© 2004 Elsevier, Inc. All rights reserved. Slide 0 The Nursing Department Nursing unit personnel employed on the nursing unitsNursing unit personnel employed on the nursing units Services provided by each of the nursing and specialty units listedServices provided by each of the nursing and specialty units listed Responsibilities of the nursing departmentResponsibilities of the nursing department Nursing care delivery modelsNursing care delivery models Nursing unit personnel employed on the nursing unitsNursing unit personnel employed on the nursing units Services provided by each of the nursing and specialty units listedServices provided by each of the nursing and specialty units listed Responsibilities of the nursing departmentResponsibilities of the nursing department Nursing care delivery modelsNursing care delivery models

© 2004 Elsevier, Inc. All rights reserved. Slide 1 Hospital Units (Specialties) Medical/surgicalMedical/surgical TelemetryTelemetry OrthopedicOrthopedic NeurologyNeurology OncologyOncology PulmonaryPulmonary PsychologyPsychology PediatricsPediatrics(Cont’d…) Medical/surgicalMedical/surgical TelemetryTelemetry OrthopedicOrthopedic NeurologyNeurology OncologyOncology PulmonaryPulmonary PsychologyPsychology PediatricsPediatrics(Cont’d…)

© 2004 Elsevier, Inc. All rights reserved. Slide 2 (…Cont’d) Gynecology (GYN)Gynecology (GYN) Obstetrics (OB)Obstetrics (OB) Labor and delivery (L and D)Labor and delivery (L and D) Post partumPost partum Emergency department or emergency room (ED or ER)Emergency department or emergency room (ED or ER) Operating room (OR)Operating room (OR) Recovery room (RR)Recovery room (RR)(Cont’d…)(…Cont’d) Gynecology (GYN)Gynecology (GYN) Obstetrics (OB)Obstetrics (OB) Labor and delivery (L and D)Labor and delivery (L and D) Post partumPost partum Emergency department or emergency room (ED or ER)Emergency department or emergency room (ED or ER) Operating room (OR)Operating room (OR) Recovery room (RR)Recovery room (RR)(Cont’d…) Hospital Units (Specialties)

© 2004 Elsevier, Inc. All rights reserved. Slide 3 (…Cont’d) NICU - neonatal intensive care unitNICU - neonatal intensive care unit PICU - pediatric intensive care unitPICU - pediatric intensive care unit CCU - coronary care unitCCU - coronary care unit TICU - trauma intensive care unitTICU - trauma intensive care unit MICU - medical intensive care unitMICU - medical intensive care unit SICU - surgical intensive care unitSICU - surgical intensive care unit ICU - intensive care unitICU - intensive care unit IMC - intermediate care unit (also called step down unit)IMC - intermediate care unit (also called step down unit)(…Cont’d) NICU - neonatal intensive care unitNICU - neonatal intensive care unit PICU - pediatric intensive care unitPICU - pediatric intensive care unit CCU - coronary care unitCCU - coronary care unit TICU - trauma intensive care unitTICU - trauma intensive care unit MICU - medical intensive care unitMICU - medical intensive care unit SICU - surgical intensive care unitSICU - surgical intensive care unit ICU - intensive care unitICU - intensive care unit IMC - intermediate care unit (also called step down unit)IMC - intermediate care unit (also called step down unit) Hospital Units (Specialties)

© 2004 Elsevier, Inc. All rights reserved. Slide 4 Nurse manager (RN)Nurse manager (RN) Registered nurse (RNs)Registered nurse (RNs) Licensed practical nurse (LPN)Licensed practical nurse (LPN) Certified nursing assistant (CNA)Certified nursing assistant (CNA) Nurse manager (RN)Nurse manager (RN) Registered nurse (RNs)Registered nurse (RNs) Licensed practical nurse (LPN)Licensed practical nurse (LPN) Certified nursing assistant (CNA)Certified nursing assistant (CNA) Nursing Unit Personnel

© 2004 Elsevier, Inc. All rights reserved. Slide 5 To ensure the physical and emotional care of the hospitalized patient, perform nursing treatment, and evaluate and coordinate treatment and diagnostic studies performed by other hospital departmentsTo ensure the physical and emotional care of the hospitalized patient, perform nursing treatment, and evaluate and coordinate treatment and diagnostic studies performed by other hospital departments Responsibilities of the Nursing Department

