Hospital Admission And Discharge con...


Hospital admission and discharge  con….

Medico legal issues related to admission and discharge:

Meaning: Medico legal case any case of injury or ailment where criminality is involved. It is judged by history furnished by the patient & the examination findings.
Medico legal cases:
·         Suspicious cases of injuries & burns
·         Suspected or evident poisoning or intoxication
·         Vehicular, factory or unnatural accidents.
·         Suspected or evident sexual assault
·         Suspected or evident criminal abortion
·         Unconscious cases where cause IS not natural or clear
·         Cases brought dead with improper history creating suspicion of offence.
·         Cases referred from court.
Admission of MLC:
·         Any case among the above list even if brought after several days must be registered as an MLC & an opinion regarding the case given as per patient's present condition.
·         Request of patient or family member for not registering the case as MLC should not be agreed to.
·         A fresh medico legal report must not be prepared if the case was already registered in any other hospital.
·         Treatment of MLCs take precedence over medico legal formalities especially if patient is in serious condition.
·         All MLCs are supposed to be registered and informed to the police . The medico legal report must be filled in appropriately with all the identification data, date & time of arrival, date & time of examination, name & address of the attendant of the patient etc.
·         Specimens relevant to the case must be properly sealed ,labeled & sent for investigations
E.g.: tablets, vaginal swab
·         All admission documents, investigation reports and patient file should have the MLC seal.
·         Patients thumb impression should be present on the MLC record and details of the person bringing the patient for admission
Discharge of medico legal patients:
·         Inform the police department before discharge.
·         Discharge against medical advice must be documented in the file & signature taken from the patient or responsible others.
·         Patient's records should not be handed over to the police or legal authority without a written permission of the treating physician.
·         On discharge patient has the full right to seek his medical records, including his investigation reports
      Medico-legal issues related to the discharge of mentally ill patient:
·         As per the Indian Mental Health Act 1987, after 24 hrs a board should decide regarding continuation of treatment or discharge of the patient.
·         Admission can be made under special conditions where patient is brought by relatives, friends etc.
·         Application form for admission is accompanied by report of 2 medical officers out of which one should be in government service.
·         But a patient admitted on involuntary basis cannot be discharged with patient's wish but requires a due approval from psychiatrist and order of court.
      Medico legal issues related to discharge of body after death
·         As per institutional policy keep in mortuary for postmortem.
·         A signature for release should be obtained by the nurse while releasing the body to the relatives or police
·         Dead bodies which expire in the hospital should be sent to mortuary & from there handed over to the police or to the sub division magistrate. Inform relatives & police about death & transfer of body.
·         Unclaimed dead body.
   Nurses responsibilities:
·         Informed consent
·         Providing privacy
·         Maintaining confidentiality
·         Identifying MLCs
·         Safe keeping of MLC records under lock & key
·         Collecting complete data of patient
Transfer of patients:

When a patient is transferred to another unit, the nurse in the original area gives a verbal report about the patient to the nurse in the new area. The report should include the patient's name, age, admitting diagnosis, surgical procedure if done, current conditions and manifestations, allergies, medications and treatments, laboratory data and any special equipment that will be needed to provide care. Accurate, concise and complete verbal communication is essential.



anaphysio,4,ASEPSIS AND INFECTION CONTROL,9,audio,1,biochemistry,2,blog,1,BSN Notes: Assessment in Psychiatry,6,BSN Notes: Burns,11,BSN Notes: Care of Terminally Ill Patients,6,BSN Notes: Childhood and Developmental Disorders,6,BSN Notes: Common Behavioural and Social Problems,4,BSN Notes: Common Childhood Diseases,7,BSN Notes: Common Signs And Symptoms,32,BSN Notes: Community Mental Health Nursing,12,BSN Notes: Critical Care,12,BSN Notes: Disaster and Emergency,15,BSN Notes: ENT,8,BSN Notes: Eye,25,BSN Notes: History and Assessment,24,BSN Notes: Introduction of Psychiatry,27,BSN Notes: Legal Issues In Psychiatry,4,BSN Notes: Medication Administration,24,BSN Notes: Neuritic_Stress related and Somatization Disorders,10,BSN Notes: Neurology,6,BSN Notes: Oncological Nursing,8,BSN Notes: Organic Brain Disorders,1,BSN Notes: Oxygenation,3,BSN Notes: Personality_Sexual and Eating Disorders,5,BSN Notes: Principles and Concepts of Psychiatry Nursing,2,BSN Notes: Psych-pharmacology and Other Treatment Modalities,30,BSN Notes: Psychiatry Emergencies and Crisis Intervention,4,BSN Notes: Psychosocial Needs,5,BSN Notes: Schizophrenia and othe Psychotic Disorders,4,BSN Notes: The healthy child,5,BSN Notes: TNPR,9,BSN Notes: Urinary Elimination,14,chn,41,clinicalkannada,4,clinicals1,40,clinicals2,13,clinicals3,33,clinicals4,17,Code of Ethics,3,community,7,Critical thinking,7,drugs,3,Epidemiological Approach,4,Equipment & Linen,9,Equipments & Linen,1,Etics and Legal,1,exa,1,exam,11,featured,19,fon,142,fon3,142,fun,1,geriatric,1,goingbacktodraft,673,graphic,1,Growth and Development,5,he,115,hotspot,6,kannada,63,language,1,Machinery,10,Medications,1,Memory Tools,9,mhn,127,microbiology,3,misc,2,mnemonics,48,msn,137,NCLEX,13,ncp,27,news,4,obg,28,OBG Medications,1,Peri- operative Nursing,2,pharma,29,Physical Examination and Assessment,9,Psychology,2,Pulse,7,resources,1,Respiration,4,Transitional care,1,Ventilators,5,voice,2,
item Hospital Admission And Discharge con...
Hospital Admission And Discharge con...
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy