Guest guest Posted June 4, 2006 Report Share Posted June 4, 2006 Good Morning- I work as an outpatient dietitian in a hospital and most of the people I see are those with Type II Diabetes or pre and post GBSX (with some gestational diabetics, heart healthy, etc. mixed in). For the bulk of the people, I spend 1 to 1 ½ hours on an initial consult and about 30 minutes on follow ups. The maximum number of outpatients I generally allow is about 5 per day to allow time to see GBSX pts who are currently inpatient, respond to phone calls/e-mails from patients, complete documentation, do inservices as well as a variety of other administrative duties. I can't imagine trying to see 12 outpatients in one day. I hope this helps. I would be interested also to hear what other responses you get. Good luck! Cheryl>>> kcfahnoe@... 6/4/2006 8:45 AM >>> Good morning,I'm hoping for some feedback regarding how others are designing their patient schedules. My supervisor is asking that I begin seeing 12 patients daily. My current capacity is 9, and when it fills up, the day is crazy and I'm behind on documentation (we use electronic medical records). My main concern is quality of care, so I'm researching what my peers are doing in order to bring the info back to my supervisor.My questions for those in a clinic/outpatient education setting are:How many patients do you schedule daily?How long are your appointments? (Initial and follow-up)Do you have time allotted for documentation and administrative tasks? Any feedback would be appreciated!Thanks, ***Note: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by replying to the message and deleting it from your computer. Thank you. Central Michigan Community Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2006 Report Share Posted June 4, 2006 Hi and list, I do not see bariatric patients regularly but in a general outpatient practice, I schedule 6 hours a day for patients. The initial visit is 1 hour and follow ups are 15 or 30 minutes depending on the patient's needs. Since I do my own billing at the end of the month, that gives me time for documentation, phone calls and other projects. I find it extremely busy if all 6 hours are filled up! I know another CDE, RD at our facility books 6 hours and our hospital clinical counselors also book 6 hours. Hope this helps, Kitty scheduling capacity Good morning, I'm hoping for some feedback regarding how others are designing their patient schedules. My supervisor is asking that I begin seeing 12 patients daily. My current capacity is 9, and when it fills up, the day is crazy and I'm behind on documentation (we use electronic medical records). My main concern is quality of care, so I'm researching what my peers are doing in order to bring the info back to my supervisor. My questions for those in a clinic/outpatient education setting are: How many patients do you schedule daily? How long are your appointments? (Initial and follow-up) Do you have time allotted for documentation and administrative tasks? Any feedback would be appreciated! Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2006 Report Share Posted June 4, 2006 Hi - My intial visits are scheduled for 90 minutes and I allow 60 minutes for follow-ups (I can usually finish my appointment and documentation in those time spans). Pre-op weight loss appointments are allowed 30 minutes. SO.... a day with 6 patients is very busy for me. If I have some weight loss patients mixed in then I could possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and maintaining a good quality of care. Hope that helps. > > Good morning, > > I'm hoping for some feedback regarding how others are designing their > patient schedules. My supervisor is asking that I begin seeing 12 > patients daily. My current capacity is 9, and when it fills up, the > day is crazy and I'm behind on documentation (we use electronic > medical records). My main concern is quality of care, so I'm > researching what my peers are doing in order to bring the info back to > my supervisor. > > My questions for those in a clinic/outpatient > education setting are: > How many patients do you schedule daily? > How long are your appointments? (Initial and follow-up) > Do you have time allotted for documentation and administrative tasks? > > Any feedback would be appreciated! > > Thanks, > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 If they are 1 hour assessments I do not allowed more than 4 to be scheduled. If it is 30 minute follow up appointments it depends upon if they are the only ones I am seeing that day (I will see between 4 - 6) or if they are mingled in with the hour assessments I will see maybe 2. Hope that helps! J. Sams MS RD/LD >From: " kcfahnoe " <kcfahnoe@...> >Reply- > >Subject: scheduling capacity >Date: Sun, 04 Jun 2006 12:45:10 -0000 > >Good morning, > >I'm hoping for some feedback regarding how others are designing their >patient schedules. My supervisor is asking that I begin seeing 12 >patients daily. My current capacity is 9, and when it fills up, the >day is crazy and I'm behind on documentation (we use electronic >medical records). My main concern is quality of care, so I'm >researching what my peers are doing in order to bring the info back to >my supervisor. > >My questions for those in a clinic/outpatient >education setting are: >How many patients do you schedule daily? >How long are your appointments? (Initial and follow-up) >Do you have time allotted for documentation and administrative tasks? > >Any feedback would be appreciated! > >Thanks, > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 I see patients for 20-30 minutes intially, and 30 minutes for followup. I could fit in 12 patients