I'm cutting and pasting a post from long ago. Pretty much the same except we now have computerized charting and address care plans
with each visit. (It did not result in any time savings really in charting time but it has made the chart accessible to us when we are not in the office. This is very beneficial to our triage/oncall teams and to people who are doing prn visits.--an aside for others who might be wondering)
A typical day starts with about an hour in the office getting organized for the day, finishing up paperwork, conferencing with others on the team about patients, etc. Then its off to visit usually 4 to 6 patients. Length of visit depends greatly on what is going on. Some might be as short as 20 minutes if they are stable and no symptoms are out of control. Or it might be as long as two hours if there are lots of problems to be addressed. Then back to the office to finish off paperwork and return phone calls etc. for about an hour.
There is a LOT of education involved. Pain management, skin care, signs and symptoms of death, medications and side effects, etc. We are providing the framework and the support for families to take care of their loved ones by themselves.
Paperwork is pretty minimal (aside from admissions). We use a check off system so it doesn't take long to document the routine. Care plans are updated every two weeks and also use a check off system for goals and for interventions so they don't take too very long either. This should go even faster after we get our new laptops and software implemented.
Caseload is pretty manageable at 10 patients per full-time RN. This is assuming there is a good mix of stable vs. rapidly declining patients. If they were all in their final days then that would be very taxing.