How many admissions can you do or have been asked to do in one day? - page 2

by RN1263 2,682 Views | 15 Comments

Well, the weekends are becoming unmanageable for the on-call nurse at my agency.... They will now schedule 4 admits without blinking an eye on Saturday and then we turn around on Sunday and start all over again. Last nurse... Read More


  1. 0
    Also, I forgot to mention we are covering 3 counties. Slows you down when it takes 1 1/2 hours to get to your next admission.
  2. 0
    I have done 4 admits in a day on a few occasions, 3 would not be unheard of on a busy day.
  3. 0
    For me, it isn't so much the number of admissions that kill me, but how they work in with my other cases and what I have going on.
    Example - Last Monday:
    0800: Scheduled 2-hour inservice for wound vacs, where I was called by 2 patients during the teaching, wanting to be discharged from services, as they felt better over the weekend and didn't want to be homebound anymore.
    1000: After the inservice, I discovered I had two new admits scheduled for the day, as well as a routine visit I already knew about.
    1005: Learned upon listening to my voicemail that one of my other routine patients was finally admitted to Hospice over the weekend, and had to be immediately discharged.
    1030: Surprize confrence call between myself, my manager, a nurse delegator and an AFH owner who was offended that I dare suggest a FTT patient might be better served in a Skilled Nursing Facility than her AFH, who was now demanding a written apology.
    1245: Finally able to get back to work. Case management until 1400, when I was finally able to get out the door and start seeing the admits and visits.

    I think I got home around 1800 and charted until 2330.
  4. 0
    Quote from Burlshoe114
    Case management until 1400, when I was finally able to get out the door and start seeing the admits and visits.

    I think I got home around 1800 and charted until 2330.
    How did you see 2 admits and a routine visit, Plus get home in 4 hours? Were they all within 10 min of each other or something?
  5. 0
    There are so many factors into "how many can you do" are they all in the same town? just been discharged from hospital? trainwrecks? I have done 3 admits in an 8 hour day on paper and 2 admits in an 8 hour day in the computer with each being an hour driving distance apart and an hour away from the office. So total 1 hour to first admits home, admit time, hour to next admits home, admit time and hour drive back to office plus time at office to finish computer charting. 4 could be totally doable depending on conditions.
  6. 0
    I can do 2 admits and an SN visit for ROC or a recert in one day. But I also have to have time to audit all admitsand d/c, teach chronic care class weekly, nurse ed, pt ed, go to seminars at least 2x month. So, doing these things are a nightmare at times. Oh, and when on call for the week, usually 3-4 admits on weekend, as well as a few IV's, ROC's, etc.


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