How many admissions

Specialties Home Health

Published

Specializes in critical care; community health; psych.

How many admissions on average are you handling per week? It seems like for the last week I'm doing at least one every day.

Depends on the census. I've gone days without doing one, then one day I did two on top of my four regular pts.

Depends on the number of referrals/number of RN's working. There are some weeks where we get one every day (sometimes even 2) and it is very stressful. Our productivity standard is 5 visits per day for RN's and 6 per day for LPN's and mileage is about 80 miles per day.

We use a point system for productivity where you are supposed to do 5 points daily. An admit is 3 points and regular visit is 1 point, so a full 8 hour day would be 1 admit and 2 regular visits.

This supposedly gives time for case management, however, they do not count meeting time or time for chart audits in the productivity so it is not an effective or equitable tool. Some of us are on numerous committees and attend all meetings, where others do not.

Another problem is usually we wind up having 6 points per day and everyone knows how it is when you get behind 1 or 2 days... it seems like the paperwork will never end-an we are on laptops!

Overall, it is the best job in nursing for me-I have been doing home health nursing for 12 years.

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