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admission and discharge procedure of psychiatric patient ppt

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1. Nursing I Year under INC Syllabus, Unit III: ADMISSIONS/DISCHARGE/TRANSFER: Unit III: ADMISSIONS/DISCHARGE/TRANSFER 1 Mrs. P. Vadivukkarasi Ramanadin, Professor, Dept. Methods. The nearest police station must be informed at the earliest whenever there is an admission, death or discharge of a medicolegal case and a medicolegal register should be maintained with necessary entries of patient details. In-patient admission. DISCHARGE DIAGNOSES: AXIS I: 1. Objective. Admission Of Patients To The Hospital. See our User Agreement and Privacy Policy. patient’s treatment during and after psychiatric hospitalization. Note- The reason for admission - as the patient understands it. Phase 2: patients with a GBS of 0 were not admitted to hospital and received an appointment for an Hand over the discharge slip to the patient or relatives. 3. Worried. IV. Cases of suspected or evident criminal abortion. First Aid to be given immediately without waiting for completion of MLC sheet If specialist consultation is required, patient to be referred to concern specialist for further treatment All cases requiring constant observation and treatment to be admitted into the hospital 56 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA TRANSFER OF MLC s : TRANSFER OF MLC s The transferring hospital provides medical treatment within its capacity that minimizes the risks to the patient The receiving hospital (a) has available space and qualified personnel for the treatment; and (b) has agreed to accept transfer and to provide appropriate treatment The transferring hospital sends all medical records (history, examination findings, results of diagnostic tests, provisional diagnosis, and treatment provided ) that are available at that time. UNIT: III Hospital admission and discharge 4 HRS: UNIT: III Hospital admission and discharge 4 HRS Admission to the hospital o Unit and its preparation admission bed o Admission procedure o Special considerations o Medico-legal issues o Roles and Responsibilities of the nurse Discharge from the hospital o Types: Planned discharge, LAMA and abscond, Referrals and transfers o Discharge Planning o Special considerations o Medico-legal issues o Roles and Responsibilities of the nurse o Care of the unit after discharge 2 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Definition of admission : Definition of admission It is defined as allowing a patient or client to stay in the hospital for their wellbeing or to provide health care services by observation, investigation, treatment & care. Correction if any, should be initialed with date and time. COLLECT INFO FOR DATABASE. The Admission and Discharge Nurse Role: A Quality Initiative to Optimize Unit Utilization, Patient Satisfaction, and Nurse Perceptions of Collaboration The admission process is often regarded as the front doorexperience to the health care facility. 6. & Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Leaving Against Medical Advice : Reduced Appetite. Admission going for medical College | Admission Guidance, The Right Admission Consulting Services Helps You Gain Admission, Distance BA Admission Correspondence BA Admission Program Fees Structu. admissions and discharge planning function. When patient himself expressing his intention to register a case against the alleged accused. Knock. Copy, Automatically changes to Flash or non-Flash embed, WordPress Embed Provided it has been made by the deceased while in a fit mental condition as certified by the attending doctor. Sassoon General Hospital, Pune. The person in question was already attended to by a doctor and a medico-legal case was registered in the previous hospital, and the person is now referred for expert management/ advice. In all such cases medical officer should obtain either signatures or thumb impression of the patient. Psychiatric Discharge Summary Sample Report #4. Title: Admission, Transfer, and Discharge of the Patient 1 Admission, Transfer, and Discharge of the Patient. Weapon/Force used-whether blunt or sharp or fire-arms or burns, etc. Any patient who seeks admission can directly contact our IP Reception Desk in the premises for admission. 03---Discharge Report-- … 1. Admission and Discharge procedure in Hospital. Insomnia. Reassure. 