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What Happens When Someone is Admitted to the Hospital? A Step-by-Step Guide

4 min read

According to a 2016 study, a hospital admission significantly impacts a person's life beyond immediate health concerns, affecting economic and social factors. Knowing what happens when someone is admitted to the hospital can help reduce anxiety and empower patients and their families to navigate the process effectively.

Quick Summary

A hospital admission involves registration, a medical assessment, development of a treatment plan, and a coordinated discharge process. The experience differs depending on whether admission is from the emergency department or is elective, and involves a team of healthcare professionals working toward the patient's recovery.

Key Points

  • Triage is Standard: In the Emergency Department, you are not seen based on arrival time, but by the severity of your medical condition, as determined by a triage nurse.

  • Discharge Planning Starts Early: The process of preparing for your departure from the hospital begins almost immediately upon admission to ensure a safe transition home or to another facility.

  • Healthcare is a Team Effort: Your care involves many professionals, including doctors, nurses, specialists, and therapists, all working together on your recovery.

  • Patient Rights are Protected: You have a legal right to dignified and respectful care, privacy, and full information about your treatment and diagnosis.

  • Advocacy is Key: Don't be afraid to ask questions, take notes, or ask for a patient advocate if you feel confused or concerned about your care.

  • The Routine Can Be Disruptive: Hospital routines and interruptions for check-ups and medications mean you may not sleep as well as you do at home. Packing comfort items can help.

  • Preparation Eases Stress: For elective admissions, completing paperwork and pre-screening tests in advance can significantly reduce stress on the day of admission.

In This Article

For many, the thought of a hospital stay can be intimidating and overwhelming. The unfamiliar environment, complex medical language, and parade of different healthcare providers can cause anxiety for both patients and their loved ones. Understanding the step-by-step process of hospital admission, what to expect during the stay, and how discharge planning works can empower you to feel more in control of your care. This comprehensive guide breaks down the typical patient journey from the moment of arrival to the time of departure.

The Admission Process: Emergency vs. Elective

How a person enters the hospital largely determines the initial admission process. Emergency admissions follow a different path than planned, or elective, admissions.

Emergency Admission from the ER

Patients arriving at the Emergency Department (ED) are triaged based on the severity of their condition. A nurse assesses vital signs and symptoms to determine the order of care. Registration for personal and insurance information occurs once immediate needs are addressed, and a patient wristband is issued. An emergency physician examines the patient and orders necessary tests. The decision to admit for further treatment is made based on test results and assessment.

Elective or Direct Admission

For planned procedures, pre-registration can handle much of the paperwork beforehand. Upon arrival at the admitting office, details are confirmed and an identification wristband is provided. The patient is then taken to their assigned inpatient unit, where a nurse conducts a detailed admission assessment.

Your Hospital Stay and Daily Routine

Once on a unit, patients undergo assessments, treatments, and interact with various healthcare professionals. While rest is important, hospital life often involves routine interruptions.

The Healthcare Team

The healthcare team includes a hospitalist (a doctor specializing in inpatient care), nurses who provide constant care and administer medication, and potentially specialists like cardiologists or surgeons. Other staff such as therapists, dietitians, and social workers also contribute to recovery.

Tests, Medications, and Meals

Common diagnostic tests include blood work, X-rays, and scans to monitor the patient's condition. Nurses administer medications on a schedule, and it's important to ask about new drugs and confirm allergies. A dietitian will create a special diet based on medical needs.

Important Aspects of Care

Hospitals inform patients of their rights, including respectful care, privacy, information about their diagnosis, and the right to refuse treatment. Patients are also asked about advance directives, which state their preferences for medical care if they cannot communicate. Pain management is a required aspect of care, and patients have the right to discuss their pain and its treatment.

The Discharge Process

Discharge planning begins early to ensure a safe transition home and prevent readmission. A discharge planner assesses needs after leaving the hospital and addresses required services like home health care or physical therapy. Before discharge, a clear list of all medications is provided to prevent errors. Patients receive written instructions for home care, including follow-up appointments and what to do in an emergency.

