I did do "team nursing" in the Emergency room as a nurse tech. In this instance it worked well. Partly because the techs knew their responsibilities: we would round on all the pts on our "team" (One side of the ED, about 15 beds) DO necessary vitals, help with the exams, run and get the juice, water etc that the pt has to have (or they will code,
). Escort non ICU pts to the floors, take EKGs, put in orders, run pts to xray/VQscan etc...and alert the RN to nursing needs (ie pain meds, "my chest pain is back!!, )and the warm blanket rounds. I really did feel Part of the team, and worked well with the nurses in that role. We really relied on each other- I don't see that too much on the floor and I don't know why.
I agree Cargal- a plan of care just to get a man into bed? Geez, I would have done it in a hearbeat- sure beats all the paperwork and guilt when the guy is found IV out, bleeding on the floor waving his foley cath around like a lasso...)
I think team nursing is a good idea in theory- I wonder why it doesn't usually work out? Too many patients/responsibilities?