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STAFFING AND NURSING CARE DELIVERY MODELS
StaffingActivities to ensure an adequate number and mix of team
members Staffing considerations
Patient needsStaff satisfactionOrganizational needs
Meeting Patient NeedsPrimary considerations
Number of patientsIntensity of care requiredStaff experience and preparation
Meeting Staff Needs24 hour/day, 365 day/year staffing needs create staffing
challengesCreative staffing options, Staff input about staffing
Meeting Organizational NeedsBudget and financial managementLicensing and accreditation Customer satisfactionQuality care
NURSING CARE DELIVERY MODELS
Detail assignments, responsibility, and authority to accomplish patient care and type of caregivers to patient care needs
Classic Nursing Care ModelsTotal patient careFunctional nursingTeam nursingPrimary nursing
Total Patient CareNurse is responsible for planning, organizing, and
performing all careCommon use areas—intensive care unit (ICU) and
postanesthetic care unit (PACU)
Patient CareThe registered nurse plans,
organizes, and performs all care
Registered Nurse
8-hour shift
Registered Nurse
8-hour shift
Registered Nurse
8-hour shift
Total Patient Care (Case Method) Delivery
Nurse Manager
LPN/LVNPO Meds
Treatments
RNAssessmentsCare Plans
Nurse AideVital signsHygiene
Nurse AideHygieneStocking
Assigned Patient Group
Functional Nursing Care Delivery Model
Nurse Manager
RN Team LeaderRN
LPNs/LVNsNursing Assistants
RN Team LeaderRN
LPNs/LVNsNursing Assistants
Assigned Patient Group Assigned Patient Group
Team Nursing Model
GeographicPatient UnitPatient Care
Team: RNs
LPNs/LVNsNurse Aides
MedsSuppliesLinens
GeographicPatient UnitPatient Care
Team: RNs
LPNs/LVNsNurse Aides
MedsSuppliesLinens
GeographicPatient UnitPatient Care
Team: RNs
LPNs/LVNsNurse Aides
MedsSuppliesLinens
Nurse Manager
Modular Nursing Model
Primary Nurse 24-hour responsibility for
planning, directing & evaluating patient care
Patient
Associate Nurses
Provide care when primary
nurse is off duty
Physician and other members
of the health care team
Primary Nursing Model
Nurse Manager
Patient
Patient Care Respiratory Services Patient TransportationHousekeeping ECG Admission/Discharge PhlebotomyPhysical/Occupational/Speech Therapy Dietary ServicesFinancial Counseling Supply Management
Patient-Centered Care Model
NURSE CASE MANAGERAssesses, plans, implements, coordinates,
monitors, and evaluates patient care options and services to meet health needs
Onset of Illness
Resolution of Illness
Collaborates with Nursing, Physicians, Physical/Speech/
Occupational Therapists, Dietary, and Ancillary Services
Collaborates With Patient and Family
Coordinates Services:Home Care, Hospice,
Extended /Long-term CareAmbulatory Care Services
Nursing Case Management Model
THANK YOU
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