I am an RN working in a Wound Care Clinic that sees 25-40 patients per day with 5 pt rooms. Pt's are scheduled q15 minutes regardless of type of appt. (new vs. MD vs. Nurse Visit), acuity (ambulatory, walker, wheelchair, stretcher), or anticipated tx time (1 vs. multiple wounds, simple vs. complex dressings, compression wraps - may/may not need assist lifting legs to wrap, debridement, NPWT, etc.). Is this normal?????
Our wait times are terrible and I am so embarrassed/tired of constantly apologizing to our patients knowing that nothing is being done to change the situation. I feel like I've been beaten up at the end of every day. Management seems oblivious to the problem. When I mention that there isn't enough time to treat the patients in the allotted time my boss says "Why not?" and still thinks we can handle more.. ..I don't even know what to say to that.
How do other Wound Care Clinics effectively schedule patients? Do you schedule with anticipation of debridement? How much time do you allow for compression wraps/ NPWT/ Grafts? Do you have new patients fill out paperwork before they come in or at time of visit - in the lobby or once in the pt room? Once the schedule is full do you turn away patients? How many RN's per MD? Do you assign roles to the RN's every day (room pts, pre-treatment prep, case mgr who stays with Doc, dressing/discharge nurse)?
There has to be a better way to manage the schedule without continuing to compromise patient care.
Any suggestions would be appreciated. The more specific the better.