Seems like this model for care was instituted without a clear guideline on how to proceed. Team nursing, in it's true form, has clear roles for each member of the team. Get back to NM and let her know model in not working. Agree, with earlier post, if 10 patients are the limit for each team, then pending DC does not allow for more patients, teaching and pre-DC care needs are still needed. Charge nurse must take overflow.
It seems so odd to me that new nurses have such a difficult time getting team nursing to work, this was the model I worked under for 5 years, and we seemed to have a strong unit, good morale, patients got excellent care, and physicians were very satisfied. After the change, to primary care nurse, things were touchy and remain that way on a couple of units. I spoke to a retired physician/retired chief-of staff just yesterday, he was glad to be getting out while he can. Too bad, he is a good physician, ethics are above reproach, and has a genuiene caring for patients and staff. He hates to go but feels the new way of doing things has made his practice too difficult to continue. He will be missed. He mentioned team nursing, always felt he could get answers and input from all level of staff when that model was in use. Now, no one knows what the other hand is doing a lot of shifts.
Sorry to rant on, but I did used to enjoy this type of nursing. Now, I just seem to be marking time.