospital admission process, making it more efficient and patient-friendly:

Electronic Health Records (EHRs)

How do Electronic Health Records improve the admission process? EHRs offer several benefits:

• Quick access to patient history and previous treatments
• Reduction in paperwork and manual data entry
• Improved accuracy of patient information
• Enhanced communication between different healthcare providers
• Ability to track patient care across multiple admissions or facilities

These advantages lead to smoother admissions and better-coordinated care throughout the patient’s hospital stay.

Patient Portals and Pre-Admission Systems

Many hospitals now offer online patient portals that allow for:

• Pre-registration for elective admissions
• Completion of necessary forms and questionnaires before arrival
• Access to educational materials about procedures or treatments
• Communication with healthcare providers before admission

These systems can significantly reduce wait times and improve the overall admission experience for patients.

Automated Bed Management Systems

Advanced bed management systems use real-time data to:

• Optimize bed allocation based on patient needs and hospital capacity
• Reduce wait times for bed assignments
• Improve patient flow through the hospital
• Enhance overall hospital efficiency

By streamlining this crucial aspect of admission, these systems contribute to better patient care and resource utilization.

As technology continues to evolve, it’s likely that hospital admission procedures will become even more streamlined and patient-centered, further improving the healthcare experience for both patients and providers.

Patient Hospital Admission – Student Nurse Life

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Patient hospital admission refers to the admission and acceptance of a patient into a health facility with the aim of staying under observation, undergoing necessary diagnostic investigations, and receiving required medical or surgical treatment. Patient hospital admission can be either elective – where a procedure is planned beforehand, or an emergency.

Elective Admission

In an elective patient hospital admission, a healthcare professional agrees with the patient on a convenient date for admission. This enables the patient to prepare in advance for the procedure.

Emergency Admission

In an emergency patient hospital admission, the patient is usually brought in by relatives or friends in a critical condition. In such an admission, the patient is usually transported by a wheelchair or a stretcher to an adequate ward for immediate evaluation and treatment.

Elective Patient Hospital Admission Procedure

1. Welcome the patient and any accompanying relatives to the ward and introduce yourself and any other present HCPs
2. Gather all required documents such as admission papers and other important information or documentation from the accompanying nurse
3. Confirm patient identity through given details
4. Ensure that the patient and accompanying relatives feel welcomed and comfortable
5. Gather any additional required information by the patient and/or the accompanying relatives
6. Provide a hospital bed located at an ideal room for the patient in question, based on the patient’s health requirements and condition
7. Provide assistance to the patient to change into pyjamas or hospital gown and ensure identification bracelet and any other required tags eg. allergy bracelet is provided
8. Take baseline vital signs and document
9. Collect any required specimens if needed
10. Administer any urgent medications
11. Ensure patient valuables are taken care of
12. Ensure informed consent is obtained, signed by the patient
13. Inform relatives about visiting hours and about anything that they may need to bring in for the patient on their next visit
14. Following relatives’ departure from the ward, orient patient to the ward and to the surrounding environment
15. Provide nursing care based on The Nursing Process
16. Input the patient’s particulars in the admission and discharge book
17. Document admission into the patient’s nursing documentation sheet
18. Input ward state (bed availabilities), risk of pressure injuries and any required equipment based on the patient’s admission condition into the online system