Emergency Admission vs. Elective Admission

Feature Emergency Admission Elective Admission
Initiation Occurs through the Emergency Department for immediate medical needs. Planned in advance with a doctor for a scheduled procedure or treatment.
Urgency High; patient severity dictates treatment priority. Low to moderate; timed for convenience and preparation.
Preparation Minimal pre-arrival preparation; paperwork follows immediate stabilization. Extensive preparation often includes pre-screening tests and paperwork done beforehand.
Patient Focus Immediate stabilization and diagnosis to determine the next steps in care. Planned treatment and comprehensive care tailored to a specific condition.
Family Involvement Can be limited initially due to urgency; updates often provided in waiting areas. More opportunity for family involvement from the beginning; can be part of planning.

Conclusion

A hospital admission, whether planned or unexpected, can be a stressful experience. However, understanding the structured process from intake to discharge can provide a sense of calm and control. The experience is not just about the medical procedure but involves a dedicated team of professionals working to ensure your safety and recovery. By knowing your rights as a patient, staying informed about your care plan, and engaging in your discharge planning, you can navigate your hospital journey with greater confidence and achieve a smoother transition back to health.

For further information, consider consulting a reliable resource like Kaiser Permanente's Health Encyclopedia on Hospital Stays.

What to Bring for a Hospital Stay

  • Identification and Paperwork: Photo ID, insurance card, and any relevant referral letters or physician orders.
  • Personal Comfort Items: A robe, slippers with non-skid soles, comfortable pajamas, and your own pillow.
  • Toiletries: Toothbrush, toothpaste, deodorant, and any specific skin or hair care products you prefer.
  • List of Medications: Include all prescription, over-the-counter, and herbal supplements with dosages.
  • Entertainment: Books, tablets, or puzzles to help pass the time.
  • Hearing Aids, Glasses, or Dentures: Important personal aids for daily function.

Patient Advocacy During Your Stay

  • Ask Questions: Don't hesitate to ask your healthcare team, especially nurses, about your treatment plan, medications, and next steps.
  • Take Notes: Keep a notebook to track information from doctors and nurses. Ask for business cards to remember who is on your care team.
  • Designate a Point Person: Have one family member or friend serve as the primary communicator to avoid confusion and ensure consistent information flow.
  • Know Your Rights: Remind the team if you feel your privacy or dignity is not being respected.
  • Raise Concerns: If you feel your concerns are not being addressed, ask to speak with a patient advocate or the hospital's patient experience department.

Frequently Asked Questions

The first step is typically the registration process, where an admissions clerk collects your personal, medical history, and insurance information. An identification wristband is then placed on you.

The length of the admission process varies depending on whether it is an emergency or planned admission. In emergencies, initial care takes priority, with detailed information collected after stabilization. For planned admissions, the process can take around 30 to 60 minutes, with some paperwork completed beforehand.

Your care will be managed by a team of healthcare professionals, often led by a hospitalist—a physician specializing in inpatient care. You will also interact with nurses, specialists, and various therapists.

It is recommended to bring your ID, insurance card, a list of your current medications, comfortable clothing, toiletries, and any personal aids like glasses or hearing aids. Avoid bringing valuables or large amounts of cash.

Discharge planning involves coordinating your care needs for after you leave the hospital. A discharge planner works with you and your family to arrange for follow-up appointments, home health care, necessary equipment, and provides written instructions for your continued recovery.

As a patient, you have the right to respectful and dignified care, privacy, and full information about your diagnosis, treatment, and prognosis. You also have the right to refuse treatment and designate visitors.

Many hospitals offer private rooms, but availability may vary. You may be placed in a semi-private room with another patient, with curtains available for privacy. You can always ask about room options and hospital policies.

It is your right to receive information in layperson's terms. Do not hesitate to ask your doctor, nurse, or other care team member to explain things in simple, clear language that you can understand.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.