The HS I work for is very different than your usual HS. We are Howard A. Rusk Rehabilitation-HealthSouth. We were bought from the univ. of MO. Our docs are univ docs, but nursing and therapy are now HS. So, we run our facility much as it was prior to being bought. We do a lot of team nursing. We have four teams and each team has a primary nurse, an attending, it's own group of therapists, liasons, and case managers.
An RN may charge, pass meds or do tech work or full patient care.
An LPN may charge, pass meds or do tech work as well.
Our techs can do blood sugars, start tube feeds, in and out cath, bladder scan, check NG placement, PEG care.
When I was in NV, the RN would either be house charge, or charge for up to 8 pts and pass their meds (assessments and treatments as well) Lpns would do the same, but not house charge, just charge the smaller group.
CNAs weren't allowed to do much except JUSt general patient care.
There were no teams and no primary nurses. There were case manager RNs but they never worked the floor so truly they didn't even know the patients. Don't get me started on that though
I am a fan of team nursing.
I do as an LPN med passing mostly. Where I work if you pass meds, that is ALL you do. If you team lead or charge, you do the RN duties (chart checks, dressing changes, admissions, etc...) AND patient care (LPNs do team lead where I work, and if so, they do not pass meds and I do get a higher pay when I charge). If we tech, we do only patient care. Does that make sense? WE ALL do hands on care where I am. There is no such things as "I am nurse you are not" No higher license. What seperates us is what our state board says we can and cannot do.
ANyway-I LOVE HS. I am trying to move to VA with hubby and will be attempting to transfer internally.