Friday 20 July 2018

SKRINING PROCEDURES / PATIENTS OF HOSPITAL ENTERTAINMENT


SKRINING PROCEDURES / PATIENTS OF HOSPITAL ENTERTAINMENT


UNDERSTANDING
  1. Screening is the process of adjusting the needs of patients with hospital resources.
  2. Visual screening is the process of adjusting the patient's needs with hospital resources from first contact, through direct observation
  3. Scope of physical examination is the process of adjusting the needs of patients with hospital resources since the first contact, through physical examination.
  4. Triage screening is a screening performed at emergency surgery based on emergency level by color-coding
AIM
As a step-by-step guide to determining whether the patient is acceptable to the Hospital's resources

PROCEDURE
A. Visual screening
  1. Since the patient comes to the hospital, the officer takes a visual observation of the general condition, the way of walking and the expression of the patient.
  2. If the patient is visibly limp, pale, short of breath, unconscious, unable to walk, accident victim, bleeding or appearing in pain, the officer helps the patient to the ER with wheelchair or gurney
  3. If there is no sign of emergency in the patient, the officer directs the patient to the Outpatient Clinic according to the patient's needs.
B. Screening physical examination
  1. Doctors perform hand hygiene and identification according to procedure
  2. The physician performs anamnesis and physical examination of the patient
  3. If necessary, conduct / investigate the investigation according to patient needs
  4. Doctor makes patient assessment
  5. From the assessment results, the doctor decides whether the patient can undergo outpatient, inpatient, or referred to another hospital according to the patient's needs and hospital resourcesTriage
C. Triage
  1. The porter takes the patient into the triage room
  2. Nurses perform hand hygiene
  3. Triage nurses conduct awareness checks, Circulation, Airway and Breathing checks, vital signs, pain scales and brief anamneses. If the patient's consciousness decreases then the patient is placed in level 1 triage. When the patient is fully conscious, the triage nurse checks the patient's radial pulse and the patient's extremity. If the pulse is not palpable, or palpable weak, or irregular, or cold extremities the triage nurse brings the patient in and is placed in a level 1 triage.
  4. When a regular strong pulse, the triage nurse observes whether the patient is breathless or not. If breathlessness or threat of respiratory or non-respiratory failure, triage nurses bring in and are placed in level 1 triage
  5. Furthermore the triage nurse performs a brief history of patient complaints. If the patient should be treated promptly / can not wait, then the patient is taken to the ER and placed in the level 2 triage. If the patient is confused, drowsy is placed in level 2 triage. If the patient is in great pain, placed in level 2

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