Marketing Letter To The Doctors

Admission, transfer and discharge of patients Drug Administration

ADMISSION

is the process of receiving the patient hospital service, for services required by different health situations. Is the shared responsibility of the administrative and health staff.

is a critical stage in the patient, as well as being sick, change their environment to a totally unfamiliar, including people, furniture, terms and customs. It is therefore important that staff attitudes to get what the impact is less, guiding them to the hospital environment, establishing relationships with patients and their families.

Admission Rates

1) Scheduled Income: The patient requires hospital care, after checking their condition. As the patient has undergone outpatient services where he was referred to hospital.

2) Income Emergencies: The patient requires immediate assistance due to the appearance a sudden acute illness or accident.

Objectives:

• welcome the patient in the service of a comprehensive and friendly.
• facilitate adaptation of the patient in the hospital environment.
• Getting the patient to obtain security and confidence at admission and throughout their stay in the hospital service. Make
• primary diagnostic measures.
• Communicate directly and effectively with the patient and family.

Principles:

• A cordial reception provides a good impression on the patient and his family, and that hospitalization may be a new experience.
• A friendly and cordial decreases nervousness and emotional stress as scary strange situations.

Team:

When reporting a new entrance to the hospital service, we must be prepared:

1) patient Unit: is the physical area equipped for patient care. It should contain:
- A bed prepared
- Watchman: Top, where the patient put their useful personal bottom, place a spittoon urinary and flat.
- A chair, to be placed beside the bed.

2) Bata or hospital clothing.
3) equipment to take vital signs, thermometers, blood pressure, clock.
4) Nursing record sheets.
5) carries a history folder.
6) balance and stadiometer.
7) Other equipment as the patient's condition.

Procedure:

• receive the patient, greet and be with him.
• sure the medical history is complete, including hospital order. Check
• height and weight.
• invite the patient to change his clothes at the hospital. Provide assistance if required.
• Deposit in a plastic bag of belongings of the patient and give them to family members.
• Check the status of the patient. Listen to complaints and referrals in their signs and symptoms.
• the patient and family Provide all required information about the service: Schedules, rules, natural areas, etc.
• Ask the patient and family requirements and material objects for physical care and treatment.
• accompany the patient to a mapped drive and install it on your bed.
• Check vital signs and recording values.
• Tell your doctor on duty at the new entry.
• collaborate with the medical examination physics.
• Place the patient's identification cards in the appropriate places. Explain
• patient service regulations, and make use of timbre and toilets.

If the patient reaches the emergency room:

• Order status information and needs of the patient to the emergency. Prepare
• patient unit as required. Receive
• and leave the patient comfortable in his unit.
• Verify data from the medical history.
• Check the condition of the patient and make the appropriate registry.
• Check operation of venipuncture, drains, etc.
• give notice to the service suitable for the delivery of patient valuables (if not accompanied by a relative)

Other aspects to take into account the Patient Admission

• inform the supervisor or head nurse of the service on the new income.
• Explain the importance in keeping your valuables with your family or the nurse supervisor.
• unkempt If the patient is admitted, we must give a bed bath or tub according to the patient's condition, unless it is contraindicated.
• Notify the department of nutrition on the diet that your doctor prescribes.
• Where to bring injured or dirty clothes soaked in blood, returning to a familiar yet committed to bringing a new change of clothes.

TRANSFER

patient is the change from one service to another or from one hospital to another. This can be taken for treatment, diagnosis or final location.

patient transfer from one bed to another in the same service:

This change can be:
a) comfort of the patient.
b) post-operative care.
c) Other specialized care.

This should be reported to the nurse manager or supervisor by day and night parties, and through the report. The procedure to change the number of bed at the same time, the number that appears kardex, book reports and leaf diets. It is important to notice the change to the department of nutrition, to avoid errors in the diet.

Transfer from one service to another

• sure the transfer is indicated by the treating physician.
• confirm that the target service is ready to receive the patient.
• Send the patient medical history, all their belongings and related equipment.
• Claim a change of clothes and ask for a voucher for items left.

transfer from one hospital to another

is indicated by the physician, is the result of prior coordination with the host institution. The nurse reports social service, and coordinate with the administrative department of the change.

