discharge/admit nurse

[ambitiousblonde]

I am curious if any facilities utilize this position, a RN strictly responsible for admitting and discharging patients in the hospital setting. Working on a fast paced MS floor with a high turn around, it seems this position would be beneficial for many obvious reasons.

Thanks in advance!

[imintrouble, BSN, RN]

There was an admit/discharge nurse at one facility where I worked.

It was only days, so it didn't help us night shifters at all.

For the day shift, it was worth every penny they paid her.

She was excellent at customer service, she liked her job, and she was detail oriented. A perfect fit.

There is no such nurse where I am now. None of us would want to do it anyway.

[APRN., DNP, RN, APRN, NP]

The med/surg floors have an admission RN for a 12 hour day shift, every day.

The admission RN will do the admission assessment in the computer for every admit. The admissions go really fast if you know how to ask the questions/ have the admission questions memorized, and have someone else fielding patient/family requests.

The admission nurse will also double as a resource RN/break nurse if there are no active admissions.

It works really, really well at my facility, and the role has been in place for many years.

[~PedsRN~, BSN, RN]

We are a busy floor, and do have high turnover. We have two ADT positions, one full time and one part time. They work 10-10 M-F. I like utilizing them when I'm working during the week, but often we have multiple admissions and discharges going on at once, so they can only do so much. I end up doing a lot of my own admits and discharges anyway.

[melaninatedSRNA22]

I have TWO discharge nurses on my unit at Methodist. They got comfortable and I still end up discharging my own patients. So they are overpaid. Maybe they'll be cut from the budget soon

[VivaLasViejas, ASN, RN]

The job isn't as cushy as it sounds. I did an 1100-1900 shift and ran the entire time, rarely getting lunch or breaks because I was also the break nurse. The hours were great and there were no weekends, but I usually had to take a team of patients for the last four hours and they were almost never the same ones I'd admitted. I lasted a year and a half.

[dudette10, MSN, RN]

Yes, lots of hospitals do. However, from my experience, it is usually a day-shift job only, from like 8am to 4pm, so if the admits/discharges aren't done during that time-frame, it only helps the day nurses. I have actually had this position myself. I didn't really care for it.

Can you explain why you didn't like the position? TIA.

[dudette10, MSN, RN]

The admission RN will do the admission assessment in the computer for every admit.

Do you mean the actual physical assessment, or just the admission questions related to history, living environment, POA/living wills, meds, allergy confirmation, ADL independence, etc.?

I see a potential issue if the ADT nurse documents the physical assessment. There would be no record that the RN assuming care actually assessed the patient.

[melaninatedSRNA22]

Ours are committed to the unit. They don't take patients, ever. Strictly discharge nurses. They do no admits. No type of social work. Just seeing the order, verifying the patient is free to go home, checking a few boxes and hitting print, then enter room for a five minute or less education.

Primary RN still expected to remove and IVs and central lines. I shadowed one for a full shift. It's pretty chill and nice. Almost a dream job for the nurse who is sick of bedside í ½í¸Š