Part Two

- Pathological examination process Policy and information

Policy Screening process to determine patients' medical and nursing care needs

Policy: the hospital is committed to conducting a priority assessment of patients ' needs for therapeutic and nursing services when the patient is admitted to the hospital and the appropriate department for the patient's condition .

Purpose: to provide medical care to the patient according to his condition and in accordance with the priorities and clinical work guides (therapeutic, diagnostic, analgesic), when the patient is admitted to the inpatient department of the hospital .

Working procedures:

* The nurse in charge of the internal department conducts the initial nursing assessment of the patient's condition using the nursing assessment form .

* The responsible internal department nurse performs pain assessment according to the pain assessment model .

* The nurse responsible for the case develops a nursing care plan according to the nursing assessment and documents it in the nursing plan form .

* The responsible nurse of the internal department contacts the competent doctor and informs him of the patient's condition .

· The specialist doctor will review the medical history, complete the medical examination and determine the patient's needs for medical care.

The specialist doctor will develop a treatment plan for the patient according to the priorities and treatment protocol of the case, including :

* Necessary examinations . 

* Required analysis .

* Treatment according to the prescribed treatment model .

* Follow-up and observation required .

· Any other instructions .

The responsible nurse implements the treatment plan in the form of examinations and research, which is specified by the timing of the request and the execution hour

Responsible: attending physician-nursing staff

Models :

·       Nursing evaluation form	·       Sick history and medical examination form
·       Pain assessment form	·       Treatment plan template
·       A model of the nursing care plan	·       Treatment description form

References :

* Approved Egyptian accreditation standards

Preparation	Review	The trust

Policy of information given to the patient and family upon admission to the hospital

Policy: the hospital is committed to familiarizing and informing the patient and his relatives upon admission with the necessary information to make the appropriate decision to treat the patient .

Purpose: to determine the information that is given to the patient and his relatives upon admission to the hospital, which helps to make the appropriate decision to treat the patient, N8 and achieve the preservation of patients ' rights, facilitate the period of stay and obtain the required medical care, and inform patients of their responsibilities towards the hospital, which achieves the satisfaction of patients and their families .

Working procedures:

* When the patient enters the hospital, the receptionist or the admission office will introduce the patient and his relatives :

* The bill of rights of patients .

* Document the duties and responsibilities of patients .

* Instructions of the hospital regarding visiting and food / and non-smoking .

* The receptionist / entrance office will inform the patient about the cost of accommodation and treatment and view the price list in accordance with ministerial decree 186 of 2001 .

* The Attending Physician introduces the patient / his relatives with the necessary information that will benefit them to make an informed decision, including :

* The nature of the disease and diagnosis .       

* The expected result of treatment .

* Planned date of discharge from the hospital .

* Suggested treatment steps .

Responsible: attending physician-nursing staff .

Forms: conversion form .  

References: approved Egyptian accreditation standards

Preparation	Review	The trust