Managing Patient Care

Managing Patient Care

1. Nursing Team

   • Nurse Executive/Nurse Manager
   • Nurses

2. Nursing Care Delivery Models

   • Team Nursing
     • RN in charge of other RN, practical nurses, and NAP
   • Primary Nursing
     • RNs placed at beside
       • Better nurse and patient relationship
   • Patient- and family-centered
     • mutual partnerships among patient, family, and healthcare team
   • Total patient care
     • RN responsible for all aspects of care for one or more patients during a shift of care
   • Case management
     • collaborative process of assessment, planning, facilitation, and advocacy for options and services

3. Decision Making

   • Responsibility
     • Duties and activities than an individual is employed to perform
   • Autonomy
     • Freedom of choice and responsibility for the choices
   • Authority
     • Formal legitimate power to give commands and make final decisions specific to a given position
   • Accountability
     • individuals being answerable for their actions

4. Staff Involvement

   • All staff members benefit from the knowledge and skills of the entire group
   • Shared governance: establish and maintain care standards for nursing practice on their work unit
   • Interprofessional collaboration: bringing representatives of different disciplines together
   • Staff communication
   • Staff education

5. Leadership Skills for Nursing Students

   • Priority Setting: ID Patient's needs
   • Organizational Skills: Having all equipment and patient prepared
   • Time Management: Priority-to-do list
   • Evaluation: Constant assessment of patient