1. STAFFING AND NURSING CARE DELIVERY MODELS

2. 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

3. 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

4. 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)

5. 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

6. 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

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

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

9. 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

10. 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

11. 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

12. THANK YOU