Thanks for the response.
Here is what are staff consist of - we have two units with 19 patients each (all spinal cord injury). One unit has ventilator patients (up to 3 at one time). Currently across the board (on day shift) we have 1 charge RN (overseeing 19 patients) and other RNs/LPNs/NAs usually have 3 patients each (mixture of quads and paras). An RN or LPN is assigned meds and also treatmetns. If anyone looked at our current assignments one would not know if the staff person is an RN/LPN or NA, other than the charge RN. SOON we will be moving into our new center ($32 million dollar building) which will still have 38 beds BUT long hallways. The nice part is each room will have a computer right outside the room and we will have nurse servers to hold supplies (this will decrease the walk).
No matter what the delivery model is there are always issues especially if staff do not play nice
in the sandbox
This is what I need feedback on - based on what I am envisioning....
I'm thinking we would have 2 teams on each side (4 when the new building arrives) that would include 3-4 LPNs and 2-3 NAs each. The RN would be responsible for delegating duties, assessing patients, central line meds/IV push meds, teaching, documenting, admissions/discharges. The LPNs would be assigned treatments, meds, ADL cares, trach suctioning, tube feedings. The NAs would be assigned to complete ADLs, turning/repositioning, getting patients unpacked/packed, item inventory, other chores as assigned. This is not all of it but gives an idea of my thoughts.