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Nursing. Nursing Care Delivery Models. Nursing teams Registered nurses (RNs) Licensed practical nurses (LPNs) Licensed vocational nurses (LVNs) Nurse assistants. Nursing Care Delivery Models. Nursing care delivery models Functional nursing Team nursing Primary nursing
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Nursing Care Delivery Models • Nursing teams • Registered nurses (RNs) • Licensed practical nurses (LPNs) • Licensed vocational nurses (LVNs) • Nurse assistants
Nursing Care Delivery Models • Nursing care delivery models • Functional nursing • Team nursing • Primary nursing • Patient-focused care
Nursing Care Delivery Models • Functional nursing • One large team to care for all patients in a unit • Each member has specific tasks that they always do • An RN serves as nursing team supervisor
Nursing Care Delivery Models • Functional nursing advantages • Uses each team member’s strengths • Reduces costs • Functional nursing disadvantages • Right mix of skills • Qualified team supervisor • Too many people providing care to patient
Nursing Care Delivery Models • Team nursing • Divide into several small teams providing care for group of patients within unit • Each member has specific tasks depending on patient’s needs • An RN serves as nursing team manager • Nursing team manager reports to nursing team supervisor
Nursing Care Delivery Models • Team nursing advantages • Uses each team member’s strengths • Closer relationships between member and patient • Reduces costs • Team nursing disadvantages • Members have needed skills • Members understand responsibilities • Qualified team manager
Nursing Care Delivery Models • Primary nursing • One RN provides all the care to a patient for entire stay • Members assisting RN not responsible for specific tasks • All RNs in unit report to unit nursing team supervisor
Nursing Care Delivery Models • Primary nursing advantages • More nursing expertise • Better continuity of care • Close relationship between RN and patient • Primary nursing disadvantages • Requires RNs • Uses LPNs, LVNs and nurse assistants to lesser degree • Increases cost
Nursing Care Delivery Models • Patient-focused care • Similar to team nursing • Multi-skilled team members • Team provides services usually provided by diagnostic or therapeutic departments • Nurse assistants trained to provide these services • RN as nursing team manager
Nursing Care Delivery Models • Patient-focused care advantages • Use team member strengths • Better continuity of care • Close relationships • Decreases transport time • Reduces costs • Patient-focused care disadvantages • Expensive • Members need skills • Members understand responsibilities • Qualified team managers
The Nursing Process • The nursing process • Step 1 - Assessment • Step 2 - Nursing diagnosis • Step 3 - Planning • Step 4 - Implementation • Step 5 - Evaluation
The Nursing Process • Step 1 - Assessment • Collecting information • Communicating information
The Nursing Process • Collecting information • Review medical record • Take medical history • Perform physical exam • Observe patient
The Nursing Process • Observations • Objective • Subjective
The Nursing Process • Objective observations or signs can be measured or seen • Sight • Hearing • Touch • Smell
The Nursing Process • Subjective observations or symptoms are comments made by the patient
The Nursing Process • Communicating information • Documenting in patient’s medical record • Immediate problems
The Nursing Process • Step 2 – Nursing diagnosis • Statement of the patient’s problem • Cause of the problem
The Nursing Process • Step 3 - Planning • Creating a patient care plan • Nursing diagnoses • Goals for patient • Nursing interventions
The Nursing Process • Nursing diagnoses • Goals
The Nursing Process • Nursing interventions • Help the patient reach goals
The Nursing Process • Changes to interventions and goals • Unable to achieve desired level of ability • Has achieved a new level of ability
The Nursing Process • Changes to diagnoses • Patient reaches goal • New problem develops
The Nursing Process • Conference • Create patient care plan • All members of patient’s nursing team • Physician • Patient and family
The Nursing Process • Step 4 - Implementation • Carrying out nursing interventions • Provide care to patient
The Nursing Process • Step 5 - Evaluation • Determining whether patient has reached goals
The Nursing Process • Nursing process • Role of a nurse assistant