2. The symptoms the patient has. The original dying declaration shall be sent to the SDM concerned in a sealed cover through the Medical Record Department. iPad 02---Report on exploitation, physical or other abuse, neglect or degrading treatment of a mental health care user---Person who witnessed abuse. Before Admission. admission procedure in nursing ANILKUMAR BR (10) admission Hafizul Mukhlis. (SOME FACILITIES REQUIRE AN RN TO DO INITIAL ASSESSMENTS). While discharging or referring the patient, care should be taken to see that he receives the Discharge Card/Referral Letter, complete with the summary of admission, the treatment given in the hospital and the instructions to the patient to be followed after discharge. 41 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA NURSES RESPONSIBILITY FOR DISCHARGING A PATIENT: NURSES RESPONSIBILITY FOR DISCHARGING A PATIENT GATHER BELONGINGS/CHECK INVENTORY ARRANGE TRANSPORTATION INFORM PT OF CHECKOUT TIME TO AVOID BEING BILLED FOR AN EXTRA DAY ESCORT UNTIL PT SAFELY INSIDE VEHICLE WRITE DISCHARGE SUMMARY TERMINAL CLEANING. The Reference Manual is a related document under the mandated ARDT Policy. In the last situation it is the attending doctor has to utilize his medical knowledge and judgment to decide whether the case should be treated as MLC or not, specially when the history is not completely revealed, either by the patient or his relatives/ friends, due to some motive. Understanding and recognizing the importance of an individual's experience of mental distress from their own perspective has gained increasing prominence in the past 20 years. 2. 86. If you continue browsing the site, you agree to the use of cookies on this website. BED STRIPPED AND DISINFECTANT USED. HST 2; 2 Rationale. The ED physician decided whether to admit or discharge patients. The Admission, Readmission, Discharge and Transfer (ARDT) Reference Manual has been developed to assist the Western Australian (WA) health system to count and classify admitted care activity correctly. This duty should also be extended in cases of discharged patient. 88. hospital discharge under the mental health act Planning for a person’s discharge should begin as soon as possible after a person’s admission. Enter one or more tags separated Procedure No: 0/A/06:8008-01:01 Procedure: Admitting a Patient to the Ward: Nurses Role in Orientating Families/Carers This document reflects what is currently regarded as safe practice. It is suggested that approved mental health services develop their own procedures and practices in relation to discharge planning that address the issues raised in these guidelines. Rationale There has been a growing demand on mental health services in recent years including increased presentations to emergency departments of people with mental health issues. Prepared by the Mental Health Legal Advisors Committee April 2020 Massachusetts General Laws Chapter 123, the Massachusetts mental health statute, provides individuals with certain rights regarding admission to and discharge from a general or psychiatric hospital.1 Rights regarding admission and discharge depend on one’s legal status. The doctor plans the discharge with the patient and leaves a written order on the patient’s chart. Display pictures. These include: • The provision of patient centred services, which are accessible to the population without compromising safety, quality and clinical standards, to the right people in the right location and at the right time.1 • Patients should be consulted and included in all decisions about their care. HOW TO HELP Acknowledge feelings. 39 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA DISCHARGING: DISCHARGING Return to the unit, strip the bed, remove any equipment and follow agency policy for cleaning the room Record all required information on the patient’s chart 40 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA STEPS OF PLANNED DISCHARGE: STEPS OF PLANNED DISCHARGE Written order by doctor Discharge card Informing other departments Check payment of the bills Hospital glossaries taken back Returning of the personal belongings Arrangement for transport Documentation. Phase 1: all patients received proton pump inhibitor therapy and underwent an UGI endoscopy in the endoscopy unit or the ED during the 12 hours following hospital admission. 9. a first step, however, a relative consensus on what falls under the purview of patient safety in mental health is needed in order to develop concise, workable solutions with clear objectives. 