© 2004 Elsevier, Inc. All rights reserved. Slide 0 The Nursing Department Nursing unit personnel employed on the nursing unitsNursing unit personnel employed

© 2004 Elsevier, Inc. All rights reserved. Slide 1

The Nursing DepartmentThe Nursing DepartmentThe Nursing DepartmentThe Nursing Department

• Nursing unit personnel employed on the Nursing unit personnel employed on the nursing unitsnursing units

• Services provided by each of the nursing Services provided by each of the nursing and specialty units listed and specialty units listed

• Responsibilities of the nursing departmentResponsibilities of the nursing department• Nursing care delivery modelsNursing care delivery models

• Nursing unit personnel employed on the Nursing unit personnel employed on the nursing unitsnursing units

• Services provided by each of the nursing Services provided by each of the nursing and specialty units listed and specialty units listed

• Responsibilities of the nursing departmentResponsibilities of the nursing department• Nursing care delivery modelsNursing care delivery models


Hospital Units (Specialties)Hospital Units (Specialties)Hospital Units (Specialties)Hospital Units (Specialties)

• Medical/surgical Medical/surgical • Telemetry Telemetry • Orthopedic Orthopedic • Neurology Neurology • Oncology Oncology • Pulmonary Pulmonary • PsychologyPsychology• PediatricsPediatrics

(Cont’d…)(Cont’d…)

• Medical/surgical Medical/surgical • Telemetry Telemetry • Orthopedic Orthopedic • Neurology Neurology • Oncology Oncology • Pulmonary Pulmonary • PsychologyPsychology• PediatricsPediatrics



(…Cont’d)(…Cont’d)

• Gynecology (GYN)Gynecology (GYN)• Obstetrics (OB)Obstetrics (OB)• Labor and delivery (L and D) Labor and delivery (L and D) • Post partum Post partum • Emergency department or emergency room Emergency department or emergency room

(ED or ER) (ED or ER) • Operating room (OR)Operating room (OR)• Recovery room (RR)Recovery room (RR)



• Gynecology (GYN)Gynecology (GYN)• Obstetrics (OB)Obstetrics (OB)• Labor and delivery (L and D) Labor and delivery (L and D) • Post partum Post partum • Emergency department or emergency room Emergency department or emergency room

(ED or ER) (ED or ER) • Operating room (OR)Operating room (OR)• Recovery room (RR)Recovery room (RR)





• NICU - neonatal intensive care unitNICU - neonatal intensive care unit• PICU - pediatric intensive care unitPICU - pediatric intensive care unit• CCU - coronary care unitCCU - coronary care unit• TICU - trauma intensive care unitTICU - trauma intensive care unit• MICU - medical intensive care unitMICU - medical intensive care unit• SICU - surgical intensive care unitSICU - surgical intensive care unit• ICU - intensive care unitICU - intensive care unit• IMC - intermediate care unit (also called step IMC - intermediate care unit (also called step

down unit)down unit)


• NICU - neonatal intensive care unitNICU - neonatal intensive care unit• PICU - pediatric intensive care unitPICU - pediatric intensive care unit• CCU - coronary care unitCCU - coronary care unit• TICU - trauma intensive care unitTICU - trauma intensive care unit• MICU - medical intensive care unitMICU - medical intensive care unit• SICU - surgical intensive care unitSICU - surgical intensive care unit• ICU - intensive care unitICU - intensive care unit• IMC - intermediate care unit (also called step IMC - intermediate care unit (also called step

down unit)down unit)



• Nurse manager (RN)Nurse manager (RN)• Registered nurse (RNs)Registered nurse (RNs)• Licensed practical nurse (LPN)Licensed practical nurse (LPN)• Certified nursing assistant (CNA)Certified nursing assistant (CNA)

• Nurse manager (RN)Nurse manager (RN)• Registered nurse (RNs)Registered nurse (RNs)• Licensed practical nurse (LPN)Licensed practical nurse (LPN)• Certified nursing assistant (CNA)Certified nursing assistant (CNA)

Nursing Unit PersonnelNursing Unit PersonnelNursing Unit PersonnelNursing Unit Personnel


• To ensure the physical and emotional care To ensure the physical and emotional care of the hospitalized patient, perform nursing of the hospitalized patient, perform nursing treatment, and evaluate and coordinate treatment, and evaluate and coordinate treatment and diagnostic studies treatment and diagnostic studies performed by other hospital departmentsperformed by other hospital departments

• To ensure the physical and emotional care To ensure the physical and emotional care of the hospitalized patient, perform nursing of the hospitalized patient, perform nursing treatment, and evaluate and coordinate treatment, and evaluate and coordinate treatment and diagnostic studies treatment and diagnostic studies performed by other hospital departmentsperformed by other hospital departments

Responsibilities of the Nursing Responsibilities of the Nursing DepartmentDepartmentResponsibilities of the Nursing Responsibilities of the Nursing DepartmentDepartment


• Total patient care modelTotal patient care model• Functional nursing care modelFunctional nursing care model• Team nursing care modelTeam nursing care model• Primary care modelPrimary care model• Patient-centered or patient-focused care Patient-centered or patient-focused care

modelmodel

• Total patient care modelTotal patient care model• Functional nursing care modelFunctional nursing care model• Team nursing care modelTeam nursing care model• Primary care modelPrimary care model• Patient-centered or patient-focused care Patient-centered or patient-focused care

modelmodel

Nursing Care Delivery ModelsNursing Care Delivery ModelsNursing Care Delivery ModelsNursing Care Delivery Models


