Reply To: Staffing Models and Patient Census

  • Mindy Bibart

    March 25, 2022 at 10:12 am


    Mindy Bibart, DNP RN CPHON NE-BC CSSBB
    Director of Patient Care Services, Hematology/Oncology/Blood and Marrow Transplant
    Nationwide Children’s Hospital
    Columbus, OH
    Original Message:
    Sent: 03-25-2022 09:09 AM
    From: Wendy Fitzgerald
    Subject: Staffing Models and Patient Census



    At CNH the inpatient Oncology Chemo NP caps at 8.  We do have a mechanism to absorb overflow, which is thankfully not often needed, but there also is a stipulation that our attending will write the notes on the overflow patients.


    Wendy Fitzgerald, RN, MSN, PPCNP-BC, CPHON

    Nurse Practitioner, Oncology Division

    Center for Cancer and Blood Disorders

    Children’s National Hospital

    111 Michigan Avenue, NW

    Washington, DC 20010


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    Original Message:
    Sent: 3/25/2022 10:03:00 AM
    From: Micah Higgins
    Subject: Staffing Models and Patient Census

    For those of you that work inpatient- do you have a cap on the number of patients you are covering?  If so, once you reach that cap, how is the overflow handled?
    At my hospital, the resident team has a cap and as an NP I am covering inpatient chemo patients while also absorbing overflow from the resident service- which often results in a patient load that isn’t always reasonable.  Just curious as to what others were doing.


    Micah Higgins, CPHON,CRNP,FNP-C
    Birmingham, AL
    United States