New Admissions

[critical thinker]

Hello, Curious as to how other facilities do their admission procedure, do you have an admission coordinator that handles most of the paper work, or do the "floor" nurses handle to whole thing? Thanks

[nyteshade, BSN]

We do it all

[HappydayRn]

Days and eves have a dedicated admit and discharge nurse.

Noc's have float RN's that can do admits, however if they get pulled to the floor we do them ourselves or leave part of it for the day admit nurse.

[Redhead28]

We do it all. Did work at hospital that had admit nurse from 07-23 and they did the paperwork, that was great.

[Sun0408, ASN, RN]

We do it; however, if we are swamped the charge nurse will do it for us or at least most..

[Flipper911]

in the critical care units the nurse does it all - with help from co-workers. on the floors there are admission nurses until 2300 after that all the admission nurses are gone, the unit secretaries and the nurse is left to figure the whole dang thing on his/her own.

[kcochrane]

At night, we do it all. I work with a good team that will help with orders and such. On days, sometimes they have a unit secretary to help out.

[CapeCodMermaid, RN]

It's a team effort. The staff nurses usually do the physical assessment. The ADON or I usually write out the orders...especially if there is more than one admit on the shift.

[Leelee2]

Floor nurse to do the admit, including writing of the MAR/TAR (by hand) No unit secretary, and often no unit manager to assist. Ratio of one nurse to 22 patients, on a medicare (subacute unit)

As an LPN, I defer the initial assessment part of admit to the RN in the building. I used to work in a facility with an admission RN, and that was Nice, things ran a whole lot smoother and there where generally a whole lot less errors. Certainly miss it

[iamnomad]

on the facility that I'm currently working, where we have 23 residents, and the ratio is 1 nurse to all the patient, the nurse do ALL the admission procedures. The ADON will sometimes order the meds for me, or run the MAR/TAR on the computer and print it, or if I'm busy on the floor, she'll also do part of the initial assessment.

For some strange reason, I noticed that I think 7 out of 10 admissions was on my shift. I don't know if they're doing it on purpose or what. Lol.

But not all the paperworks are done by the nurse who admitted the resident. Some paperworks that is not really critical can be carried over to next shift. Of course the MDS coordinator is doing some assessments, and the Social Service also has a part.

[cebuana_nurse]

In my facility, the floor nurses do it all. You get lucky if the RN supervisor helps out but they only do the body assessment. The rest is for the floor nurses to do on top of their med pass, treatments and answering call lights. The unit secretary prepares the admission packet and stamps the patient's name on all of the papers.

[Ariyala]

Teamwork works for us, but if everyone is busy, the primary nurse has to do it all. I worked at a hospital that used an "admissions nurse". She came in and did ALL the admission paperwork!! She was awesome!