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Chapter 8The Health Care Team
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The Health Care Team All personnel in all departments of any type of health care facility Primary function of a health care facility is to deliver health care services Patients, clients, or residents are the center of attention
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Personal Qualities of Health Care Workers
Reliable and dependable Flexible with scheduling Focus on patients and their needs Must be able to function as a member of a team
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Organizational Arrangements
Health Care Networks and Systems Made up of facilities or organizations that provide a variety of health services Board of trustees Administrator for each facility
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Organizational Arrangements
Hospitals Hospital administrator is responsible for operation of the facility. Chain of command Board of directors or trustees Major areas of service Business, nursing, medical services, human resources, and support services
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Members of the Health Care Team
Administrator Aides/assistants Case manager Dentist (DDS) Dietitian EKG technician Health care coordinator Laboratory assistant Laboratory technicians LP/VN Medical doctor (MD) Medical technologist Nurse aide/assistant Nurse practitioner Nurse clinical specialist Occupational therapist
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Members of the Health Care Team
Radiologic technologist (RT) Registered nurse (RN) Respiratory care practitioner (RCP) Risk manager Social worker Unit manager Optometrist (OD) Osteopathic physician/surgeon (DO) Pathologist Pharmacist Physical therapist Physician’s assistant
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The Nursing Team Clinical Nurse Specialist Nurse Managers
Plans care and solves clinical problems Nurse Managers Responsible for total operation of unit Plans, supervises, and evaluates nursing care in a single patient unit
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The Nursing Team Team Leader
Directly involved in providing patient care Responsible for care provided by team Supervises staff Evaluates care Teaches patients and staff Conducts patient care conferences
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The Nursing Team Professional Staff Nurses
RNs who have direct responsibility for patient care Licensed Practical/Vocational Nurses Provide direct nursing service under direct supervision of licensed physician, professional nurse, or dentist in most states
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The Nursing Team Nursing Assistants Unlicensed Assistive Personnel
Help RNs and LP/VNs by providing basic nursing care Unlicensed Assistive Personnel Taught to perform specific tasks Receive little training Learn clinical skills Clinical instructors legally responsible for actions
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The Nursing Team Health Unit Coordinators Multiskilled Workers
Provide secretarial services for a nursing unit Multiskilled Workers Patient care technician Must be prepared to provide safe and competent care Most nursing organizations oppose patient care technicians in health care facilities
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Multidisciplinary Team
Health care workers working together to Solve problems Increase efficiency Decrease lengths of stay Enhance quality of care Provides a single point of contact for the patient Concerned with a patient’s diagnosis and other health needs
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Nursing Care Models Case Method Functional Nursing Total Patient Care
A nurse is responsible for the entire care of one or more patients for one shift. Functional Nursing Each team member is assigned a specific function or task. Total Patient Care An RN or LP/VN is assigned to provide all care a patient needs.
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Nursing Care Models Team Nursing Primary Nursing
Team members perform duties for which they are best prepared Small number of patients, team conference, and team planning Primary Nursing Professional nurse totally responsible for patient(s) from admission to discharge Care provided by associate nurses
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The Changing Roles of Nurses in Health Care
Impact of shortages of professional nurses Increasing cost of nursing salaries leads to reduced nursing staff New titles Nurse practitioner Clinical nurse specialist Primary nurse Nurse-developed initiatives
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Question Is the following statement true or false?
The health care team is made up of nurses and doctors.
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Answer False Rationale: The health care team is made up of all personnel in all departments of a health care facility.
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Question A clinical nurse specialist:
A. Plans care and solves clinical problems B. Supervises staff C. Responsible for the total operation of his or her unit D. Conducts patient care conferences
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Answer A. Plans care and solves clinical problems
Rationale: A team leader supervises the staff. A nurse manager is responsible for the total operation of his or her unit. Team leaders conduct patient care conferences.
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Question Is the following statement true or false?
In the nursing care model known as functional, a nurse is responsible for the entire care of one or more patients for one shift.
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Answer False Rationale: In the case method model a nurse is responsible for the entire care of one or more patients for one shift. In the functional model, each team member is assigned a specific function or task.
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