Originally posted by kjmta57:
Nurse to patient ratio is a big issue I feel.You dont know some days if you did your best because your to busy trying to stay afloat.I would like to see states get very involved in step-up programs for nurses,in fact I'm a big advocate in this area,because time and money is a big issue in nursing education.I think insurances should have to give a certain % to these programs.Vacation and retirement plans should also be a mandatory basis of employment.And the hospitals that say they cant afford it I see very few that cant.Team nursing is a must.Hospitals have gone from it and wished they never did that.But honestly I work in a prison and our issues to a certain point are a little diffrent.
I also agree, that team nursing was a better approach to care for patients than primary care is. In theory primary care would be the idea way to care for patients, but with the high acurity of patients now, it's doesn't seem feasible. One patient can bogg down a nurse, so she doesn't get to spend as much time with her other patients. In team nursing, as some hospital here use, your team members can help you out more. I worked in a hospital here per diem, and they're again using team nursing. The charge nurse also only takes patients in a pinch, and is more available to help others. The RN, and the LPN would start their rounds together, assessed the patient, obtain vital signs, etc, etc,. We would ask the patients pain, and other needs on our first rounds, and provide all care needed at that time. If one had to go to another room, to answer a call light, the other would continue to care for the other patient, they had started on. It's also a way to get feedback from someone, without asking someone else, who has their own patients to deal with. When you need help preforming care, you have the help there.
We would continually kept each other updated, as to what was going on, and this eleviated the fear of something not being done. Sometimes in primary nursing, you can come to the rescue of a nurse drowning in demanding pts, who are freg. on the call light. But most of the time, everyone is just too busy themselves to help.
I wonder how others feel about primary nursing, and if they see it as something that should be changed. Does anyone else think team nursing is the way to go, or is there a better way?
[This message has been edited by Brownms46 (edited March 30, 2001).]