• Inform the patient of transfer, handing over all their valuables.
• The history should be complete, including epicrisis, where the doctor makes a summary of the patient from admission to transfer.
• The doctor will tell the transportation, requesting a vehicle, clearly indicating the date and time of transfer. Nutrition
• Request a snack for the patient and her companion travel for hours.
• be included in the belongings of the patient, all medications, and radiographs.
Firing
• cordially patient and give the latest guidance for your journey.
• Record the date and time the patient left.

transfers in general should be made taking into account that:

• Exist or epicrisis transfer order.
• has confirmed an available drive in the place where the patient will be transferred.
• was explained to the patient and family the reason for the change.
• Where possible, the nurse will accompany the patient to deliver the new service and the nurse history recipient.

HIGH output is the patient's hospital unit aria. It may be after finishing the full course or earlier at the request of the patient.

Objectives:

The goal is to discharge the patient returns to his home in the best possible conditions. And links to the outpatient of the hospital or other health institutions.

Principles:

• The psychological preparation of patients leaving the hospital to facilitate reentry into everyday life.
• Planning High a few days in advance reduces the anxiety of the patient to this abrupt change.

Team: may be a wheelchair or a stretcher, but the ideal is that the patient walk out on their own.

Procedure: Have

• discharge signed by the treating physician.
• sure the history is complete and payment receipts.
• help the patient if necessary.

instruct the patient on the following aspects:

Medication Administration: explain in detail the routes of administration, time and frequency.
Habits: of hygiene, diet you should follow the patient, diet allowed and not allowed.
Family Therapy: Places of entertainment, social groups who share and activities promoting good human relations.
Quote: Specify the day to return to outpatient control after hospitalization.

• Teach the patient how to recognize signs and symptoms that indicate disease. Register
• clearly the current state of the patient that graduates of the service, detailing relevant aspects in their recovery and treatment. ------------

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drug administration in a daily activity and frequent nursing. Responsibility is also crucial, since a practical careless and distractions can threaten the patient's life.

But before addressing the issue properly, we must clarify some basic concepts of pharmacology, as Nursing practice is directly related to the administration of medications, still required knowledge of drugs, their uses and effects and precautions for its proper administration.

Drug: The drug or drug is a chemical that acts on certain body systems, altering their behavior. If the effect of the drug is favorable for the organism, the drug substance is called . If on the contrary, the effect is negative, it is called toxic.

ORIGIN OF DRUGS
Medications can be:

• Vegetable: has its origin in primitive plants. Ejm: Plant Digitalis - Digoxin
• Animal: Its source animal oils, serums and some hormones of animals.
• Mineral Source: salts and minerals are used as the source. Ejm: magnesium salts, ferrous sulfate.
• Microbial Source: source microorganisms have been grown in the laboratory for antibiotics, vaccines, etc. Ejm: Gentamicin - Micromonospora purpura
• semisynthetic Source: is referred to as natural medicines are modified in the laboratory to change its properties. Ejm: In the morphine (analgesic) is synthesized codeine (cough suppressant).
• synthetic : When drugs are based on artificially created substances are not drugs, either by molecular manipulation or extraction of active ingredients.

USES OF DRUGS

1. Relief: Assumes prevent or decrease the discomfort of signs and symptoms such as pain, fever, nausea, etc. Within this group are the analgesics, antipyretics, antiemetics, among others.

2. Healing : Eliminate the cause of the disease. Within this group are the antibiotics, fungicides, anti-parasitic.

3. Replacement, maintenance and / or propelling: That exercise these effects on the functioning of certain organs or systems. Ejm: Insulin, Cardiotonic.

4. Prevention: When the application is determined to prevent the onset of certain diseases or the worsening of a condition already established. Ejm: Vaccines.

5. Diagnosis: used to facilitate Ejm diagnostic methods: The contrast agents for display certain parts of the body.

NAME OF DRUG

• Chemical Name: refers to a precise description of the composition and molecular structure of the drug.

