We have lots of techs that do various things by training. It is also a way for the hospital to cover liablity by having departments that do certain tasks instead of nurses doing it all. All diagnostic testing/blood draws are done by techs at our facility (we nurses will get urine, bm, and certain culture samples like wound and throat and such). We also have a Nursing team that handles difficult wounds, catheters, ostomies and IV/Picc/Central lines so that continuity and specific implementations/charting are done to the maximum.
But when I hear...does a nurse just do paperwork, meds, and assessments...when you have 5-8 pts...that is NO EASY task in itself!!! Nope, I have to tend or oversee all ADL's, help with PT/OT (lots of follow up work to be done), meals ordering/feeding/education, deal with families, communicate and assist doctors and follow their orders for treatments or stat orders, document like crazy on several different areas of a chart, assessments both general and specific, tube feedings, ostomy care, bathroom issues, double checking and really watching orders so they are written and implemenated within protocols and rules, communicating with MD's when issues arise or there is a change in condition, watch pts who are fall risks or demented/agressive/confused/scared, tend skin issues, dressings, pull out certain tubes, insert certain tubes (like NG, or changing out traches), helping with spiritual and emotional needs, stat meds, routine meds, IV's, as needed meds, coordenating with lab for tests and meds/tx that need to be done before and after, surgery prep and consents/education, Post surgery care, discharges and admissions, coordenating in facility care and out of facility care and communicating with disiplines that assist in that, and anything else that pops up...and believe me, things POP up all the time and need stat care...there is where I come in fast!
So really, a nurse does so much that adding on more is not only not very feasable...but can be dangerous if the nurse is doing too much and say...forgets something or something gets missed. That is why these teams were made, so the nurses could focus on more immediate needs of their patients and supervise the other disiplines and communicate to all healthcare staff. I see it as I am the assumed main gal, and the middle gal, and the end gal in all the care of my patients...and trying to balance that is sometimes like rolling a boulder uphill with all the rules/regulations!
( funny side note: I tell my patients about the paperwork end of the deal, because it is a large part..."if I knew I would be writing so much, I would have taken my chances on being an Author! LOL!". That always gets a giggle, but it is ironic that it is sooooo true. But I will tell you, my paperwork comes last to me if given a patient needs me in that room (I can always stay a little extra to complete my paperwork).