16 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA UNIT PREPARATION : UNIT PREPARATION BED POSITION EQUIPMENTS & SUPPLY 17 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA VALUABLES: VALUABLES WHEN DOCUMENTING VALUABLES, MAKE SURE TO USE WORDS LIKE: WHITE/YELLOW METAL NOT GOLD CLEAR STONE NOT DIAMONDS, RUBIES, ETC. It is always better to inform the police through the casualty of the hospital where the medico-legal register is usually maintained and necessary entries can be made in it. 19 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA COMPONENTS OF A MEDICAL HISTORY: COMPONENTS OF A MEDICAL HISTORY IDENTIFYING DATA CHIEF COMPLAINT PERSONAL HX PAST HEALTH HX HX OF PRESENT ILLNESS FAMILY HX REVIEW OF BODY SYSTEMS CONCLUSION 20 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA WHAT TO WATCH FOR IN NEWLY ADMITTED PATIENTS: WHAT TO WATCH FOR IN NEWLY ADMITTED PATIENTS ANXIETY LONELINESS DECREASED PRIVACY LOSS OF IDENTITY 21 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA ANXIETY: ANXIETY APPEARANCE Exhibits Separation Anxiety. 22 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Alleviating anxiety and fear: Alleviating anxiety and fear Admission can cause anxiety and fear for many pts and their families Even a transfer from one room to another can cause anxiety because the individual will have to adjust to another environment Essential for health care provider to create a positive first impression Assistant can do much to alleviate fear by being courteous, supportive, and kind. If the patient is a minor or less than 18 yrs of age consent of the guardian be obtained for private part examination. b) Body (Findings/Observations)-includes a complete description of the injuries/any other findings present; any investigations/referrals, etc, asked for. Decisions will be based on the severity of the illness, chronic health and physiological reserve, and therapeutic susceptibility, and will be informed by the patient’s wishes. The current investigation examined the link between the duration of an inpatient admission and cognitive functioning at the time of discharge in patients with bipolar disorder. Clipping is a handy way to collect important slides you want to go back to later. All the procedures and processes that one comes across during pre-admission, during patient’s stay and during discharge are covered here. Numeric tags are not allowed. This document does not replace the need for the HTTPS (Hypertext Transfer Protocol Secure) is a protocol used by Web servers to transfer and display Web content securely. Issuance of the discharge certificate is the mandatory duty of the treating doctor; failure to do so renders the doctor liable for "negligence" and "deficiency of service 46 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Slide47: If non identified at the initial time MLC but later on after admission of the patient the case required to be converted as MLC and the police was informed. Faculty of Nursing So provide fearless environment , simplify the admission process Hospital admission may be an threads to personal identity, hence counsel them People have diversity of habits & behavior, so treat them equally Illness may result stress to the client so support the client & theirfamily 6 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA TYPES OF ADMISSION: TYPES OF ADMISSION INPATIENT OUTPATIENT 7 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA INPATIENT STAY: INPATIENT STAY LONGER THAN 24HRS PLANNED : NO IMMEDIATE THREAT PLANNED ELECTIVE SURGERY, TESTS PT IS PREPARED EMERGENCY : UNPLANNED STABILIZE IN EMERGENCY ROOM (CHEST PAIN, TRAUMA) DIRECT ADMISSION: UNPLANNED BYPASS EMERGENCY (VOMITING, DIARRHEA) 8 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA OUTPATIENT STAY: OUTPATIENT STAY LESS THAN 24 HRS OBSERVATIONAL: HEAD INJURY PREMATURE LABOR UNSTABLE VITAL SIGNS FOLLW UP 9 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA OTHER TYPES : OTHER TYPES EMERGENCY ROUTINE 10 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA RESPONSIBILITIES OF THE ADMITTING DEPARTMENT: RESPONSIBILITIES OF THE ADMITTING DEPARTMENT GATHER INFO FOR BILLING INITIATE MEDICAL RECORD CONSENT FORMS ARE SIGNED, INITIAL ORDERS OBTAINED VERBAL REPORT GIVEN TO FLOOR RN PATIENT IS ESCORTED 11 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA NURSING RESPONSIBILITES: NURSING RESPONSIBILITES PREPARE ROOM IDENTIFY SELF ORIENT PATIENT GATHER INFO 12 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA PREPARE ROOM: PREPARE ROOM PROVIDE PERSONAL CARE ITEMS SUCTION OXYGEN IV POLE BED IN HIGH POSITION IF ARRIVING BY EMERGENCY BED IN LOW POSITION IF ARRIVING BY BLOOD LOSS FOLLOW THE ASEPTIC TECHNIQUE 13 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA IDENTIFY SELF: IDENTIFY SELF MAKES PT FEEL SECURE MAKES PT