6D (2 Amino-2-phenylacetamide) -3,3-Ddimetil-7 - oxo - 4-tia -1 - azabicyclo (3.2.0.) Heptane - 2-carboxylic acid & # 160; Ampicillin

• Generic Name: is an international name, which enables us around the world. Ejm: Ibuprofen.
  
  
• Trade Name or Trademark: is the name under which the manufacturer dispensed in the drug market. Same drug may have a different trade name.

DOSAGE FORMS

drugs have different styles, which conform to the routes of administration thereof. But before mentioning the forms should be take into account the structure of the drug in general.

drugs are basically composed by:

- Active Ingredient: is the component that provides the specific action of the drug.

- Excipients: are substances without specific action to help the active ingredient to enter the body and exert their therapeutic action. These solutions have the form, cohesion, flavor and help to preserve the drug.

However, the dosage forms contain a certain dose and concentration that allows its administration. We can classify them by shape and presentation itself:

• solid forms: tablets, lozenges, tablets.
• liquid form: syrups, serums, eye drops, some injections.
• semisolid form: Creams, jellies, creams, ointments.
• gaseous forms: sprays, mists, oxygen, nitrous oxide.

IMPORTANT DEFINITIONS

• Local effect: Located at the point of application
• Effect Systemic through the bloodstream to the whole organism level.
• Combined Action: Action presented by combining two or more drugs.
• Dose: is the amount of drug or drug to be administered to a living being to produce a certain effect, depending on age, sex, weight, route of administration, physiological state of organism.

ROUTES OF ADMINISTRATION

The routes of administration are those parts of the body where they are applied drugs, either to perform a local action on the application site or a general (systemic) after its absorption. These routes are divided into two groups:

Enteral Routes

routes of administration are those in which the drug enters from outside the body through natural cavities, addition to skin and mucous membranes. This group in turn is divided into:

1) Topical: Skin and mucous
- Via Skin
- Ophthalmic
Via - Via Ótica
- Via Nasal
2) Via Oral
3) Sublingual
4) Rectal route - Vaginal

parenteral routes

administration routes are those where the drug or drug enters the body through an injection through a needle that passes through skin and tissues. Within this group are:

- Via Intradermal: Applied in the dermis
- Intramuscular: Applied in the muscle
- subcutaneous use: Apply in fat, subcutaneous
- Intravenous: Applied in the veins directly into the bloodstream.

There are other less use and more complex, such as intrathecal, intrathecal, intraarticular and intracardiac.

THE "FIVE CORRECT"

there are some indications in nursing called "The 5 correct," which must be satisfied if the medication administration on a compulsory basis, in order to avoid unnecessary errors. These sections are:

1) Drug Success: We must be sure to administer the medication is medically indicated.

2) correct dose: is necessary to verify that the dose to be administered is the same as that recorded in the HC or prescription.

3) Via right: The route of administration should be indicated on the HC or prescription and verified in the presentation of the drug.

4) Right Time: We must remember that the drug either at the exact time and will have the desired bioavailability.

5) Patient's right: is important to verify the right patient, to prevent anaphylaxis or complications.

PRECAUTIONS AND GENERAL NURSING

• must focus on the moment of drug delivery, for which it is preferable to work independently and without interruption.
• should not be given any medication without first you have read the package label. If you are not labeling must be returned.
• Make sure that the person applying the medication has been properly verified.
• Never give any drug, including placebo, without a written order by the physician.
• Never leave a drug to reach the person to be so self-administer. The administration must be supervised by nursing.
• always take into account whether the patient is allergic to the medicine. If it is not known or not security, is better to run a sensitivity test. If allergy tests should not be applied.
• drugs never be passed from one container to another.
• preparing the drugs, a practice must be read three times the label of the same: By identifying the medication from storage before opening and saving time.
• Always apply the 5 incorrect.
• If the drug is given by mouth, ensure that it has been swallowed.
• If you feel that a prescription is wrong, ask again or not apply the medicine.

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