Our Med-Surg. unit is looking at changing the care delivery system in our facility. We are a 32 bed med-surg. unit and want to improve the quality of care we deliver to our patients. We are trying team leading, but are getting alot of slack from staff. We were doing primary care, but found it too be very stressful for both staff and pt. as well as MD's. Primary care for us consisted of 8-9 pt. doing all cares as well as vs and meds. any suggestions would be appreciated.