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Inpatients




Outpatients

Introduction to a hospital

Almatova Venera is a second-year medical student of the residency course from Kazakhstan. She has come to Britain on an exchange attachment to the Royal Infirmary, Edinburgh. Dr Phillips introduced her to the hospital.

The Royal Infirmary is the name of the university hospital for Edinburgh University. It is a general hospital, dealing with all types of patients and illnesses, except paediatrics. There is a specialist hospital for that in another part of Edinburgh, the Hospital for Sick Children. It is possible to see some of the departments in the hospital on the sign. Of course, there are many others, for example the Intensive Care Unit (ICU), and the Surgical High Dependency Unit (HDU), the Simpson Centre for Reproductive health: Gynaecology (Emergency), Maternity (Emergency), Neonatology (Emergency), Outpatient departments and etc.

As it was a hospital and Dr Phillips used a word 'outpatient' several times in his conversation, Venera was interested in what 'outpatient' meant.

Dr Phillips: Outpatients are the people who come to hospital to attend a clinic or to have tests or treatment and then return home on the same day. Inpatients stay in the hospital for one or more days. The rooms where they stay are called wards. If a patient's treatment requires only one day, such as a simple operation, they can be admitted to the day surgery unit.

 

Dr Phillips: We have the Accident and Emergency Department (A&E), also it is called Casualty, where patients who are acutely ill with a sudden, serious conditioncome for assessment and treatment. Outpatients who have an appointment to see a specialist go to a clinic in one of the Outpatient Departments (OPDs). They have usually been referred to the hospital by their GP, who writes a referral letter to the consultant explaining the patient's problem.

 

Dr Phillips:

The inpatients in a hospital are admitted in one of three main ways. They may be examined in one of the outpatient clinics and admitted from there or, if there is a lot of demand for the treatment they need, as in the case of a hip replacement, they are registered on a waiting list for admission. Alternatively, their GP may arrange the admission by telephone because they are acutely ill, for example with suspected myocardial infarction. Or they are examined in the A&E Department, where the doctor on duty working at that time makes the admission. This would happen in the case of a patient with a fractured neck of femur, for example. Larger hospitals may have an assessment unit where patients can be admitted temporarily while their condition is assessed.

Venera: Assessed?

Dr Phillips: Yes, decisions are made about patients’ conditions, and what needs to be done to help them. After treatment is completed, the patient is discharged back to the GP's care.

 




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