Patient Care Team Patient Care Team ModelModel

HistoryHistory

•Patient Care Teams became Patient Care Teams became a common model of nursing a common model of nursing care following World War II.care following World War II.

History of Nursing IdeasHistory of Nursing Ideas, by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, page 310., by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, page 310.

HistoryHistory•The Patient Care Team The Patient Care Team concept was influenced concept was influenced by wartime experiences.by wartime experiences.

History of Nursing IdeasHistory of Nursing Ideas, by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, , by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, page 310.page 310.

HistoryHistory•The goal was to create a The goal was to create a

team of care providers led team of care providers led by a Professional Nurse.by a Professional Nurse.

History of Nursing IdeasHistory of Nursing Ideas, by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, page 310., by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, page 310.

HistoryHistory•Emphasis was placed on Emphasis was placed on effective communication effective communication and delegation to and delegation to enhance team function.enhance team function.

History of Nursing IdeasHistory of Nursing Ideas, by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, , by Linda C. Andrist, Patrice K. Nicholas, Karen Anne Wolf, page 310.page 310.

PurposePurpose• For alternative staffing For alternative staffing

options during periods of options during periods of high census and staffing high census and staffing challenges. That will be challenges. That will be used at the discretion of the used at the discretion of the Charge NurseCharge Nurse..

Team ModelTeam ModelTeams will include an RN and a Teams will include an RN and a Paramedic in a patient care assignment Paramedic in a patient care assignment not to exceed 6 beds. These not to exceed 6 beds. These assignments can include the following: assignments can include the following:

• 1. A5-A101. A5-A10• 2. A11-A14, AH3, & AH42. A11-A14, AH3, & AH4• 3. A15-A203. A15-A20• 4. C25-C304. C25-C30• 5. B Hall (6 beds total)5. B Hall (6 beds total)• 6. F Hall (6 beds total)6. F Hall (6 beds total)

The RN and Paramedic The RN and Paramedic work cohesively together, work cohesively together,

with ongoing with ongoing communication with each communication with each other to provide excellent other to provide excellent

patient care. patient care.

RN role in the team RN role in the team modelmodel

The RN is the Patient Care Team Leader The RN is the Patient Care Team Leader and responsibilities include but are not and responsibilities include but are not limited to the following:limited to the following:

•Patient triage.Patient triage.•Initial patient assessment.Initial patient assessment.•Patient teaching. Patient teaching. •Discharge.Discharge.•Conscious sedation.Conscious sedation.•Give and receive an SBAR bedside Give and receive an SBAR bedside report, as a team, with paramedic report, as a team, with paramedic when handing off care.when handing off care.

• Refer to Policy 201210-30.67 Refer to Policy 201210-30.67 RN Role and ResponsibilitiesRN Role and Responsibilities

Paramedic role in the Paramedic role in the team modelteam model

The paramedic responsibilities include The paramedic responsibilities include but are not limited to the following:but are not limited to the following:

•Assist in all patient care within Assist in all patient care within scope of practice.scope of practice.

•Document all patient care Document all patient care performed.performed.

•Give and receive an SBAR bedside Give and receive an SBAR bedside report, as a team, with RN when report, as a team, with RN when handing off care. handing off care.

• Refer to Policy 201210-30.75 Refer to Policy 201210-30.75 Paramedic Job Roles and ResponsibilitiesParamedic Job Roles and Responsibilities

Benefits of a Team Benefits of a Team ModelModel

• Team members interact more closely, which Team members interact more closely, which encourages trust and cooperation among encourages trust and cooperation among them.them.

• Each patient benefits from the combined Each patient benefits from the combined skills of the team, in that needs that might skills of the team, in that needs that might not be recognized in the functional system not be recognized in the functional system may be identified in a team environment. may be identified in a team environment. Patients are more satisfied.Patients are more satisfied.

• Ideally, a team model recognizes and uses the Ideally, a team model recognizes and uses the different skill levels of each team member.different skill levels of each team member.

Nursing Malpractice, 2Nursing Malpractice, 2ndnd edition edition, By Patricia W. Iyer, Tonia D. Ailken, page 48., By Patricia W. Iyer, Tonia D. Ailken, page 48.

Things to Things to RememberRemember

Team AssignmentTeam Assignment

•The RN is the Team The RN is the Team Leader.Leader.

•There is no “my patients” There is no “my patients” or “your patients” only or “your patients” only

“ “our patients”.our patients”.

Clinical JudgmentClinical Judgment

•Always use good clinical Always use good clinical judgment, if you are judgment, if you are uncertain about ANYTHING uncertain about ANYTHING seek advisement from your seek advisement from your Team Leader.Team Leader.

Don’t leave your Don’t leave your teammate.teammate.

•When assigned to the Team Model, When assigned to the Team Model, it is important that you do not leave it is important that you do not leave your teammate to perform tasks your teammate to perform tasks outside of your assignment.outside of your assignment.

•When asked to do so by other staff When asked to do so by other staff members explain to them that you members explain to them that you cannot because you are in an cannot because you are in an assignment.assignment.

Take initiative.Take initiative.

initiativeinitiative• ability to act on your own: ability to act on your own: the the

ability to act and make decisions.ability to act and make decisions.

• Be self-motivated to accomplish Be self-motivated to accomplish what needs to be done, without what needs to be done, without prompting. prompting.

DocumentationDocumentation•There should be a mutual There should be a mutual

understanding that the RN understanding that the RN documents what the RN documents what the RN does and the Paramedic does and the Paramedic documents what the documents what the Paramedic does.Paramedic does.

Timely Timely DocumentationDocumentation

•One of the greatest challenges One of the greatest challenges in patient care is staying on in patient care is staying on top of your charting. top of your charting.

•Make it a habit to immediately Make it a habit to immediately document after every document after every task/intervention/interaction task/intervention/interaction performed.performed.

CommunicateCommunicate•Ongoing communication is the Ongoing communication is the

key to a successful Patient Care key to a successful Patient Care Team.Team.

The problem with communication…is the illusion that is has been

accomplished.

--George Bernard Shaw

Conflict ResolutionConflict Resolution

•If conflict arises within the If conflict arises within the team that cannot be team that cannot be resolved, do not hesitate resolved, do not hesitate to communicate your to communicate your concerns with the Charge concerns with the Charge Nurse.Nurse.

““The way a team plays The way a team plays as a whole determines as a whole determines its success. You may its success. You may

have the greatest have the greatest bunch of individual bunch of individual

stars in the world, but stars in the world, but if they don't play if they don't play together, the club together, the club won't be worth a won't be worth a

dime."dime." --Babe --Babe

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