if needed, but those days would be crazy and I don't think I could catch up on charting either. Right now the most I have ever scheduled for one day would be 8 patients. Hope that helps, Talbot > > Good morning, > > I'm hoping for some feedback regarding how others are designing their > patient schedules. My supervisor is asking that I begin seeing 12 > patients daily. My current capacity is 9, and when it fills up, the > day is crazy and I'm behind on documentation (we use electronic > medical records). My main concern is quality of care, so I'm > researching what my peers are doing in order to bring the info back to > my supervisor. > > My questions for those in a clinic/outpatient > education setting are: > How many patients do you schedule daily? > How long are your appointments? (Initial and follow-up) > Do you have time allotted for documentation and administrative tasks? > > Any feedback would be appreciated! > > Thanks, > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 My boss has determined that I need to be seeing patients 30 of 40 hours worked, she also manages several diabetes dietitians and the same applies for them. some days are longer and some are shorter but I am with patients for those 30 hours, the other 10 hours is for charting, meetings etc. I see new patients for 60 minutes and follow ups for 30 minutes. This seems manageable for me now. I was seeing patients 38/40 hours and I thought I was gonna go crazy. There were many 12 hour days which I think is just wrong. I now limit my days to 10 hours or less and have changed the schedule to meet this goal. Hope this helps. Laschkewitsch RD LD Dietitian, Legacy Obesity Institute (503) 413-8135 Re: scheduling capacity Hi - My intial visits are scheduled for 90 minutes and I allow 60 minutes for follow-ups (I can usually finish my appointment and documentation in those time spans). Pre-op weight loss appointments are allowed 30 minutes. SO.... a day with 6 patients is very busy for me. If I have some weight loss patients mixed in then I could possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and maintaining a good quality of care. Hope that helps. > > Good morning, > > I'm hoping for some feedback regarding how others are designing their > patient schedules. My supervisor is asking that I begin seeing 12 > patients daily. My current capacity is 9, and when it fills up, the > day is crazy and I'm behind on documentation (we use electronic > medical records). My main concern is quality of care, so I'm > researching what my peers are doing in order to bring the info back to > my supervisor. > > My questions for those in a clinic/outpatient > education setting are: > How many patients do you schedule daily? > How long are your appointments? (Initial and follow-up) > Do you have time allotted for documentation and administrative tasks? > > Any feedback would be appreciated! > > Thanks, > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2006 Report Share Posted June 6, 2006 How many RDs out there are working 12 hour days (due to work load and wanting to meet standards of care) and being paid for 8? -------------- Original message -------------- From: "Laschkwitsch, :LPH Obes Inst" <KLaschke@...> My boss has determined that I need to be seeing patients 30 of 40 hoursworked, she also manages several diabetes dietitians and the same appliesfor them. some days are longer and some are shorter but I am with patientsfor those 30 hours, the other 10 hours is for charting, meetings etc. I seenew patients for 60 minutes and follow ups for 30 minutes. This seemsmanageable for me now. I was seeing patients 38/40 hours and I thought Iwas gonna go crazy. There were many 12 hour days which I think is justwrong. I now limit my days to 10 hours or less and have changed theschedule to meet this goal. Hope this helps. Laschkewitsch RD LDDietitian, Legacy Obesity Institute(5 03) 413-8135 -----Original Message-----From: [mailto: ]On Behalf Of mkzzglSent: Sunday, June 04, 2006 8:30 AM Subject: Re: scheduling capacityHi - My intial visits are scheduled for 90 minutes and I allow 60 minutes for follow-ups (I can usually finish my appointment and documentation in those time spans). Pre-op weight loss appointments are allowed 30 minutes. SO.... a day with 6 patients is very busy for me. If I have some weight loss patients mixed in then I could possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and maintaining a good quality of care.Hope that helps.>> Good morn ing,> > I'm hoping for some feedback regarding how others are designing their > patient schedules. My supervisor is asking that I begin seeing 12 > patients daily. My current capacity is 9, and when it fills up, the > day is crazy and I'm behind on documentation (we use electronic > medical records). My main concern is quality of care, so I'm > researching what my peers are doing in order to bring the info back to > my supervisor.> > My questions for those in a clinic/outpatient > education setting are:> How many patients do you schedule daily?> How long are your appointments? (Initial and follow-up)> Do you have time allotted for documentation and administrative tasks? > > Any feedback would be appreciated!