It is reviewed annually and is adjusted acording to patient care needs. V. Patient Admission Process Patient admissions are related to participation in research protocols. The protocols are reviewed by Clinical Nurse Specialists prior to implementation for anticipated nursing impact. The Protocol Implementation and Planning Guidelines are used to direct evaluation of patient needs for nursing care, patient and family teaching requirements and nursing staff education needs to support the protocol. The Nurse Executive or Head Nurse participates in the hospital admission system.
Admissions are primarily elective and scheduled.
Institutes notify Head Nurses or their designates of admission requests and mutually determine the final admission decision. This is based on research priorities, patient care requirements, and the adequacy and availability of nursing resources. Emergency admissions and in-house patient transfers are handled by the same mechanism. The Associate Director for Nursing has the authority and responsiblity for establishing standards of care and practice. The Nursing Department has broadly written standards which assert what patients can expect to receive from nursing care delivered throughout the Clinical Center.