SLB78

Staff is having a hard time with team nursing. Before this model, they did primary care (RN to 3/4 patients). Directors will be addressing the required role for the lead RN. Although, I feel that the main difference with team nursing vs primary nursing is "team". My opinion is the team should get report on all 10 pts. and then the lead will break down the assignment accordingly (which is usually all RN'S). Since the goal is to still work to scope of practice - RN's can all take 3 pts and share 1 high acuity pt. The complaints: Report takes to long. Why cant each RN get report and then meet with team for a "briefing"I do not really know what is going on with my patients."their story"If team is all RN's, what is the responsibility of the leadHow do other areas do hand off report? Is it expected the lead will always give report, if team is made up of RN's? Thoughts? Thank you !

Our facility is starting a new staffing model. For 10 patients there will be a Team lead (RN) and 2 care partners (RN's or LPNs or SNA's). Previously RN's took 3 patients (primary care) or RN's took 6 patients with a LPN or Student. We are on a med surg floor and majority of patients are higher acuity. This change has left the nurses feeling they do not know the patients and they feel unsafe and that it is just too much. I am wondering if anyone else uses this staffing model and if so, what are some tips to help this model work? Thank you.