Quote from CapeCodMermaid
Brandon-it's not about efficiency. It's about resident centered care and what's best for the residents.
We are nurses...we need to do more than be task oriented. I hate the med nurse/charge nurse model and am trying to change it where I'm at now. Team nursing is far better for the residents.
Why? Explain exactly how it is better? Not disagreeing altogether, but most of the nurses in LTC are frustrated that I know, because they have 'tasks' they must get done and way too many distractions and responsibilities. And all of them are important and most you can not delegate. Dividing up the tasks means taking care of your Resident's needs safely. Efficiency is not a dirty word, the more efficiently you can get done, the more time you have for your Resident.
I've been fortunate over the years to wear a number of hats - supervisor, admission nurse, preceptor, float, charge, unit manager and have worked agency at a number of facilities and been staff at a number of facilities. Our 'tasks' are what keep the residents healthy.
The places that made their floor nurse do everything rounds, admissions, discharges, meds, treatments, answer phones, orders, with little support and high amounts of patients meant things did not get done - such as treatments, orders got missed, meds didn't get given, things were signed for that didn't get done.
I'm lucky where I work now, I have a great patient ratio and a supportive unit manager. Otherwise it would be ridiculous trying to get done all that I'm responsible for, safely, timely with attention to my Residents.