What it means
The formal start of a stay in a health care facility. On admission the nurse identifies the client, orients them to the room and the call light, does a full assessment and history, checks allergies and home medicines (medication reconciliation), asks about an advance directivead-VANS dih-REK-tivA legal document in which a person states their wishes for medical care, for a time when they cannot speak for themselves.Full entry and starts the plan of care, including discharge planning. In a statement or testimony, "an admission" also means admitting something is true.
For the nurse
A new admission needs a registered nurse's assessment, so the RN does not delegate the admission assessment. Begin discharge planning at admission.
At a glance
| Spanish | ingreso, admisión |
|---|---|
| Also written | admissions |
Related terms
assess
To gather information about a client by looking, listening, asking, measuring and examining.
plan of care
A written plan that lists a client's problems, goals and the nursing actions to reach them.
handoff report
The passing of information and responsibility for a client's care from one nurse or team to another.
case management
The coordination of a client's care and services across settings and providers by one assigned professional.