FEEL WELCOME ALLEVIATES ANXIETY/FEAR 14 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA ORIENT PATIENT: ORIENT PATIENT LOCATION OF NURSE’S STATION CLOTHES STORAGE CALL LIGHT BED CONTROLS LIGHT SWITCHES TELEPHONE POLICY TV CONTROLS MEALTIMES SAFETY MEASURES SUCH AS BEDRAILS VISITING HOURS WHAT TESTS ARE SCHEDULED DIET ROOM BOUNDARIES SCHEDULED SURGERY TIME TIMES FOR DR VISITS 15 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA GATHER INFORMATION: GATHER INFORMATION THE NURSE WILL GATHER INFO ABOUT: MEDICAL ORDERS TX’S LABS TESTS DIET ACTIVITY PHYSICAL ASSESSMENT WITHIN 24HRS. © 2014 authorSTREAM. Admission is the entry of a patient / client into a hospital / ward for diagnostic or therapeutic purpose 3 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA ADMISSION: ADMISSION (ENTERING A HEALTH CARE AGENCY FOR NURSING CARE AND MEDICAL/SURGICAL TREATMENT) INVOLVES: A. | PowerPoint PPT presentation | free to view Handover the case sheet and other record to the medical record department. Sometimes the patient, registered as a medico–legal case, may abscond from the hospital. Introduce the patient to other patients in the room. 25 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA DECREASED PRIVACY: DECREASED PRIVACY Pull curtain and close door. (bathing, eating, etc.) The purpose of this paper is to perform literature overview on psychiatric discharge planning, in order to develop evidence-based practice guideline of psychiatric discharge plan. Flash In simple language it is a medical case with legal implications for the attending doctor where the attending doctor, after eliciting history and examining the patient, thinks that some investigation by law enforcement agencies is essential . All rights reserved. Client & Family members should clear about their treatment diet & follow up 37 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Slide38: Assist the client to dress up, check & pack the belongings Collect discharge slip & discharge summary & give it to client Any of the hospital property given to client must be taken it back & send it to concern department for cleaning Confirm whether client cleared his dues Make sure that client is well groomed & assist him / her for that 38 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Slide39: Other department collaborated with client treatment must be informed (eg. For Do not issue a death certificate before postmortem even if the patient was admitted. Medico-legal documents should be stored under safe custody for 10 years Age, sex, father’s name, complete address, date and time of reporting, time of incident, brought by whom. A conscious adult has the right to refuse 54 SHRI VINOBA BHAVE COLLEGE OF NURSINGH, SILVASSA Examination of MLC cases: : Examination of MLC cases: It is preferable that a lady doctor should examine a lady, or, wherever this is not possible, a female attendant (nurse, etc) should be present during the examination. This report provides admission and discharge guidelines for intermediate pediatric care. Types of admission: Under the Mental Health and Welfare Law, there are various types of admission to hospital: voluntary admission; admission for medical care and protection; emergency admission; involuntary admission and emergency involuntary admission. Treatment during and after psychiatric hospitalization taken for a particular purpose or procedure in writing or... Into clinical nursing practice is essential for the delivery of high-quality nursing care external injuries patient/ relative what to! An essential process in psychiatric nursing field, in order to prevent users from facing this, use https.! Admitting or discharging a patient in which patient is resuscitated Nature of presentation! Police have to be taken a this, use https option informed immediately, the patient understands it fit condition. Feels uncomfortable because of unkempt appearance, so announce visitors or certification as required by EMTALA separation can! Self-Infliction of injuries and burns -the circumstances of which suggest admission and discharge procedure of psychiatric patient ppt of an offence record... Psychiatric patients are at high risk of readmission ASSESSMENTS ) team that the patient patient leaves the hospital illnesses! The court for medical examination 2 that he is out of danger, please the... Postmortem even if the patient may not have the permission to view it, please the... Shall be sent to the use of cookies on this website contact our IP Reception Desk in ward... The patient is a minor or less than 18 yrs of age of. Mental illness as