All patients are admitted through the Steward’s Office (Admissions and Accounts' Office).
The admission process is initiated by the Physician.
Types of Admissions: three (3)
- Elective - Routine, Non-Life Threatening or Disabling
- Urgent - Admission Required within One to Two Weeks
- Emergency - Life Threatening Situations
Emergency and Urgent Admissions
If a patient is placed in a nursing ward via A & E, the A & E Department and the Nurse-in-Charge are required to inform the Admissions and Accounts' Office. The patient can be properly admitted by a Ward Clerk on the ward or have a next-of-kin make the registration, admission and financial arrangements at the Admissions' Office (Steward’s Office).
Physician Referral for Hospital Admission
A Physician Referral Form completed and signed by a physician, is required for all admissions with the exception of true emergency cases.
Admission of Patients to the Milton Cato Memorial Hospital
Patients are to be admitted to the ward areas only:
- Elective admissions (for surgery, treatment, investigations or delivery).
- The request for admission must be signed by the Hospital Consultant.
- Monday - Friday 8:30 a.m. - 4:00 p.m.
- All elective patients or their relatives must take the admission request to the Admissions Office for registration and payment of the deposit before being accepted on the wards.
- Saturdays - Admissions will be done between 9:00 a.m. and 11:30 a.m.
- Sundays and Public Holidays
Elective cases to be admitted on these days should have all appropriate investigations done, deposits made, and records left on the ward areas prior to date of admission.
- Emergency Admissions
- Admissions direct from the Accident and Emergency Department: Monday - Friday 8:30 a.m. - 4:00 p.m. Saturday 9 a.m. - 11 a.m.
- The relatives of these patients should be directed to the Admissions' Office for registration, and the payment of deposits.
- These patients may go directly to the wards.
- The Nurse-in-charge of Accident & Emergency shall inform the Admissions' Office when there are no relatives present.
- After working hours, Sundays and Public Holidays.
- These patients may go directly to the ward.
- The relatives shall be directed to the Admissions' Office at the first available working day by the Ward Sister.
- All previous records must be retrieved by ward staff.
- Maternity Cases.
- Patients in labour shall go directly to the Maternity Ward where they will be registered by the Ward Clerk.
- Patients from Private Clinics and Doctors.
- Patients from private clinics and doctors, not employed at the Milton Cato Memorial Hospital, must be routed through the Accident and Emergency Department.
- These patients may be admitted directly to the ward areas if the Consultant in charge/on call has been contacted by the private doctor and has agreed to accept responsibility for these patients. Case Notes (Patients' Records).
- 4.1. All admissions must be registered and old records/retrieved by 10:00 a.m. on the next working day.
- List of Patients' Registration Numbers will be placed on each ward area for easy retrieval of case notes.
- All patients' records must be sent to the Admissions' Office by 11:00 a.m. on the day of discharge, (providing that it is a working day), in order to have their accounts processed and bills issued before patients leave the hospital.
- The proper postal address and date of birth must be recorded in all case notes.
- Discharge summaries must be completed, and a copy left in the patient’s records.
The Kingstown Medical College, an offshore US medical school operates in Saint Vincent and utilises the facilities for their clinical rotation programmes.
The School of Nursing in Saint Vincent also uses the facilities for the clinical and practical rotations of its students enrolled in the nursing programmes. Visiting specialists also rotate to perform special surgeries at the Hospital’s request.
The Hospital accommodates students from regional and international universities for internship and elective programmes.