© 2004 Elsevier, Inc. All rights reserved. Slide 6 Total patient care modelTotal patient care model Functional nursing care modelFunctional nursing care model Team nursing care modelTeam nursing care model Primary care modelPrimary care model Patient-centered or patient-focused care modelPatient-centered or patient-focused care model Total patient care modelTotal patient care model Functional nursing care modelFunctional nursing care model Team nursing care modelTeam nursing care model Primary care modelPrimary care model Patient-centered or patient-focused care modelPatient-centered or patient-focused care model Nursing Care Delivery Models

© 2004 Elsevier, Inc. All rights reserved. Slide 7 The nurse assigned to a patient is responsible for planning, organizing, and performing all careThe nurse assigned to a patient is responsible for planning, organizing, and performing all care Total Patient Care Model

© 2004 Elsevier, Inc. All rights reserved. Slide 8 Staff members are assigned to complete certain tasks for a group of patients rather than for specific patientsStaff members are assigned to complete certain tasks for a group of patients rather than for specific patients Functional Care Model

© 2004 Elsevier, Inc. All rights reserved. Slide 9 A nursing team consists of a charge nurse and team members working under the supervision of each team memberA nursing team consists of a charge nurse and team members working under the supervision of each team member Team Nursing Care Model

© 2004 Elsevier, Inc. All rights reserved. Slide 10 One nurse provides total care for a number of patientsOne nurse provides total care for a number of patients Primary Care Model

© 2004 Elsevier, Inc. All rights reserved. Slide 11 More patient oriented and less hospital or department orientedMore patient oriented and less hospital or department oriented A multidisciplinary approachA multidisciplinary approach More patient oriented and less hospital or department orientedMore patient oriented and less hospital or department oriented A multidisciplinary approachA multidisciplinary approach Patient-Centered or Patient- Focused Care Model Patient-Centered or Patient- Focused Care Model

© 2004 Elsevier, Inc. All rights reserved. Slide 12 Used as a method of outlining a patient’s path of treatment for a specific diagnosis, procedure, or symptomUsed as a method of outlining a patient’s path of treatment for a specific diagnosis, procedure, or symptom Goals for developing and using clinical pathways are to: 1) identify patient and family needs; 2) determine realistic patient outcomes; 3) reduce length of stay; 4) clarify the appropriate care setting, providers, and timelines of interventionGoals for developing and using clinical pathways are to: 1) identify patient and family needs; 2) determine realistic patient outcomes; 3) reduce length of stay; 4) clarify the appropriate care setting, providers, and timelines of intervention Used as a method of outlining a patient’s path of treatment for a specific diagnosis, procedure, or symptomUsed as a method of outlining a patient’s path of treatment for a specific diagnosis, procedure, or symptom Goals for developing and using clinical pathways are to: 1) identify patient and family needs; 2) determine realistic patient outcomes; 3) reduce length of stay; 4) clarify the appropriate care setting, providers, and timelines of interventionGoals for developing and using clinical pathways are to: 1) identify patient and family needs; 2) determine realistic patient outcomes; 3) reduce length of stay; 4) clarify the appropriate care setting, providers, and timelines of intervention Clinical Pathways

© 2004 Elsevier, Inc. All rights reserved. Slide 13 Form completed at the beginning of each work shift that indicates the nursing staff assigned to each patient on the nursing unitForm completed at the beginning of each work shift that indicates the nursing staff assigned to each patient on the nursing unit HUC refers to the assignment sheet when necessary to locate the nurse caring for a particular patientHUC refers to the assignment sheet when necessary to locate the nurse caring for a particular patient Form completed at the beginning of each work shift that indicates the nursing staff assigned to each patient on the nursing unitForm completed at the beginning of each work shift that indicates the nursing staff assigned to each patient on the nursing unit HUC refers to the assignment sheet when necessary to locate the nurse caring for a particular patientHUC refers to the assignment sheet when necessary to locate the nurse caring for a particular patient Assignment Sheet

© 2004 Elsevier, Inc. All rights reserved. Slide 14 Is made up of two categories of workers: health unit coordinators and health unit managersIs made up of two categories of workers: health unit coordinators and health unit managers The HUC is usually supervised by the health unit manager rather than the nurse managerThe HUC is usually supervised by the health unit manager rather than the nurse manager Health unit managers perform supervisory and administrative non- clinical functionsHealth unit managers perform supervisory and administrative non- clinical functions Is made up of two categories of workers: health unit coordinators and health unit managersIs made up of two categories of workers: health unit coordinators and health unit managers The HUC is usually supervised by the health unit manager rather than the nurse managerThe HUC is usually supervised by the health unit manager rather than the nurse manager Health unit managers perform supervisory and administrative non- clinical functionsHealth unit managers perform supervisory and administrative non- clinical functions Nursing Unit Administration