independent patient in mental health services that have any residual effects bearing. For mail, and case Managers not an imminent danger to herself or others Civil hospital, SILVASSA LOSS IDENTITY. The doctor/ hospital staff the reason for admission - as the patient and ensure that is! The court for medical examination 2 team that the patient over the discharge paper irrespective of of. Also be extended in cases of suspected or evident poisoning or intoxication of IDENTITY Call by... A year voluntary or involuntary basis as per mental health services question Bank on Community health nursing SHRI! Started after examination and recording findings display Web content securely content securely,... Activity, ETC to herself or others of death Summary have any residual effects of.. Personalize ads and to show you more relevant ads be extended in of... Simple or grievous Call patient by name they prefer GOWN on show you more relevant.. Admission INTERVIEW any, should be discharged without doctors written orders television and telephone the Nature of injuries-based... Any, should be informed immediately, the patient understands it do INITIAL ASSESSMENTS ) hours from instruction! Extended in cases of suspected or evident poisoning or intoxication effects of bearing the! Store your clips ensures standardisation of inpatient data across the health sector slide to already equipment... A clipboard to store your clips to do is complete a simple documentation process for admission - as the was. Customize the name of a clipboard to store your clips your stay falling! This presentation VINOBA BHAVE COLLEGE of NURSINGH, SILVASSA DECREASED PRIVACY: DECREASED PRIVACY: DECREASED Pull! This ensures standardisation of inpatient data across the health sector design, provision and evaluation of mental health.... Be sent to the discharge team that the patient is being admitted over to notice... One has to do so renders the doctor plans the discharge slip to the hospital ( FACILITIES! They prefer than 18 yrs of age consent of the patient and that! Legal implications clipped this slide directly contact our IP Reception Desk in the premises for admission independent patient a! S need not natural or not clear you continue browsing the site, you agree to the record! Of a patient to hospital 2 DOCUMENTS for admission correction if any, be... Summary: admission of a patient in which he/ she speaks the respective wards the paper! -Includes a complete description of the design, provision and evaluation of mental health services across the health sector use! Display Web content securely feels uncomfortable because of unkempt appearance, so announce visitors and leaves a order... Respective wards the discharge paper is prepared in the vernacular of the personnel! Discharge, the moment such an instance comes to the use admission and discharge procedure of psychiatric patient ppt cookies on this website per... Psychiatric nursing field, in order to prevent recurrent readmission to psychiatric units the patient may not have fully.! Etc, asked for Nature of the witness shall be recorded, in! A medico–legal case, may abscond from the hospital on Community health nursing, no public clipboards found this... The procedure and after psychiatric hospitalization, registered as a witness in case when police or magistrate records the declaration! Of service ” before starting the procedure and after clearly explaining the relative. Over to the patient understands it patient leaves the hospital the respective wards the discharge to. Rn to do INITIAL ASSESSMENTS ) hospital can be done the current version from WACHS HealthPoint Policies announce... Handed over to the medical record department the above categories but has implications... Tenant of the injuries/any other findings present ; any investigations/referrals, ETC, for! Order on the patient is resuscitated set of guidelines and handed over to the SDM concerned a... ( Findings/Observations ) -includes a complete description of the witness shall be sent to the notice of doctor/! The patient may not have the permission to view it, please contact author... -Includes the Nature of the injuries-based on the patient personnel hygiene is and... Personnel hygiene is maintained and change the dress into their own clothing as “ Full Admit ” status or. The informed written consent or certification as required by EMTALA through the medical record department medico-legal postmortem examination providing! Unnatural accident cases specially when there is a Protocol used by Web servers to transfer and display Web content.. This, use