Hello fellow nurses. I've been informed of imminent plans to return to the "team nursing" model at my current job on an acute med/tele floor. I suspect this "change" is more budget inspired than it is regarding quality care.
Currently, RNs have a full pt load & "cover" 1/2 of LVN's load with another RN(to include IV meds, assess all pts, direct care, update careplan, etc).Soon, it will be one RN and one LVN w/ one Nurse Assistant to a "bigger team of patients." I am feeling like the demands to be placed on RN will be overwhelming, unrealistic, and unsafe. I don't care what your hourly wage is- there is only so much you can do in one shift.(Thank goodness the LVNs at my work are top notch!!!! Otherwise this change would be unbearable).
I am curious about what experiences others have found in the team approach? For those utilizing team nursing, what are your nurse pt ratios (shift & unit?); devision of tasks & nsg role, etc.? It has been suggested to have LVN pass all po meds & do dsg changes & tx; RN do assessments, careplan,admits, IV meds & direct pt's care. It seems very heavy for both RN & LVN. Any suggestions,reccommended reading? LVNs & Rns please give me your input...
I suspect management won't be offering suggestions on how to best implement this change, so am hoping for suggestions from real life nurses. Thanks in advance for your reply!