staffing and nursing care delivery models l.
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STAFFING AND NURSING CARE DELIVERY MODELS. Staffing. Activities to ensure an adequate number and mix of team members Staffing considerations Patient needs Staff satisfaction Organizational needs Meeting Patient Needs Primary considerations Number of patients Intensity of care required

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staffing
Staffing
  • Activities to ensure an adequate number and mix of team members
  • Staffing considerations
    • Patient needs
    • Staff satisfaction
    • Organizational needs

Meeting Patient Needs

  • Primary considerations
    • Number of patients
    • Intensity of care required
    • Staff experience and preparation
meeting staff needs
Meeting Staff Needs
  • 24 hour/day, 365 day/year staffing needs create staffing challenges
    • Creative staffing options, Staff input about staffing

Meeting Organizational Needs

  • Budget and financial management
  • Licensing and accreditation
  • Customer satisfaction
  • Quality care

NURSING CARE DELIVERY MODELS

Detail assignments, responsibility, and authority to accomplish patient care and type of caregivers to patient care needs

slide4

Classic Nursing Care Models

  • Total patient care
  • Functional nursing
  • Team nursing
  • Primary nursing

Total Patient Care

  • Nurse is responsible for planning, organizing, and performing all care
  • Common use areas—intensive care unit (ICU) and postanesthetic care unit (PACU)
slide5

Registered

Registered

Registered

Nurse

Nurse

Nurse

8-hour shift

8-hour shift

8-hour shift

Patient Care

The registered nurse plans,

organizes, and performs all care

Total Patient Care (Case Method) Delivery

slide6

Nurse Manager

LPN/LVN

RN

Nurse Aide

Nurse Aide

PO Meds

Assessments

Vital signs

Hygiene

Treatments

Care Plans

Hygiene

Stocking

Assigned Patient Group

Functional Nursing Care Delivery Model

slide7

Nurse Manager

RN Team Leader

RN Team Leader

RN

RN

LPNs/LVNs

LPNs/LVNs

Nursing Assistants

NursingAssistants

Assigned Patient Group

Assigned Patient Group

Team Nursing Model

slide8

Nurse Manager

Geographic

Geographic

Geographic

Patient Unit

Patient Unit

Patient Unit

Patient Care

Patient Care

Patient Care

Team:

Team:

Team:

RNs

RNs

RNs

LPNs/LVNs

LPNs/LVNs

LPNs/LVNs

Nurse Aides

Nurse Aides

Nurse Aides

Meds

Meds

Meds

Supplies

Supplies

Supplies

Linens

Linens

Linens

Modular Nursing Model

slide9

Primary Nurse

24-hour responsibility for

Associate Nurses

planning, directing &

Physician and

other members

evaluating patient care

Provide care

of the health care

when primary

nurse is off duty

team

Patient

Primary Nursing Model

slide10

Nurse Manager

Patient Care

Respiratory Services

Patient Transportation

Housekeeping ECG

Admission/Discharge

Phlebotomy

Physical/Occupational/Speech Therapy

Dietary Services

Financial Counseling

Supply Management

Patient

Patient-Centered Care Model

slide11

Collaborates With

Patient and Family

NURSE CASE MANAGER

Onset of

Resolution of

Assesses, plans, implements, coordinates,

Illness

Illness

monitors, and evaluates patient care

options and services to meet health needs

Collaborates with Nursing,

Coordinates Services:

Physicians, Physical/Speech/

Home Care, Hospice,

Occupational Therapists, Dietary,

Extended /Long-term Care

and Ancillary Services

Ambulatory Care Services

Nursing Case Management Model