STAFFING AND NURSING CARE DELIVERY MODELS

Staffing Meeting Patient Needs 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 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

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)

Total Patient Care (Case Method) Delivery The registered nurse plans, organizes, and performs all care Registered Nurse 8-hour shift Total Patient Care (Case Method) Delivery

Functional Nursing Care Delivery Model Nurse Manager LPN/LVN PO Meds Treatments RN Assessments Care Plans Nurse Aide Vital signs Hygiene Stocking Assigned Patient Group Functional Nursing Care Delivery Model

Team Nursing Model Nurse Manager RN Team Leader RN LPNs/LVNs Nursing Assistants Assigned Patient Group Team Nursing Model

Modular Nursing Model Nurse Manager Geographic Patient Unit Patient Care Team: RNs LPNs/LVNs Nurse Aides Meds Supplies Linens Nurse Manager Modular Nursing Model

Primary Nursing Model Patient Primary Nurse 24-hour responsibility for planning, directing & evaluating patient care Patient Associate Nurses Provide care when primary nurse is off duty Physician and other members of the health care team Primary Nursing Model

Patient-Centered Care Model Nurse Manager Patient Patient Care Respiratory Services Patient Transportation Housekeeping ECG Admission/Discharge Phlebotomy Physical/Occupational/Speech Therapy Dietary Services Financial Counseling Supply Management Patient-Centered Care Model

Nursing Case Management Model NURSE CASE MANAGER Assesses, plans, implements, coordinates, monitors, and evaluates patient care options and services to meet health needs Onset of Illness Resolution of Collaborates with Nursing, Physicians, Physical/Speech/ Occupational Therapists, Dietary, and Ancillary Services Collaborates With Patient and Family Coordinates Services: Home Care, Hospice, Extended /Long-term Care Ambulatory Care Services Nursing Case Management Model

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