My supervisor does not allow any nurse to see over 7 patients a day. If you have more than that we have a PRN LPN or RN see the overflow. A busy day for me would be the Friday I just completed. I had 6 patients, 4 regular visit, 1 start, and 1 DC. If those nurses in your agency are seeing 50 patients a week then they are seeing about 10 a day. Unless they start their day at 7 and end at 7 I don't see how they are doing true case managment with those patients. Does it take an hour for each patient, well I hope not ,unless it is a start, but the time doing case management with those patients can easily take up the other 30min that you didn't spend in direct contact with the patient. I wonder what their re-hosptialization rates are. I would bet it is high. Of course every one has their own way of getting their job done...so just because one nurse takes 2 hours to do a start doesn't mean the next nurse will take that long.