I am a new NP, with 17 yrs acute care hospital
nursing experience. My practice is internal medicine "hospitalist". Until my hospital credentials go through, the last 5 weeks I have been in LTC SNF / Rehab/ Nursing homes. We are expected to see 25 pts a day, obviously an industry standard (even though our group has no office/overhead)
Either I am the stupidist NP in the world (not likely) or I am in some real trainwreck facilities. I can NOT for life of me no matter what I do see more than 16 pts a day, once I've seen 20.
Mind you, we cover more than 5 SNF's. Some days you have to drive to 3 in one day. The residents are NEVER in their room (rehab, smoking, "out on pass with family"), the charts are never there, and if I want my vitals, or blood sugars - I have to go to the nursing carts and look them up. Nothing is computerized. Everything is handwritten. Plus I am taking "call" from 8am-6pm for at least 5 SNF's during the work day.
I feel like I will NEVER see that many patients. How in the world? Unless I ignore every problem and write a 2 sentence note? LOL. I am trying to find the balance.
How long should it take before I can see 25-30 pts a day? 6 months, a year, now?! I feel like I am not contributing to the group, and it stresses me out.