charting is expected at bedside, average visit is 45minutes to one hour. As for number of patients, it is expected that a nurse that has a nursing home facility with several patients, you would be expected to see 7 of those patients in one 8 hr shift----as they are in one location---with an average visit being 45 minutes and after speaking with their floor nurse and calling family with an update, seven patients should be doable easily (we do paper charting still)....
As for home care patients-that is a horse of a different color. If you have a 3-4 county area and the patients are several miles apart-4-5 may be on the average day, not including all the phone calls you receive from the office from families with alot of questions.....New patients take a greater amount of time secondary to all the teaching that is required with hospice philosophy and scope of practice and care plans
. We have a policy that if we receive a call from a patient/family within the first 7 days of service this automatically prompts a visit, even if it's just a medication question.
there is ALOT of documentation that occurs at the office after the visits are completed, for instance-the field nurses have "field charts" that have all the patients information including a copy of the care plan, so they have at hand what are active "care plan" issues, as a weekend nurse, I don't have this on my person during the visit, so I complete alot once I get back to the office. Most of our field nurses try to have a four hour period where they catch up on updating care plans, and the like. Also, we turn in our notes every other day to be"exited" by management. that takes alot of time also.