What Virtual Nurses Do and Why Hospitals Need Them

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Hospitals across the country are turning to virtual nursing to improve patient safety, reduce clinical workload, and stabilize staffing challenges. But despite its rapid adoption, many health system leaders still ask the same foundational questions: What exactly does a virtual nurse do? How do they support bedside teams? And why is virtual nursing becoming a strategic priority for modern hospitals?

This guide breaks down everything you need to know.

What Is Virtual Nursing?

Virtual nursing is the use of two-way audio/video, remote monitoring tools, and clinical workflows to enable nurses to support patient care without being physically at the bedside. Nurses in this role can work from a centralized hub—either on-site or remote—and collaborate with inpatient teams to offload administrative tasks, enhance safety, and ensure timely care delivery.

Unlike telehealth models focused solely on patient-provider communication, virtual nursing is designed to extend the capacity of bedside teams and strengthen hospital operations.

What Do Virtual Nurses Actually Do?

While every health system designs its program differently, most virtual nurses perform high-frequency tasks that traditionally overload bedside teams. Common workflows include:

1. Admission Documentation & Intake Support

Gather patient histories, complete admission documentation, and initiate required assessments.
Why it matters: This reduces the time bedside nurses spend charting, allowing them to focus on hands-on care.

Real Results: A health system headquartered in South Dakota saved over 100 hours per month of bedside nursing time by having virtual RNs handle patient admission documentation.

2. Discharge Documentation & Patient Education

Review discharge instructions, confirm patient readiness, and coordinate in-room education via video.
Why it matters: Hospitals report faster discharge times, fewer delays, and higher patient satisfaction.

Real Results: Patient satisfaction with discharge rose from the 26th percentile → 56th percentile

3. Medication Verification & Double Checks

Assist with medication verification and safety checks through live video and screen review.
Why it matters: Provides a second set of eyes to reduce errors and improve compliance.

Real Results: See how Bryan Health saved 165 hours of nursing wait time from dual medication sign-offs in just the first two months.

4. Reassessments & Ongoing Clinical Monitoring

Virtual nurses complete pain reassessments, risk screenings, and other required follow-ups.
Why it matters: Ensures compliance with clinical standards and reduces risk of missed assessments.

5. Patient Safety Monitoring

In many programs, virtual nurses partner with virtual observers to:

  • Monitor fall-risk patients
  • Identify unsafe behavior
  • Escalate quickly to bedside teams

Why it matters: Health systems report significant reductions in falls and 1:1 sitter usage when virtual care teams are part of the model.

Real Results: See how WellSpam Health achieved a 52% reduction in patient falls and a 92% reduction in median 1:1 sitter hours. 

6. Coordination of Throughput & Care Transitions

Help orchestrate:

  • Bed availability updates
  • Discharge readiness
  • Communication between departments
  • Follow-up calls or rounding

Why it matters: This improves hospital throughput and reduces bottlenecks during peak volume.

7. Clinical Quality Support

Ensure workflows remain consistent across shifts and units, assisting with:

  • Protocol compliance
  • Quality documentation
  • Real-time clarification of tasks

Why it matters: Hospitals see greater standardization and fewer care gaps.

Real Results: The Guthrie Clinic streamlined the pre-operative care process, previously hampered by paper-based documentation, reducing documentation time by up to 45 minutes per patient. 

“Our MRI safety sheet process was still paper prior to our virtual nurses doing it, and now it’s a fully electronic process,” notes Jennifer Orbin, DNP, RN-BC, Guthrie’s AVP, System Innovations and Nursing Operations. “Many tasks can take bedside staff up to an hour to complete each. The virtual nurse can do a lot of those now, which is incredible.”

Why Hospitals Need Virtual Nursing

The Benefits Are Clear

Virtual nursing is not a replacement for bedside clinicians. It is a force multiplier, giving nurses more time, more support, and more confidence in delivering high-quality care. Leading health systems adopt virtual nursing for these core benefits:

1. Reduced Bedside Workload

By shifting documentation and administrative tasks to virtual team members, hospitals give bedside teams back 20–60 minutes per shift—time that can be reinvested in patient care.

“The first day one of our nurses was so excited that the virtual nurse completed discharge documentation for her that she said she was able to complete an entire med pass without interruption."

2. Improved Patient Safety

Continuous support from remote nurses helps prevent falls, reduce response times, and maintain compliance with safety protocols.

3. Higher Nurse Satisfaction & Retention

Nurses consistently report that virtual nursing reduces burnout and improves teamwork—key drivers of retention.

Real Results: 86% of Nursing Staff Reported Improved Safety: A majority of nursing team members noted that virtual programs greatly improved safety on the unit. (WellSpan Health)

4. Stronger Throughput and Operational Efficiency

Virtual nurses help accelerate admissions and discharges, improving patient flow and reducing avoidable delays.

5. Enhanced Patient Experience

Patients benefit from:

  • Faster response times
  • More consistent education
  • A calmer, more present bedside nurse

6. Financial Impact

Virtual nursing programs can reduce staffing costs, decrease sitter usage, prevent adverse events, and improve capacity—all of which contribute to measurable ROI.

Real Results: Learn how The Guthrie Clinic reduced agency staff by 88.6 FTE’s and saved over $16.5 million dollars annually. 

Common Virtual Nursing Models

Hospitals typically choose one of three operating models:

1. Centralized Hub Model

All virtual nurses operate from a single command center supporting multiple units or facilities.

2. Unit-Based Model

Virtual nurses are dedicated to one hospital or unit, offering more customized workflows.

3. Hybrid Model

Combines centralized staffing with unit-aligned responsibilities for maximum flexibility.

The Future of Virtual Nursing

Virtual nursing is becoming a foundational component of the Smart Hospital—where AI, real-time monitoring, and virtual care models work together to support clinicians and improve outcomes.

As hospitals face increasing staffing shortages, rising patient acuity, and financial pressure, virtual nursing is no longer a “nice to have”—it is a strategic requirement for sustainable care delivery.

"This is amazing. Nursing has needed something like this since the 90's. What took so long to get this here?!"

Ready to Explore Virtual Nursing?

If you’re considering a virtual nursing program—or looking to scale what you already have—modern platforms like Artisight’s Smart Hospital Platform provide AI-powered tools, ambient documentation, fall prevention, and multimodal sensing that transform how virtual and bedside teams collaborate.

Schedule a demo of Artsight today. 

Artisight is a healthcare technology company transforming how hospitals operate through ambient intelligence and automation.

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