Most admissions you personally had during shift or most your floor had.

  1. Curious to see how many patient admissions you have had to take and how many admissions in one shift total for everyone. We got slammed the other night with 5 admissions in 4 hours! I got two of them.
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  2. 31 Comments

  3. by   unknown99
    I had , myself 5 admits and 4 discharges in one 8 hour shift. Talk about busy!!!!
  4. by   nialloh
    Quote from webbiedebbie
    Curious to see how many patient admissions you have had to take and how many admissions in one shift total for everyone. We got slammed the other night with 5 admissions in 4 hours! I got two of them.
    I had 2 discharges and 3 admits. During the same shift, my unit had 16 discharges/transfares and 15 admits/transfares. This only happened once, and I would never want to see it happen again. That night everyone got out at least 4 hours late.
    Last edit by nialloh on May 10, '04
  5. by   RN-PA
    That's a good question. I'll have to ask my co-workers the next time I work. I know I've had two admissions AND a transfer and/or post-op in a shift. Does that count? Or do you mean admissions-- the pages of paper or computer work, orders, history, listing meds, etc.? I know we've had 6 admissions on 3-11, 29 bed unit, and often get slammed, but it's included post-ops, transfers, ED and direct admissions.
  6. by   PeninsulaRN
    The most in recent history was 13 admissions for a 12 hour shift. Some of us had 2, some 3. I can't remember exactly how many RNs were on.

    That's not counting in-house and out of house transfers, discharges, etc.
  7. by   jeanna
    Quote from PeninsulaRN
    The most in recent history was 13 admissions for a 12 hour shift. Some of us had 2, some 3. I can't remember exactly how many RNs were on.

    That's not counting in-house and out of house transfers, discharges, etc.
    our unit is a 37 bed unit and we had in one 8 hour period 15 discharges and 16 admits. i had 2 discharges myself and 3 admits. we had 6 nurses working that day. the above comment said she didn't know how many RN's were working. did you mean that only RN"s can do admits. on our unit both RN's and LPN's can do admits. the LPN's just get a cosign from a RN on the admit form.
  8. by   RN-PA
    On our unit, only RN's are allowed to do admissions.
    Ridiculous rule.
  9. by   PeninsulaRN
    Quote from jeanna
    our unit is a 37 bed unit and we had in one 8 hour period 15 discharges and 16 admits. i had 2 discharges myself and 3 admits. we had 6 nurses working that day. the above comment said she didn't know how many RN's were working. did you mean that only RN"s can do admits. on our unit both RN's and LPN's can do admits. the LPN's just get a cosign from a RN on the admit form.
    We are an RN only floor.

    However, at previous hospitals I've worked for, LPNs were not able to do admits. The RN must do the initial assessment, admission history, etc. So the RN would "admit" the patient and then turn care over to the LPN. I'm sure this varies from state to state.
  10. by   AmiK25
    I work in a very busy 20 bed ICU that is split into two teams...ten patients and six nurses to a team. One Saturday, my team transferred out 4 patients and admitted six (already had two empties when we came in)...I thought the day would never end!!!
  11. by   PeninsulaRN
    Quote from RN-PA
    On our unit, only RN's are allowed to do admissions.
    Ridiculous rule.
    I wonder, is this a facility policy or state-sanctioned? Have you worked other places in your states where LPNs are authorized to do admissions?
  12. by   jeanna
    Quote from PeninsulaRN
    I wonder, is this a facility policy or state-sanctioned? Have you worked other places in your states where LPNs are authorized to do admissions?
    North Dakota doesn't prevent LPN's from doing admissions. The nursing Practice only prohibits LPN's from starting blood, giving chemo, and IV sedatives. Our Nursing laws also required LPN's to have as Associate Degree. LPN's before the new requirement was past in 1987 were grandfathered in. I myself have an ASPN, LPN.
  13. by   plumrn
    Only RN's can do admission assessment forms where I work...and we have less RN's than LPN's on any shift.
  14. by   VivaLasViejas
    One night on our 34-bed med/surg unit, we had only 6 patients, so staffing was cut to two nurses: a new grad, and me. No aides, no standbys........naturally, we got slammed. We ended up admitting eleven patients between midnight and 7 AM Talk about unsafe staffing!! That was truly the night from Hell........both of us quit not long after that.

    While staffing is still far from ideal, I've seen much improvement since I've been back.......at least the supervisors will call people in now when we're drowning, and NEVER do they staff only two nurses for an entire floor, even if there are only a few patients. We also have a couple of new assistant managers who will actually get out on the floor and help with admits, difficult IV starts, even taking pts. to the bathroom if necessary, which has probably done more for our morale than anything else.

    Of course, there are days when we could have 20 staff on the floor and it wouldn't be enough....... :uhoh21:

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