Please bear with me...we are from the "stix", and are still doing team nursing.
Almost all of "the team" want primary nursing.
We know many of the positives......
Will anyone share some of the negatives?
Oct 30, '02
We practice primary nursing in a slightly different way than what I am seeing described here. I work in a rehab hospital where average length of stay is 3-4 weeks, and some patients are with us for months.
In our version of primary nursing, each patient has a primary nurse who takes that patient everyday that she is in. The patient will also have a primary OT, PT, and SLP as appropriate. We refer to each patient's group of primary staff as their team. We also have nursing aids and rehab aids, and their assignment is pretty consistent too, as staffing allows. (Not all patients have an aid assigned, some not every day, some not at all.)
So the benefit here is consistency. The downsides are that it can sometimes get taxing to have the same difficult patient every day you work, and also, there must be other nurses to fill in when you aren't there. These people aren't on the team and have different patients everyday are not always up to speed on the patient's care plan. Also, it can be hard to balance teams: depending on acuity and census, etc. one team can end up much more acute than another for a time. Sometimes we swap, but we try not to so that we can maintain consistency.
I am eager to talk with anyone who does primary nursing this way.
Last edit by Allison S. on Oct 30, '02