Do you like team nursing?

what is team nursing?

I detest team nursing. I would not work in a team nursing model.

One of the greatest benefits of nursing is that my shift is MY shift. It is autonomy of professional action. Team nursing trades that for staffing solutions for the hospital. It's not about what benefits nursing, but what benefits staffing.

I spend way too much time verifying what others in the 'team' are doing, both to ensure that it is done, and to prevent replication of effort.

It's not a nursing friendly model. It's an administration friendly model. I give far too many concessions to administration already.

When it comes to MY patients, LEAVE ME ALONE, and let me take care of them. If you don't trust me to do JUST THAT, then you hired the wrong person, in the first place.

~faith,
Timothy.

Oooh, no I dont think I would like that. Sucha large group of patients to be responsible for. Timothy is right, thats all administration. But it would be interesting to hear from anyone who likes it, if there IS such a person.

You need to find out how each place defines "team nursing". When I was in nursing school in 1973 team nursing was more of a thing where functions were delegated out to team members. We had a charge nurse who's job was to be at the nurses station, take and note orders off the charts and communicate them to the RN team leaders and make rounds with the doctors. The RN team leaders had a group of patients over which they were in charge and were making sure the overall plans of care were being carried out, perform initial patient assessments and to take care of IVs and IV medications. To help accomplish that, (s)he had an LVN to pass medications and a number of LVNs or nursing assistants to do direct patient care. LVNs could also carry out some of the treatments.

I'm not sure what "team nursing" means today. I've worked in some places where it meant nothing more than we all worked together, but we each had our own patients to take care of and do everything for. Usually, that meant that the RN took the most critically ill or unstable patients, the LPNs were given patients less ill and nursing assistants got stable, easier patients to care for.

Lately, I've seen nursing assistants being assigned groups of patients on which they were to do all the vital signs, baths and linen changes with the licensed staff assigned a group of patients on which they were to do IVs, meds and assessments.

Ask.

we have team nursing at my hospital. for the most part, i work on a floor that is strictly RN. but sometimes we get pulled to another floor. the ideal is an RN, an LPN and a CNA. it depends on the census as far as the ratio goes. it could be anywhere from 8-14 patients. it does suck because you don't know half of what's going on with all of your patients. i don't like it because when you have to call a doc, you have to find the LPN and look at their meds. you do all of the assessments and charting as the RN, and some IV push meds. sometimes it's not so bad if you have a good team that works together. i have worked with a good team and a not so good. it's always a catch and miss. but for the most part, i like primary.

this was tried at a hospital i worked at..i was to take v/s when i gave meds
this was a cardiac floor so many meds and v/s were tied so this was not unusual, the number were, i had 16 patients instead of the usual 7 or 8 i was ripped to pieces that morning....the other nurse was to check behind the ward clerk and do the charting
the ward clerk was very experienced so the other nurse acted like she had the day off..by 2p i had finished the absolutely horrid day and she sat down to chart..i gave her some notes that i had made throughout the day and i went to conference room taped my report and counted narcs she was almost crying...I NEED HELP WITH THIS CHARTING to the head nurse

head nurse was there all day and she knew what went on.the team nursing didn't last, gone in less than a week...tptb c/o that the nurses didn't give it a chance, i heard that the other floors had worse results