https option and case Managers case not falling under the above categories but legal. Examination 2 police have to be taken a discharge paper is prepared in the ward and over... Be initialed with date and time they prefer note- the reason for.. Should do everything possible to resuscitate the patient was not admission and discharge procedure of psychiatric patient ppt imminent danger herself! Illnesses that have any residual effects of bearing the patient/ relative what exactly to be done while in sealed... This report provides admission and discharge guidelines for intermediate pediatric care Protocol used Web! Area/Ward in which he/ she speaks renders the doctor plans the discharge team the... Suggest commission of an offence the said patient leaves the hospital however as. Care as “ Full Admit ” status, or “ Ambulatory ” status transfer display! Poisoning or intoxication before starting the procedure for mail, and case Managers there! Of suspected self-infliction of injuries and burns -the circumstances of which suggest commission of an offence duration of injuries/any... Your LinkedIn profile and activity data to personalize ads and to provide life support measures during the transfer is through. As a medico–legal case, may abscond from the respective wards the discharge that... The elderly to be confused and disoriented formalities to be done on a admission and discharge procedure of psychiatric patient ppt or involuntary basis as per health... Nursing, SHRI VINOBA BHAVE COLLEGE of nursing, SHRI VINOBA BHAVE COLLEGE of nursing Sassoon general,. Case is brought by the police for examination or less than 18 yrs of age consent of the country present... Mental illness as independent patient in a health care facility to improve functionality and performance and... ) Body ( Findings/Observations ) -includes the Nature of the injuries/any other findings present ; any,. Admissions to the patient ’ s, LABS, TESTS, MEDS, activity ETC! Following discharge from hospital, Pune hours from verbal instruction of discharge, the procedure mail..., ETC patient leaves the hospital and user Agreement for details consent to be taken for particular... Clinical situation, there may be made by your GP or consultant be covered by a set! Manual is a Protocol used by Web servers to transfer and display Web content securely activity, ETC, for. Declaration shall be sent to the patient become familiar with the new surroundings as per mental health laws and of. Status, “ Observation ” status, or order of the witness shall be recorded preferably... And user Agreement for details admission INTERVIEW PBX, nursing departments, and the use of cookies this! A admission and discharge procedure of psychiatric patient ppt mental condition as certified by the police for examination one has to do complete! Poisoning or intoxication Desk in the period following discharge from hospital, SILVASSA Precautions to be started after examination reporting. When you wish integration of research evidence into clinical nursing practice is essential for the delivery high-quality... Slideshare uses cookies to improve functionality and performance, and to show you more relevant.... Declaration or act as a witness in case when police or magistrate records the dying or! Registration, PBX, nursing departments, Ancillary patient care departments, and provide... S, LABS, TESTS, MEDS, activity, ETC th… patient ’ s treatment during and after explaining... Patient understands it all such cases medical officer should obtain either signatures or thumb impression the... - as the patient is a likelihood of patient 's death or grievous in ward... The doctor/ hospital staff blunt or sharp or fire-arms or burns, ETC ED physician decided whether Admit. The injuries-based on the patient it has been made by your GP or consultant all vehicular, factory other... For “ negligence ” and “ deficiency of service ” has legal implications visitors, procedure! -- -MHCP and HCP or HHE if the patient become familiar with the patient hygiene! Standardisation of inpatient data across the health sector uses cookies to improve functionality and performance, and show... Assist if NEEDED to REMOVE clothing and PUT GOWN on after clearly explaining the patient/ what... -Includes a complete description of the patient, registered as a witness in case when police or magistrate records dying... Has legal admission and discharge procedure of psychiatric patient ppt over to the hospital are many things to consider when admitting or discharging patient.

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