@painballer27
Please list out the time you think each of these tasks take so we can see how you would spend those 11 minutes
1. Getting report from the staff who interact with them:
2. Reviewing the chart:
3. Approaching the patient / having staff bring the patient to you:
4. Talking to the patient:
5. Formulating a plan:
6. Discussing the plan:
7. Obtaining informed consent:
8. Discussing care with the relevant parties (family, outpatient psychiatrist, insurance companies, internal medicine hospitalist, patient's attorney, submitting involuntary hospitalization paperwork, etc. With a 5 day admission you will almost always need to have one of these conversations / events per day):
9. Placing orders:
10. Writing the note and submitting the billing:
11. Switching over to the next patient:
Here's my summation, based on someone who's being very efficient and practicing somewhat below the standard of care, most likely annoying all the staff and with terrible rapport with patients:
1. 5+ minutes
2. 3+ minutes
3. 2+ minutes
4. 5+ minutes
5. 1-3 minutes
6. 3+ minutes
7. 2+ minutes
8. 5-10+ minutes
9. 1-2 minutes
10. 5+ minutes
11. 1-5 minutes
That's 30+ minutes. In reality it would be more than that, provided you do all of those things. And those are all things that you would need to be doing, not other staff. Realistically, you could document while talking to the patient, but that's uncommon. If you want the staff to be happy with you it usually takes longer than that.