Quote from Nccity2002
I worked as a traveler in a facility that used this approach in the ICU. Basically, the LVN/LPN would care for two "stable" patients, while her "assigned" RN would take care of the drips/IVPB/IVPs. Personally, hate it, but for some reason, it worked for them. That facility was fortunate that the LPN/LVN were excellent nurses, still, sometimes it felt like I had more patients than what I was assigned to. To answer your question, a "Team Nursing" model of care is not safe or practical in the ICU setting.
We did very limited "team nursing" but we mainly used the primary nursing model in most of the units where I worked. The team approach was normally used with an RN and a student enrolled in nursing school
which was called an "NA II". The NA II and the RN took three patients on 1:2 care or sometimes a 1:1 paired with a 1:2. The NA II did not give any meds or dressing changes around central lines, but could write a "data collection" (an assessment but you couldn't call it that) and could do many tasks under the immediate supervision of that RN. Most of the NA IIs became nurses in the unit when they graduated and it was a great way to learn critical care nursing for them.
The LPNs in the unit had a full scope of practice. We took our own patients titrated our own drips, pushed our own meds etc. We were limited only that an RN had to check blood products and several IVP meds with us and we didn't take new admits as the initial assessment was not in our scope of practice. The charge nurse, who took no pt assignment, covered whatever was outside of our scope...which usually meant she was the one to check blood with us.
I agree that the best model for critical care is primary care, yet the Nursing Assistant II (NAII) was a great way for these kids to learn and it was not much extra work for the RN supervising them.
Best to you,