Emergency Patient Hospital Admission Procedure

1. Perform hand hygiene
2. Gather emergency equipment– vital signs apparatus, resuscitation trolley, oxygen, venepuncture equipment, suction apparatus, and an adequate bed in a suitable location based on the patient’s condition
3. Welcome the patient and accompanying relatives to the ward and introduce yourself and any other present HCPs
4. Gather all required documents such as admission papers and other important information or documentation from the accompanying nurse
5. Confirm patient identity through given details
6. Assess patient’s overall condition efficiently
7. Receive patient into a previously prepared bed, keeping the patient’s current condition in mind
8. Provide assistance to the patient to change into pyjamas or hospital gown and ensure identification bracelet and any other required tags eg. allergy bracelet is provided
9. Take baseline vital signs and observe further the patient’s overall appearance and reaction, level of consciousness, skin integrity, pain, breathing pattern, and any other complaints, and document
10. Collect relevant history from the patient or accompanying relatives
11. Ensure informed consent is obtained, signed by the patient (include detailed information about required emergency procedures is given to ensure informed consent)
12. Ensure patient valuables are taken care of
13. Inform relatives about visiting hours and about anything that they may need to bring in for the patient on their next visit
14. Following relatives’ departure from the ward, orient patient to the ward and to the surrounding environment
15. Collect any required specimens if needed
16. Administer prescribed medications
17. Input ward state (bed availabilities), risk of pressure injuries and any required equipment based on the patient’s admission condition into the online system
18. Document admission into the patient’s nursing documentation sheet

The Nurse’s Role in the Admission Process

• Ensure the patient’s physical and emotional needs are met
• Ensure the patient is assigned to a bed adequate to his/her personal needs and condition
• Ensure that the patient’s admission report is completed
• Ensure the patient is assessed using The Nursing Process
• Provide a holistic approach to patient care based on the Activities of Daily Living guide whilst considering the patient’s psychological, social, spiritual, and cultural needs
• Ensure the patient’s comfort and aim to reduce anxiety in both the patient and accompanying relatives

Retrieved from https://nurseslabs. com/nursing-diagnosis/ on 7th November 2021Retrieved from https://nurseslabs.com/nursing-diagnosis/ on 7th November 2021

Transferring the Patient

During a hospital stay, the patient may require transferring from one ward to another within the same healthcare facility.

Transfer in

In a Transfer-In, a patient is moved from one unit to another, eg. from a medical to a surgical ward.

When a patient is being transferred in:

1. ensure a suitable bed is available to receive the patient
2. ensure all necessary equipment depending on the patient’s condition is readily available
3. ensure the patient, accompanying nurse, and any accompanying relatives are received warmly
4. ensure correct handover, transfer of notes, and any patient personal belongings are received from the accompanying nurse
5. confirm patient identity with accompanying nurse
6. clarify any queries pertaining to the patient’s condition
7. introduce yourself and other present HCPs to the patient and accompanying relatives
8. assess patient’s overall condition efficiently
9. ensure the patient is assessed using The Nursing Process
10. orient patient and relatives to the ward and to the surrounding environment
11. input ward state (bed availabilities), risk of pressure injuries and any required equipment based on the patient’s admission condition into the online system, including time of admission
12. document transfer into the patient’s nursing documentation sheet

Transfer Out

In a Transfer-Out, the patient can be transferred from one ward to another, or from one facility to another.

When transferring a patient out:

1. confirm transfer with receiving unit
2. assess the patient’s condition
3. arrange for a nurse to accompany the patient
4. plan for an appropriate transferring vehicle if required
5. collect all patient data
6. reduce the patient’s and accompanying relatives’ anxiety by explaining reason for transfer
7. obtain informed written consent for transfer
8. assist in the packing of the patient’s personal belongings
9. ensure patient’s medication, diagnostic results, and transfer notes, are all compiled as required
10. assist patient in dressing up adequately for the transfer
11. assist patient into a wheelchair or stretcher, and into an ambulance, if required
12. ensure patient’s notes and belongings are handed over to the accompanying nurse
13. input ward state (bed availabilities), risk of pressure injuries and any required equipment based on the patient’s admission condition into the online system, including time of transfer
14. document transfer into the patient’s nursing documentation sheet

Discharging the Patient from the Hospital

Discharge planning should start shortly after the patient is admitted, and is usually done at the discretion of the medical team, based on the patient’s overall health condition, or if the patient requests to be discharged. The patient and his/her relatives should always be informed about intended discharge plans.

