STAFFING AND NURSING CARE DELIVERY MODELS

1. STAFFING AND NURSING CARE DELIVERY MODELS

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

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

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

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

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

10. Nurse Manager Patient Care Respiratory Services Patient Transportation Housekeeping ECG Admission/Discharge Phlebotomy Physical/Occupational/Speech Therapy Dietary Services Financial Counseling Supply Management Patient Patient-Centered Care Model

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

12. THANK YOU