Has anyone tried team nursing? Opinions?

  1. 0
    The hospital that I work with is going to be changing it's model from primary nursing (I would get 7-8 patients per shift) to team nursing (1 RN, 1 LPN, and 1CNA) for up to 12 patients. The LPN would be doing all the medications and dressing changes while the RN would be responsible for the assessments, critical labs, doctors orders, etc.

    Has anyone ever tried this type of nursing? What is your opinion? Is it manageable to take care of up to 12 patients when tasks are divided like this? Any feedback would be helpful....
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  3. 21 Comments so far...

  4. 0
    Quote from circularstaircase
    The hospital that I work with is going to be changing it's model from primary nursing (I would get 7-8 patients per shift) to team nursing (1 RN, 1 LPN, and 1CNA) for up to 12 patients. The LPN would be doing all the medications and dressing changes while the RN would be responsible for the assessments, critical labs, doctors orders, etc.

    Has anyone ever tried this type of nursing? What is your opinion? Is it manageable to take care of up to 12 patients when tasks are divided like this? Any feedback would be helpful....
    Where do you live? I have never heard of that before.
  5. 0
    I work in LTC and we have 3 floors, one of them locked dementia unit....40 residents per floor...2 nurses per floor, 4-5 CNA's floor. I would love it if we did team nursing. Although our residents/patients are less critical, it's an incredible responsibility as a nurse to be responsible for 20 residents/patients. Team nursing sounds like a dream.
  6. 0
    Yes I haven't seen this done before either...although I know many years ago team nursing was pretty common.
  7. 3
    I don't know if I would like team nursing...seems like it would have their faults. More responsibility on the RN, more likely for stuff to get missed, less staff to keep an eye on patients who are fall risks/confused, etc. I prefer to have my own patients and be responsible for them alone.
    loriangel14, Orca, and anotherone like this.
  8. 0
    Yes when I use to work on a tele floor we had this and it worked okay depending on who was on your team.
  9. 0
    A team is usually only as strong as its weakest member. i am not a big fan.
  10. 3
    Team nursing was the standard model used by most hospitals for many years until primary nursing was suddenly the Big New Thing in the late '80s. I've done both, and, IMO, one model works as wel as another, as long as everyone is willing to collaborate and cooperate to get the clients' needs met.
    spitcher2, Orca, and NRSKarenRN like this.
  11. 2
    I've done team nursing some. I prefer not to though. As said above, it depends on who you're working with....I've had nurses use "team nursing" as an opportunity to sit on their backside and order the others around. That's not how it works. If you work with good committed coworkers, it can be good, but it's a crap shoot.
    Orca and anotherone like this.
  12. 1
    We do it on our floor and I'm not a fan at all! It's too many patients needing IV meds and assessments trying to keep on top of everything and notify the dr of pertinent info so you run all day long while the LPN's and aides are regularly taking breaks. I rarely have a team where the other members pitch in and help when "their work" is done. If I go in a room to do an assessment or give a med and someone needs help to go to the bathroom I stop and help them tying me up for several more min putting me behind on all the pts needing assessments or IV meds already waiting but yet if I go find an aide who isn't doing anything (or if they are on break) the pt gets mad having to wait or the aide spreads it around the RN is too good to do that which isn't true. The RN can do everything, the LPN most stuff except IV pushes, and the aide only basic care so somehow it always ends up falling to the RN to make sure everything gets done. We have a big problem on our floor with LPN's esp not pulling their weight. I'm not saying it's LPN's in general and we do have a couple that work hard but on our floor most of them will pass their meds and sit at the desk literally ignoring call lights and when the RN's say could you please check that because the aide is busy and I have to pass an IV med they get mad and roll their eyes. The RN's that delegate and ask the aids and LPN's to cover stuff regularly get talked about as being too good to do it themselves. I regularly help with taking pt's to the bathroom, bedbaths, changing linens, giving pain pills, doing dressings, etc so they'll see me as a team player but yet every night I'm working over to finish up my charting while they are going home on time so I'm starting to think I may just have to become one of those nurses who quits being nice, get talked about, and get out on time. It' s all the politics that create the problem. I just wish I had my own group of a few all to myself! Also, sometimes patients will ask another team member for IV pain med that will not get relayed to me in a timely manner so the pt is mad by the time they've had to ask again or someone remembers to tell me. Another thing is when the dr asks if the pt has trouble with something like swallowing pills, eating, etc and I have no idea because I haven't had time to be in their room enough to even spend time with them and since I'm not passing the pills, if no one tells me, I have no idea making me look stupid. The few times I've had 5-6 all by myself I feel like it's such an easy day and I'm able to keep on top of everyone. I don't recommend it. Our floor is the only one in the hospital that does it and all the RN's that get pulled down to our floor complain they never want to come back-it's just so over-whelming.
    Orca likes this.


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