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Claire

Claire Galea is a mum of three currently following a Degree in Nursing at the Faculty of Health Sciences, University of Malta, as a mature student.

Claire is keen about public education on health-related subjects as well as holistic patient-centered care. She is also passionate about spreading awareness on the negative effects that domestic abuse leaves on its victims’ mental, emotional, social and physical wellbeing.

Claire aspires to continue studying following completion of her Nursing Degree, because she truly believes in lifelong education.

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Author ClairePosted on 31/05/202231/05/2022Categories Individualised Nursing Care 1 (Part 2), Nursing Skills, Nursing the PatientTags activities of daily living, discharging the patient, discharging the patient from the hospital, elective admission, elective patient hospital admission, emergency admission, emergency patient hospital admission procedure, hospital admission procedure, nurse’s role in the admission process, patient hospital admission, patient transfer in, patient transfer out, the nurse’s role, the nursing process, transferring the patient

Writing Admission and Transition Orders

Revised February 2023, October 2017, April 2010 with current title

Reaffirmed October 2001, October 1997

Revised October 1993

Reaffirmed April 1992

Originally approved October 1989 titled “Writing Admission Orders”

As an adjunct to this policy statement, ACEP has prepared a policy resource and education paper (PREP) titled “Writing Admission Orders”

The American College of Emergency Physicians (ACEP) believes that the best patient care occurs when there is no ambiguity as to which physician (or designee) is responsible for care of a patient. The physician (or designee) in charge of a hospitalized patient’s care (eg, the admitting physician or designee) is established when he/she accepts responsibility for the patient’s care by verbal or written communication, by policy, or by providing, authorizing, or writing admission orders for that patient. Emergency physicians (or designee) generally do not have admitting privileges and should not provide ongoing inpatient care. ACEP recognizes that the admitting physician (or designee) may not be immediately available to write admission orders. Thus, to avoid delays in care, emergency physicians (or designee)may write transition orders intended to facilitate transfer to the most appropriate inpatient unit. However, this is not intended to imply or invoke a responsibility on behalf of the emergency physician or designee to provide ongoing care of such patients once they leave the emergency department (ED) for their inpatient unit.

Therefore, ACEP endorses the following principles:

Patients are best served when there is a clear delineation of which physician (or designee) has patient care responsibility.  

• The best practice for patients admitted through the ED is to have the admitting physician (or designee) evaluate and write admitting orders for ED patients requiring hospitalization at the time of admission or as soon as possible thereafter.
• The admitting physician (or designee) is responsible for ongoing care of the patient after accepting responsibility for the patient’s care whether verbally, by policy, or by writing admission orders, regardless of the patient’s physical location within the hospital.
• The emergency physician (or designee) is responsible for ongoing care of the patient only while the patient is physically present in the ED and under his/her exclusive care.
• There are circumstances where, in the interest of patient care, patient safety and operational efficiency, an emergency physician (or designee) may be asked to and may choose to write transition orders.
• Transition orders are meant to include essential treatment and assessment parameters upon the patient’s initial admission to an inpatient bed; they should be time limited and should serve as a bridge before complete admission orders (including the use of telemedicine) are provided by the admitting physician (or designee). It is ideal for the admitting physician (or designee) to write the admitting orders at the time of admission or as soon as possible thereafter.
• When it is necessary for an emergency physician (or designee) to write orders that appear to extend control and responsibility for the patient beyond treatment in the ED to the inpatient setting, it is understood that the admitting physician (or designee) is responsible for providing inpatient care, and that by writing transition orders, the emergency physician (or designee) will not be assuming that responsibility.¹
• Hospital and ED policies and medical staff bylaws should clearly delineate responsibility and privileges for writing admission and transition orders (including the use of telemedicine) and define an appropriately limited period of time for the admitting physician (or designee) to evaluate patients and write admission orders.

