Virtual nursing admission and discharge uses an off-site registered nurse, connected by video, to handle intake histories, medication reviews, and discharge teaching alongside the bedside team. It targets two of the most time-consuming workflows on any unit.
Hospitals adopt it to shorten length of stay, expedite discharges, and give patients clearer instructions before they go home.
Key Takeaways
- A virtual admission nurse handles intake history, medication review, and orientation by video, freeing the bedside nurse for the physical exam and first-hour safety needs.
- One academic medical center's virtual nursing program handled more than 1,500 admissions, saving roughly 765 hours of bedside nurse time after launch.
- A nine-hospital study in npj Digital Medicine linked virtual discharge to a 3.7% 30-day emergency department readmission rate, versus 13.3% for in-person discharge.
- Nearly half of patients leave the hospital with an unintentional medication discrepancy, making protected discharge teaching time a direct lever on readmission risk.
- Vitalchat's platform layers admission, discharge, and teaching workflows onto units nurses already staff, extending what the bedside team can do.
FAQ
What does a virtual admission nurse do?
A virtual admission nurse completes the intake interview, medication history, and orientation to hospital routines over video, working alongside the bedside nurse. Admission tasks and the physical exam happen at the same time, starting the plan of care sooner.
How does virtual nursing reduce length of stay?
Virtual nursing reduces length of stay by moving admission and discharge work onto a dedicated virtual track. Freed from that load, bedside nurses focus on hands-on care, and beds turn over faster because discharges finish earlier in the day.
How does virtual discharge cut readmissions?
Virtual discharge cuts readmissions by giving a nurse dedicated, uninterrupted time for medication reconciliation and patient teaching. A nine-hospital study linked virtual discharge to a 3.7% 30-day readmission rate, versus 13.3% for in-person discharge.
How does virtual nursing support medication reconciliation?
Virtual nurses review the patient's home medication list against discharge orders without the interruptions common on a busy unit, a focused approach studies link to higher rates of completed discharge medication teaching.
Sources
- Virtual nurses now integral to Upstate University Hospital admissions and discharges, Upstate News, SUNY Upstate
- Pilot study underscores benefits of virtual nursing for discharge, American Organization for Nursing Leadership (AONL), citing Journal of Nursing Administration study at BayCare Health System
- Khairat, S., Zhou, Z., Morelli, J., Anstrom, K.J., & Jones, C.B. "Virtual nursing implementation and 30-day patient readmissions: a multi-site study." npj Digital Medicine (2026).
- Khairat, S., Morelli, J., Aucoin, J., Edson, B.S., Jones, C.B., & Shea, C.M. "Association of Virtual Nursing and Task Completeness: An Observational Study." SAGE Open Nursing (2025).
- "Prevalence and Nature of Medication Errors and Medication-Related Harm Following Discharge from Hospital to Community Settings: A Systematic Review." Drug Safety (2020).
- Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges, AHRQ PSNet
- North Mississippi Health Services' Virtual Nursing Model Returns 600 Hours Each Month, Becker's Hospital Review
- University Hospitals Collaborates with Vitalchat to Set National Standard in Virtual Nursing, University Hospitals News
- North Mississippi Health Services virtual nursing case study, Vitalchat

