Hospital rounding

[West12FNP]

Any FNPs do hospital rounds? How is it and what does your day look like?

[traumaRUs, MSN, APRN]

I work in nephrology and have done hospital rounding at two hospitals:

We start at 0700 and see all the nephrology pts in one hospital, then head cross town and do it again. I usually see ICU pts first, then consults as they come in.

[canchaser, BSN, RN]

Trauma, as a np what's the average hours per day You do in hospital rounding?

[traumaRUs, MSN, APRN]

For our practice, its on the weekends and depending on the pt load can be 3 hours to as much as 10 hours. That's each day.

[BlessedOne]

Are the any good reference books for nps and hospital rounding. I will start rounding soon and I want to get a good evidence based resource.

[Corey Narry, MSN, RN, NP]

Are the any good reference books for nps and hospital rounding. I will start rounding soon and I want to get a good evidence based resource.

I don't typically use reference books in the clinical setting. The medical texts are large and hard to carry around but are good for self study and reading on your down time. The pocket guides has not offered me enough information I need. I did use them initially as a guide so I don't forget anything -- what to write on your admission orders, etc. I think I used a tiny booklet called IM House Officer Pocket Guide or something like that. However, our hospital has pre-written, check off admission orders now. I use online resources more now. Uptodate is available on all hospital computers where I work. It is a great resource for common issues in hospital medicine but does not always yield the kind of answers you need for a particular case or issue. Pubmed is a good resource for exotic case reports and literature search for current research findings. There are a bunch of radiology websites with actual chest films and explanations of pathologies identified on the film. Lab interpretation results are easily googled and are also on uptodate. Our pharamacy has an online intranet site for formularies, dosages, antibiogram, etc.

[traumaRUs, MSN, APRN]

When I first started I used Maxwell's - its a small bound book with forms: what to include on H&P, consult, discharge summary, basic lab values, ACLS review. The down and dirty.

[West12FNP]

Typically does the MD have to sign your documentations? and how does billing usually work?

[traumaRUs, MSN, APRN]

With me and in my state it varies by credentialling at each hospital. My note is co-signed as are my orders.

[globalRN]

we work 7.5 hr days but often end up working unpaid OT, no coffee breaks and rushed lunch

we round on 20-28 inpatients ...usually 20-25 patients

we do admissions during the day

we coordinate the discharge of patients

we address family and patient concerns

we participate in multidisciplinary rounds

[nomadcrna, DNP, CRNA, NP]

I admit my own patients and have a totally independent practice.

My clinic bills for any inpatient or ER services.