¹ This policy is not meant to address the emergency episodic care that emergency physicians (or designee) may provide to inpatients on a case by case basis (ie, cardiac arrest, emergent procedures, etc. ). Refer to the ACEP policy statement, “Emergency Physician Response to In-Hospital Emergencies Outside the Emergency Department.”

Planned hospitalization under compulsory health insurance

Planned hospitalization under compulsory medical insurance

Dear patients! We remind you that during a planned hospitalization in the GBUZ “City Clinical Hospital No. 17 DZM” you need to have data on a double immunization against measles, or past measles. (Order of the Department of Health of the city of Moscow dated March 30, 2018 218 “On improving measures to prevent the spread of measles infection)

In order to ensure the rights of citizens to receive free medical care, within the framework of the territorial program of state guarantees for the provision of free medical care to citizens, waiting periods are set. These terms cannot be longer than recommended by the Ministry of Health of the Russian Federation.

During planned hospitalization in a hospital, patients assigned to Moscow polyclinics who need qualified examination and inpatient treatment, are hospitalized in the presence of electronic referrals and extracts from medical records in electronic form directed exclusively through the EMIAS system ( from medical organizations connected to the EMIAS system).

On paper, referrals (recording form 057/у-04) and extracts from medical records (form No. 027-1/ or any medical documentation necessary for organizing hospitalization, examination, consultation) are accepted in the following cases:

• if it is not technically possible to receive documents in electronic form in the patient’s electronic medical record,
• for planned hospitalization of non-resident citizens with compulsory medical insurance policy under the Moscow Capital of Health program,
• when sent from departmental and federal medical organizations in Moscow that do not have access to the EMIAS system.

Comment
in accordance with the Order of the Moscow Department of Health of January 13, 2023 N 15 “On approval of the Regulations for routing patients for planned hospitalization, rehabilitation treatment, examination, consultation in medical organizations for receiving primary specialized health care and specialized, with the exception of high-tech, medical care”, in order to form a paperless workflow model for patients.

When registering for hospitalization, you must have:

Muscovite patients (when applying for CHI) must have:

• an electronic referral from the city polyclinic at the place of residence, sent through the EMIAS system;
• an extract from an outpatient card with the results of studies in electronic form in EMIAS;
• passport of a citizen of the Russian Federation;
• compulsory health insurance policy
• Patients from other cities (when applying for CHI) must have:
• direction issued under the Moscow Capital of Health program;
• extract from the outpatient card;
• passport of a citizen of the Russian Federation;
• compulsory health insurance policy

To apply for a free planned hospitalization, please contact the Call Center by phone: +7 (499) 638 30 17, e-mail: gkb17kdo@mail. ru

An approximate list of tests and examinations required for planned hospitalization in a surgical hospital and their timing reality:

• Urinalysis (valid for 14 days)
• Complete blood count (valid for 14 days)
• Biochemical blood test (valid for 14 days)
• Blood glucose test (valid for 14 days)
• Blood test for group and Rh factor (on the laboratory form, not in the passport)
• Coagulogram (indicators of the blood coagulation system, valid for 14 days)
• Fluorography (valid for 6 months)
• ECG (valid for 1 month)
• Blood test for syphilis, HIV, hepatitis B, hepatitis C (valid for 3 months)
• Gynecological examination (women over 40, valid for 1 month)
• Endocrinologist’s consultation (in case of diabetes)
• Patients of a surgical hospital must have a conclusion of the therapist about the absence of contraindications for surgery
• Patients of a gynecological hospital need to have bacteriological examination of smears from the vagina, urethra and cervical canal, the results of cytological examination of smears of the cervix, ultrasound examination of the pelvic organs
• According to indications (doctor’s prescription): EGDS, ultrasound of the abdominal cavity.

Patients are admitted to the hospital of the institution through the admission department of the State Budgetary Institution of Health “City Clinical Hospital No. 17 DZM”, located at the address: Moscow, st. Volynskaya d. 7 in a planned manner at the appointed time in the morning from 8.00 to 14.00.