• The nurse assigned to a patient is The nurse assigned to a patient is responsible for planning, organizing, and responsible for planning, organizing, and performing all careperforming all care

• The nurse assigned to a patient is The nurse assigned to a patient is responsible for planning, organizing, and responsible for planning, organizing, and performing all careperforming all care

Total Patient Care ModelTotal Patient Care ModelTotal Patient Care ModelTotal Patient Care Model


• Staff members are assigned to complete Staff members are assigned to complete certain tasks for a group of patients rather certain tasks for a group of patients rather than for specific patientsthan for specific patients

• Staff members are assigned to complete Staff members are assigned to complete certain tasks for a group of patients rather certain tasks for a group of patients rather than for specific patientsthan for specific patients

Functional Care ModelFunctional Care ModelFunctional Care ModelFunctional Care Model


• A nursing team consists of a charge nurse A nursing team consists of a charge nurse and team members working under the and team members working under the supervision of each team membersupervision of each team member

• A nursing team consists of a charge nurse A nursing team consists of a charge nurse and team members working under the and team members working under the supervision of each team membersupervision of each team member

Team Nursing Care ModelTeam Nursing Care ModelTeam Nursing Care ModelTeam Nursing Care Model


• One nurse provides total care for a One nurse provides total care for a number of patientsnumber of patients

• One nurse provides total care for a One nurse provides total care for a number of patientsnumber of patients

Primary Care ModelPrimary Care ModelPrimary Care ModelPrimary Care Model


• More patient oriented and less hospital or More patient oriented and less hospital or department orienteddepartment oriented

• A multidisciplinary approachA multidisciplinary approach

• More patient oriented and less hospital or More patient oriented and less hospital or department orienteddepartment oriented

• A multidisciplinary approachA multidisciplinary approach

Patient-Centered or Patient- Patient-Centered or Patient- Focused Care Model Focused Care Model Patient-Centered or Patient- Patient-Centered or Patient- Focused Care Model Focused Care Model


• Used as a method of outlining a patient’s path of Used as a method of outlining a patient’s path of treatment for a specific diagnosis, procedure, or treatment for a specific diagnosis, procedure, or symptomsymptom

• Goals for developing and using clinical pathways are to: Goals for developing and using clinical pathways are to: 1) identify patient and family needs; 2) determine 1) identify patient and family needs; 2) determine realistic patient outcomes; 3) reduce length of stay; 4) realistic patient outcomes; 3) reduce length of stay; 4) clarify the appropriate care setting, providers, and clarify the appropriate care setting, providers, and timelines of interventiontimelines of intervention

• Used as a method of outlining a patient’s path of Used as a method of outlining a patient’s path of treatment for a specific diagnosis, procedure, or treatment for a specific diagnosis, procedure, or symptomsymptom

• Goals for developing and using clinical pathways are to: Goals for developing and using clinical pathways are to: 1) identify patient and family needs; 2) determine 1) identify patient and family needs; 2) determine realistic patient outcomes; 3) reduce length of stay; 4) realistic patient outcomes; 3) reduce length of stay; 4) clarify the appropriate care setting, providers, and clarify the appropriate care setting, providers, and timelines of interventiontimelines of intervention

Clinical PathwaysClinical PathwaysClinical PathwaysClinical Pathways


• Form completed at the beginning of each Form completed at the beginning of each work shift that indicates the nursing staff work shift that indicates the nursing staff assigned to each patient on the nursing assigned to each patient on the nursing unitunit

• HUC refers to the assignment sheet when HUC refers to the assignment sheet when necessary to locate the nurse caring for a necessary to locate the nurse caring for a particular patientparticular patient

• Form completed at the beginning of each Form completed at the beginning of each work shift that indicates the nursing staff work shift that indicates the nursing staff assigned to each patient on the nursing assigned to each patient on the nursing unitunit

• HUC refers to the assignment sheet when HUC refers to the assignment sheet when necessary to locate the nurse caring for a necessary to locate the nurse caring for a particular patientparticular patient

Assignment SheetAssignment SheetAssignment SheetAssignment Sheet


• Is made up of two categories of workers: Is made up of two categories of workers: health unit coordinators and health unit health unit coordinators and health unit managersmanagers

• The HUC is usually supervised by the health The HUC is usually supervised by the health unit manager rather than the nurse managerunit manager rather than the nurse manager

• Health unit managers perform supervisory Health unit managers perform supervisory and administrative non-clinical functionsand administrative non-clinical functions

• Is made up of two categories of workers: Is made up of two categories of workers: health unit coordinators and health unit health unit coordinators and health unit managersmanagers

• The HUC is usually supervised by the health The HUC is usually supervised by the health unit manager rather than the nurse managerunit manager rather than the nurse manager

• Health unit managers perform supervisory Health unit managers perform supervisory and administrative non-clinical functionsand administrative non-clinical functions

Nursing Unit AdministrationNursing Unit AdministrationNursing Unit AdministrationNursing Unit Administration

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© 2004 Elsevier, Inc. All rights reserved. Slide 0 The Nursing Department Nursing unit personnel employed on the nursing unitsNursing unit personnel employed