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P-020 Policy For Admission and Discharge Criteria

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63 views3 pages

P-020 Policy For Admission and Discharge Criteria

Uploaded by

Ihsan Ullah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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CONTROLLED DOCUMENT

Title: Policy for Admission and Discharge Criteria


Department: Clinical
Document No: NWGH-MED-P-020
Issue Date: 01-06-2023
Revision Date: 01-06-2025 Version No: 1

IMPORTANT NOTE
All documents are “CONTROLLED” when reviewed on NWGH intranet. When downloaded and printed, this
document becomes “UNCONTRROLLED” and user should check the NWGH intranet to ensure that they
have the latest version.

Policy and Procedure Reviewed and Approved by

Name Designation Signature Date

Prepared
by:

Relevant Dept
HOD

Quality HOD
Reviewed
by: Director Clinical
Affairs
Nursing Director
Approved
CEO
by:

CONTENTS: This policy and procedure discusses the criteria and general guidelines on the necessities of
patient admission to the Coronary Care Unit and the bases for transferring the patient from the unit to the low-
level-risk facility of the hospital.
COPY RIGHT © North West General Hospital
Page 1 of 3
Please don’t copy without authorization.
CONTROLLED DOCUMENT
Title: Policy for Admission and Discharge Criteria
Department: Clinical
Document No: NWGH-MED-P-020
Issue Date: 01-06-2023
Revision Date: 01-06-2025 Version No: 1

1. PURPOSES:

1.1. To provide efficient and effective medical interventions to patients whose conditions require
coronary care.
1.2. To assist patient with their adaptation processes with the critical condition they are undergoing.
1.3. To avoid any discrepancy in the admission, transfer, and discharge procedures of patient in the
Coronary Care Unit.
1.4. To identify the needs for further management and care planning for the patient.

2. DEFINITIONS:

2.1. Critical Care Medicine – a multidisciplinary healthcare specialty that cares for patients
with acute, life-threatening illness or injury.

2.2. Critically-Ill Patients- patients whose conditions cannot be maintained without invasive
therapeutic interventions. It is differentiated from the floor patients by:
2.2.1. very high nurse-patient ratio
2.2.2. the availability of invasive monitoring
2.2.3. the use of mechanical and pharmacological life-sustaining therapies
2.3. Criteria – the established standards and bases that qualifies a patient for health
management in the Coronary Care Unit.

2.4. Admission of Patient to Coronary Care Unit – the process in which patient is admitted
directly from Emergency Room or Out-Patient Clinics, or transferred from the floor where
patient’s condition/s requires intensive treatment and care.

2.5. Discharge of Patient from the Coronary Care Unit – the process by which patient is
transferred-out from the Coronary Care Unit to the floor, transferred to another hospital, or
discharged home according to the patient’s condition.
3. FACTORS TO BE CONSIDERED WHEN ADMITTING PATIENT TO CCU
3.1 Diagnosis of the patient
3.2 Severity of illness
3.3 Age
3.4 Co-existing disease
3.5 Prognosis
3.6 Availability of the suitable patient
3.7 Response to treatment

COPY RIGHT © North West General Hospital


Page 2 of 3
Please don’t copy without authorization.
CONTROLLED DOCUMENT
Title: Policy for Admission and Discharge Criteria
Department: Clinical
Document No: NWGH-MED-P-020
Issue Date: 01-06-2023
Revision Date: 01-06-2025 Version No: 1

3.8 Anticipated quality of life


3.9 Patient’s will

4.0 SPECIAL CONSIDERATIONS:


4.1 Patient might be admitted under one category may enter into another as CABG, may develop sepsis
of acute lung injury.
4.2 It is important to differentiate between patients who are in critical care units from those with critical
illness that is characterized by acute loss of physiological reserve.
4.3 Patient can be discharged from the Coronary Care Unit as requested by the family.
Contraptions (IVFs, catheters, NGT, gastrostomy, tracheostomy, etc.) may not be removed as prescribed by the
physician.

5. Revision History:
Revision Details
Date Revision Revision Details

COPY RIGHT © North West General Hospital


Page 3 of 3
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