Patients who are admitted to a hospital on a planned basis must have with them: a change of shoes; personal hygiene products.

Scheduled hospital stay

The waiting period for specialized medical care (except for high-tech) in a hospital in a planned form (scheduled hospitalization) is no more than 14 calendar days from the date the attending physician issues a referral for hospitalization of the patient. Planned hospitalization is provided if there is a referral for hospitalization of the patient. * *
Decree of the Government of Moscow dated December 24, 2021 N 2208-PP “On the Territorial Program of State Guarantees of Free Medical Care for Citizens in the City of Moscow for 2022 and for the planning period of 2023 and 2024”

Hospitalization rules (terms and documents) | Servicing citizens

ORDER OF HOSPITALIZATION AND DISCHARGE OF A PATIENT

Hospitalization in a hospital is carried out in the following forms:

– in the direction of planned hospitalization;

– according to emergency indications

– in order of transfer

– self-treatment of patients.

Planned hospitalization of patients at the expense of compulsory medical insurance is carried out upon presentation of an insurance policy of compulsory medical insurance, in the absence of it, hospitalization is carried out on a paid basis, with the exception of hospitalization in the event of conditions that pose a direct threat to life or require urgent medical intervention.

Planned hospitalization of patients can be carried out at the expense of VMI funds if there is a contract for the provision of medical services between the insurance company and the hospital. Information about the availability of contracts, the volume and types of medical care for patients under the VHI line is provided to the departments by specialists of the financial and economic department.

For scheduled hospitalization, you must have the following documents with you:

1. Referral from a polyclinic doctor

2. Birth certificate or passport

3. Medical insurance policy

4. Passport of the legal representative (for disabled citizens)

5. Fluoroscopy data and blood on RW

Expiration date of certificates and tests – 10 days, blood for HIV – 1 month, fluorography data – within 1 year.

Children admitted to inpatient care must have a record of no contact with infectious patients within 21 days prior to admission.

Patients are admitted to the hospital:

– scheduled patients from 09.00. until 16.00, except Saturday, Sunday.

Hospitalization of children under 4 years of age is carried out with one of the parents, over 4 years of age, the issue of hospitalization with a legal representative is decided depending on medical indications.

If necessary, one of the parents (legal representatives) or another family member may stay with a sick child under 18 years of age. At the same time, persons caring for a sick child are required to comply with these Rules.

Planned hospitalization is carried out in agreement with the heads of departments.

In case of hospitalization of a patient in a hospital, the doctor of the department is obliged to find out information about the epidemic environment, to issue an informed voluntary consent of the patient for treatment and examination in a hospital in accordance with the requirements of current legislation.

When hospitalized, a medical card of an inpatient is issued.

Nursing staff is obliged to familiarize the patient and / or his parents with the internal regulations for hospital patients against signature, pay special attention to the prohibition of smoking and drinking alcohol in the hospital and on its territory.

If the patient refuses to be hospitalized, the doctor on duty provides the patient with the necessary medical care and makes a record of the patient’s condition, the reasons for refusing hospitalization and the measures taken in the register of admission of patients and refusals of hospitalization.

An extract is made daily, except for weekends and holidays, by the attending physician in agreement with the head of the department.

Hospital discharge permitted:

– upon improvement, when for health reasons the patient can continue treatment in an outpatient clinic or at home without harm to health;

– if it is necessary to transfer the patient to another healthcare institution;

– at the written request of the parents or other legal representative of the patient, if the extract does not threaten the life and health of the patient and is not dangerous to others.

Discharge documentation is issued to the patient on the day of discharge from the hospital.

The medical record of an inpatient after the patient is discharged from the hospital is drawn up and deposited in the archive of the hospital.

If you need to obtain a certificate of stay (terms of stay) for inpatient treatment, extracts (copies) from medical documents and other documents, you must contact the head of the department in which the patient was treated on the set days and hours of admission.