i posted this way back in 2003.
teams: divide your patients into 2, 3 or 4 teams. we had 30 patients so we had 3 teams of 10 patients. what's more important the room numbers never changed. team i was rooms 1-10, etc.
i an rn an lpn/or rn a cna
ii an rn an lpn/or rn a cna
iii an rn an lpn/or rn a cna
there was always a charge nurse (rn) who checked off orders, made rounds c`doctors, put out fires etc and made the next shift and next day shift assignment.
every patient had an rn, every patient had an lpn/rn (usually lpn though) and every patient had a cna.
the first rn was the team leader, she did the initial assessment, she did the treatments needed early in the shift, the lpn passed meds first rounds,
at second med rounds the two licensed usually split the rounds.
the cna got all the vitals recorded the i&o and helped with all the baths. as far as vitals i mean routine vitals, the licensed people handled post op and post procedure vitals.
having 10 patients meant you had the potential for 10 new patients during your shift, i never had it happen over once. but 3 people can handle new patients in a team a lot better than one nurse alone.
it also meant if you had no dischares you go no admissions. now everyone would always lend a hand if a team pod was in trouble, lke a code or a violent patient. just remember pod only 10 for 3 workers. mesmerizing isn't it.