We tried "team nursing" for a short peiod, but didn't have a good definition of what it should be, so we quit.
The charge nurse who brought this idea, wanted two nurses to share 6 patients, knowing all that was going on with each one and accomplishing all of the orders. I found this extremely confusing. It led to a total fiasco Perhaps it's because this was my first day off of orientation and I was linked with a nurse who was greatly against the team nursing approach. Anyway, it was a disaster.
In another setting, however, I had a nurse as a buddy. We checked on each other to offer or ask for help, reported off to each other for breaks and were aware of the other's needs throughout the shift. That was GREAT.
If that is team nursing, I highly recommend it.
In our ER presently, we each take 3 or 4 beds and are responsible for EVERYTHING that gets ordered. If there is another dept to be called (X-ray, Resp. Therapy, EKG), it is our responsibility to make sure that it gets done. We draw nearly all of the labs, and send them.
The clerks are great in making sure that the orders are entered into the computer, which alerts the other depts to come to our patients.
We then use a large communication board to note what's been ordered, then cross it off once it's completed. The charge nurse keeps an eye on the board for items that are not crossed off, then checks the chart to see if the order still needs to be done. He or she is usually good at helping where needed.
I keep an eye on the fax machine for returned lab results (Our lab is a very slow dept). If they're not there within a resonable amount of time, I call the lab.
If things don't move smoothly, I am held accountable for everything re: my patients. Period.