> > Thanks,> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2006 Report Share Posted June 6, 2006 I often work 10 hour days (paid for 8) and spend many hours at home doing paperwork and various administrative duties I am a “clinical dietitian” who has no real hours designated to bariatric surgery, except some classes. I fit other things in as I can From: [mailto: ] On Behalf Of md-gonzales@... Sent: Tuesday, June 06, 2006 4:27 PM Subject: RE: Re: scheduling capacity How many RDs out there are working 12 hour days (due to work load and wanting to meet standards of care) and being paid for 8? --------- Re: scheduling capacity Hi - My intial visits are scheduled for 90 minutes and I allow 60 minutes for follow-ups (I can usually finish my appointment and documentation in those time spans). Pre-op weight loss appointments are allowed 30 minutes. SO.... a day with 6 patients is very busy for me. If I have some weight loss patients mixed in then I could possibly have 7 or 8 on my schedule. I cant imagine seeing 12 and maintaining a good quality of care. Hope that helps. > > Good morn ing, > > I'm hoping for some feedback regarding how others are designing their > patient schedules. My supervisor is asking that I begin seeing 12 > patients daily. My current capacity is 9, and when it fills up, the > day is crazy and I'm behind on documentation (we use electronic > medical records). My main concern is quality of care, so I'm > researching what my peers are doing in order to bring the info back to > my supervisor. > > My questions for those in a clinic/outpatient > education setting are: > How many patients do you schedule daily? > How long are your appointments? (Initial and follow-up) > Do you have time allotted for documentation and administrative tasks? > > Any feedback would be appreciated! > > Thanks, > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2006 Report Share Posted June 7, 2006 I have a private clinic-type practice. I find a day with 6 (1 hour) visits are about it for me. I do schedule them back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day. We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load. Randee Reidy, MA, RD Private Practice Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2006 Report Share Posted June 8, 2006 I agree. We schedule 30 minute and 1 hour for pts depending on what we are seeing them for. We never schedule more than 6/d/therapist. Re: scheduling capacity I have a private clinic-type practice. I find a day with 6 (1 hour) visits are about it for me. I do schedule them back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day. We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load. Randee Reidy, MA, RD Private Practice Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2006 Report Share Posted June 8, 2006 I agree 1000 %%% !!!!!!!! Personally, I will NOT do any work on my own time. I expect as a professional to be paid for the hrs I work. Strathdee, RD, LD, LMHC >>> rreidy@... 6/7/2006 10:54 PM >>> I have a private clinic-type practice. I find a day with 6 (1 hour) visits are about it for me. I do schedule them back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day. We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load. Randee Reidy, MA, RD Private Practice Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2006 Report Share Posted June 8, 2006 I recently had a day on my schedule which, when I saw it, went ballistic inside ! I was scheduled non-stop from 8 am -5 pm with 30 min lunch. The day included 5 new pts with many f/u appts ( I do 60 and 30 min, too ). I told my boss I needed it changed , and pts were moved to make it a more reasonable day. Strathdee, RD, LD, LMHC >>> bevlyann@... 6/8/2006 7:14 AM >>> I agree. We schedule 30 minute and 1 hour for pts depending on what we are seeing them for. We never schedule more than 6/d/therapist. Re: scheduling capacity I have a private clinic-type practice. I find a day with 6 (1 hour) visits are about it for me. I do schedule them back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day. We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load. Randee Reidy, MA, RD Private Practice Sacramento Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2006 Report Share Posted June 8, 2006 I want to thank everyone for their input on this topic. As the only RD in a primarily family practice, physician-based network, I'm trying to differentiate my services from the cut & dry MD acute care visit. Administration is struggling to understand, but I do believe the feedback of my peers will be very helpful. Thanks again for your personal insight and feedback! Strathdee <strathdee@...> wrote: I recently had a day on my schedule which, when I saw it, went ballistic inside ! I was scheduled non-stop from 8 am -5 pm with 30 min lunch. The day included 5 new pts with many f/u appts ( I do 60 and 30 min, too ). I told my boss I needed it changed , and pts were moved to make it a more reasonable day. Strathdee, RD, LD, LMHC>>> bevlyanncomcast (DOT) net 6/8/2006 7:14 AM >>>I agree. We schedule 30 minute and 1 hour for pts depending on what we are seeing them for. We never schedule more than 6/d/therapist. Re: scheduling capacityI have a private clinic-type practice.I find a day with 6 (1 hour) visits are about it for me. I do schedule them back to back, even though it will take me some time to also do the documentation. As I am in a private practice setting, if I had a no-show, I would not want 90 minutes of not getting paid!! I then catch up with paperwork over lunch, or at the end of the day.We have to keep in mind we are doing nutrition COUNSELING!!. That requires listening, empathy, thinking, feeling, etc. More than six patients a day and you are way too burned out, and not able to give any more. My sister, who is a psychologist, only schedules 3 people per day. She is too wrung out after that. No one would expect any other type of counselor to see 9-12 patients a day. As dietitians and nutrition THERAPISTS, we need to all start putting our foot down as far as a reasonable work load. Randee Reidy, MA, RDPrivate PracticeSacramento __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.