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

[RN1263]

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 on-call last weekend has 6 admits to finish still d/t not being given any charting time and no day off.

Thoughts? Comments?..... How many admits can "you" do, start to finish, in one day... just curious.

[Burlshoe114]

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.

[RN1263]

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?

[tx2007, RN]

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.

[nrsdolphin]

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.