University Hospitals Collaborates with Vitalchat to Set National Standard in Virtual Nursing. Learn more here.

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.

What Does a Virtual Admission Nurse Do?

A virtual admission nurse conducts the intake interview, medical and medication history, and orientation to hospital routines over video while the bedside nurse focuses on the physical exam and immediate safety checks. The two run in parallel, so the plan of care starts sooner.

Virtual admission nurse
Intake interview, medical and medication history, and orientation to hospital routines, conducted over video and documented in the EHR in real time.
Bedside nurse
The physical exam and immediate safety checks, running at the same time so the plan of care starts sooner.

On a Typical Admission, the Virtual Nurse Handles

  • Reconciling the patient's home medication list against admission orders
  • Screening for fall risk, pressure injury risk, and other safety factors
  • Explaining the plan of care, unit routines, and call-light use
  • Answering family questions and documenting the encounter in the EHR in real time

Why the Split Matters

Rushed admission documentation is a common point where care coordination breaks down, particularly for older adults moving between providers, according to the Agency for Healthcare Research and Quality.

How Does Virtual Nursing Reduce Length of Stay?

Virtual nursing reduces length of stay by compressing the two workflows that most often stall a unit: getting a patient settled and getting a patient ready for discharge out the door. Bedside nurses spend less time on paperwork and more time on hands-on care, and beds turn over faster.

1,500+Admissions completed by virtual nurses at one academic medical center after launchUpstate News, SUNY Upstate
765Hours of bedside nurse time saved on those admissionsUpstate News, SUNY Upstate
44 minSaved per virtual discharge, about 722 hours a yearUpstate News, SUNY Upstate

Saved Time Drives Discharge Throughput

When teaching and paperwork finish earlier in the day, beds open sooner, easing the backlog that keeps admitted patients waiting in the emergency department.

How Does Virtual Discharge Cut Readmissions?

Virtual discharge cuts readmissions largely through medication reconciliation and teaching, two tasks a virtual nurse can give full, uninterrupted attention.

30-day emergency department readmission rate, by discharge type
Virtual discharge3.7%
In-person discharge13.3%
A 72% relative reduction across nine hospitals. Source: npj Digital Medicine, 2026.

Teaching quality tells a similar story. Virtual nurses in one study completed discharge education, including home medication and follow-up instructions, at nearly three times the rate of bedside unit nurses on the same shifts.

Discharge education completion rate
Virtual nurses79.2%
Bedside unit nurses27.2%
Includes home medication and follow-up instructions. Source: SAGE Open Nursing, 2025.

Why Teaching Time Matters

A systematic review found unintentional medication discrepancies at discharge in roughly half of cases reviewed. Protected, uninterrupted teaching time is a direct lever on that risk.

How Vitalchat Approaches Admission, Discharge, and Teaching

Vitalchat's platform brings admission, discharge, and teaching workflows into the same visual interface bedside teams already use for monitoring and communication. Virtual nurses work from existing hospital hardware, expanding what a care team can do without new devices to manage.

North Mississippi Health Services runs its virtual nursing program with Vitalchat across a 400-bed flagship hospital and seven community hospitals.

90%Of discharges system-wide now completed by virtual nursesNorth Mississippi Health Services
70%Of admissions system-wide now completed by virtual nursesNorth Mississippi Health Services
600Hours of bedside nursing time returned each monthBecker's Hospital Review

University Hospitals

After expanding its Vitalchat-powered program hospital-wide, University Hospitals reported more efficient support for admissions, discharges, pain assessments, and fall prevention, along with higher patient experience scores than comparable units.

Read the full North Mississippi Health Services case study and the University Hospitals virtual nursing program for the full results.

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.

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