Admissions are Difficult!

TheCommuter, BSN, RN · Nov 30, 2015

When I worked in LTC rehab, admissions were the bane of my existence. They were time-consuming and kept me several hours past the end of my shift.

An LTC facility where I previously worked was a high-volume place that slammed nurses with two to three admissions on each 3 to 11pm shift. Each admission packet contained about 30 pages of paperwork, all to be completed by hand.

This is one of the reasons I will not return to LTC rehab unless I desperately needed the money to avert immediate homelessness.

dudette10, MSN, RN · Nov 30, 2015

I work in a teaching hospital, and admissions are pretty quick because the work is shared. The ED usually has the prior-to-admission meds entered (or they are already in the system from a prior encounter), and I just review them with the patient and enter last doses taken. Residents put in ALL orders. Except for the skin/wound measurements and documentation and the regulatory/accreditation questions we must ask at admission, it isn't much different than start-of-shift. Admission flowsheet, plan of care development, and education assessment/teaching points take about 10 minutes. I find discharges much more time consuming than admissions because I am meticulous with my discharge teaching.

LTC is a victim of excessive regulatory requirements.

Rocknurse, MSN, APRN, NP · Nov 30, 2015

And you have to love those ones that just give you the patient and then say "oh it's only for 4 hours. We can transfer them again at lunchtime". Gee thanks. Takes me till then to do the paperwork. Ugh.

Farawyn · Nov 30, 2015

It looks kind of like an OASIS for home care.

It checks off everything you would do in an admission, is it the paperwork itself that's lengthy? I'm not familiar.