> ## Documentation Index
> Fetch the complete documentation index at: https://docs.ndumed.co/llms.txt
> Use this file to discover all available pages before exploring further.

# Admit, transfer and discharge inpatients

> Admit a patient to a ward bed in NduMed, transfer them between beds, discharge them with a discharge type, print the discharge summary and understand bed-day charges.

Nurses manage inpatient stays in NduMed: admitting a patient to an available bed, moving them between beds, and discharging them. Each admission is linked to an inpatient (IPD) encounter, and bed days are charged automatically.

> [!NOTE]
>
> Admitting, transferring and discharging need the ward management permission, which Nurses have by default. Your hospital must use the Wards module.

## Admit a patient

**1. Start from the patient or the encounter**

Select **Admit** on the patient record or on the encounter screen.

**2. Choose a bed**

**Bed** lists only available beds.

**3. Clinic and reason**

**Clinic** comes from the encounter if you started from one; otherwise choose it. Enter the **Reason for admission**.

**4. Select Admit**

The bed becomes occupied. NduMed creates an inpatient (IPD) encounter, or uses the one you started from, for notes, vitals and orders during the stay.

A patient who is already admitted cannot be admitted again. If someone else took the bed a moment before you, choose another bed.

## Current admissions

Open **Admissions**. Filter by **Current**, **Discharged** or **All**, and by ward. Each row has **Transfer**, **Discharge** and **Summary** actions.

## Transfer to another bed

Select **Transfer**, choose the new bed in **Move to bed** (available beds only), and confirm. The patient's bed history records the move.

## Discharge

Select **Discharge** and choose the **Discharge type**:

* Routine
* Against medical advice
* Transferred out
* Referred
* Deceased

Discharging frees the bed, posts any remaining bed-day charges and closes the inpatient encounter.

> [!NOTE]
>
> Discharge also requires permission to update encounters. Nurses and doctors have it; if you cannot discharge, ask your administrator to check your role.

## Discharge summary

After discharge, select **Summary** for a printable discharge summary including the **Bed history**.

## Bed-day charges

Every night, NduMed charges each admitted patient one bed day for each completed day at the bed's daily rate. If the bed has no rate set, the charge shows as **Needs pricing** and must be priced before the invoice can be generated. Administrators set rates in [Wards and beds](https://docs.ndumed.co/inpatient/wards-and-beds.md).


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