All RNs All the Time: Wave of the Future?

  1. 0
    Not sure if this counts as "news" or an "article" so mods please feel free to move as deemed necessary.

    Article from RNCentral.com speaks about a movement to eliminate nursing assistants and have all RNs doing patient care.

    http://www.rncentral.com/blog/2012/a...of-the-future/
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  4. 18 Comments so far...

  5. 2
    This is not really "new" -- different models of nursing staffing move in and out of style as the years go by. Plenty of us practicing now have worked in the past in settings where the staffing was all RNs and no aides. It was just becoming popular (referred to as "primary nursing" at the time) when I graduated nursing school in the early '80s.
    Altra and roser13 like this.
  6. 3
    Another option would be to train the aides to do more tasks and pay them better to keep the good ones.
    beeker, Fiona59, and sonja77 like this.
  7. 0
    My unit has been doing primary care for over the last 2 years. I wish we had techs to lend a helping hand as most of the patient assignments can be overwhelming. A lot of the hospitals in the area have also gone to primary nursing due to HCAPHS.
  8. 1
    Sounds like a nightmare. I can take care of 4 pts tops with no aid and all 4 can't be total cares. I sincerely doubt the hospital is going to give me a ratio like that on tele or med/surg.
    anotherone likes this.
  9. 2
    I wish my unit would go with primary care. The aids there are simply awful, and I don't say that about people unless they really deserve it. We do the majority of the vitals, end up getting the blood glucose checks (if we want them done anywhere near the right time) and they don't answer call lights.

    Sooo........since we are already doing primary care as it is.........may as well have one less patient to do it with.

    We all float down here.
    Not_A_Hat_Person and anotherone like this.
  10. 2
    They are doing it at my facility. They cite the increase in patient satisfaction and increased patient safety, but I think it comes down to money. At our facility the aids are unionized and are making a nice paycheck and I think this is a way for my facility to phase them out.
    Lovely_RN and anotherone like this.
  11. 0
    Quote from elkpark
    This is not really "new" -- different models of nursing staffing move in and out of style as the years go by. Plenty of us practicing now have worked in the past in settings where the staffing was all RNs and no aides. It was just becoming popular (referred to as "primary nursing" at the time) when I graduated nursing school in the early '80s.
    Primary care? You mean that is all this was about? Could have saved myself the bother posting. *LOL*

    As always Elkpark you hit the nail right on the head. Everything old in nursing service is new again.
  12. 0
    Ok, this what one does not understand.

    First *they* phased out LPNs, now these facilities are getting shot of aides, however there is only a finite number of patients a RN can provide total care to before things get really scary.

    IMHO it isn't that aides are the problem per se, just that in many places from what one hears the lunatics have taken over the asylum.

    Will agree with the other poster that in some cases wages and such need to be improved to attract and keep a better quality of nursing assistant. Spoke with a CNA at the nursing home near my NYC home and was told they only make about $7/hour. Well that is the same average MacDonald's workers make in this area.
  13. 0
    Quote from PennyWise
    Sooo........since we are already doing primary care as it is.........may as well have one less patient to do it with.
    You really think when this is done that they give the nurse better ratios?

    Quote from DoGoodThenGo
    there is only a finite number of patients a RN can provide total care to before things get really scary.
    Doesn't stop the powers that be from trying it though.

    Just remember, all we need to do is improve our time management skills and we can take care of infinite patients without help!


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