We too just implemented team nursing on our surgical unit. I am looking for help from anyone who will give me advice as to how to make this work. I am the manager of the unit. It is a 36 bed surgical unit. Teams consist of 12 pts with an RN, RN, NA. Sometimes a team may have an RN, LPN, NA. When we are full we have a prn person on 7-3. We have 3 teams. THis is our 3rd week of implementation. I need some advice because it doesn't seem to go well. Staff states they don't know their patients, its too busy, etc. How do other places do this. ALl staff went through a mandatory 4 hour training session to start--more planned. What to do?? Any advice would be helpful. I feel team nursing will provide a more supportive environment than primary nursing. Who does what on your teams? THanks for you input!