Team Nursing

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My hospital plans to change from primary nursing to team nursing later in the year. As an RN, I will be responsible for all members of the team, which I am definitely NOT looking forward to. I LOVE primary nursing.

As it is now, I take care of all my own patients, plus I "cover" 1-2 patents assigned to an LVN (meaning I give all IV meds and assess them). I don't even like doing this - I often go to give medications at 11am, and the LVN hasn't documented ANYTHING yet, other than the meds given. This is so unlike my own style! And don't even get me started on having to delegate the giving of all oral meds to someone else, whose judgement I am forced to trust. Although most of the nurses are fine, I am sorry to say that there are a couple that I think are lazy, with sloppy practice, and who are sometimes rude to patients, which I know because our hospital has shared rooms, so I see how other people practice first hand. Of course, I am worried that I will end up with them working on my team. (Of course I will.)

I can't imagine how I can continue providing the same level of care to my patients when I will be responsible for twice as many.

Does anyone have any experience with team nursing? Are my concerns justified?

I know nothing about it and feel your concerns. I would have the same.

I like owning my patients!!

I think they are switching to team nursing to save $$ they would otherwise have to pay to an RN.

I 100% agree. Everything is always about money.

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