STAFFING AND NURSING CARE DELIVERY MODELS Staffing Activities

STAFFING AND NURSING CARE DELIVERY MODELS

Staffing Activities to ensure an adequate number and mix of team members Staffing considerations ØPatient needs ØStaff satisfaction ØOrganizational needs Meeting Patient Needs Primary considerations ØNumber of patients ØIntensity of care required ØStaff experience and preparation

Meeting Staff Needs 24 hour/day, 365 day/year staffing needs create staffing challenges ØCreative 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 v. Total patient care v. Functional nursing v. Team nursing v. 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)

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

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

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

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

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

Nurse Manager 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

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

THANK YOU