A registered nurse is providing care for a client who lived alone prior to hospitalization. The client's functional status has changed to the point of being unable to live alone anymore
The client is considering moving into an extended care facility. After communicating this information to the charge nurse of the unit where team nursing is practiced, the charge nurse would: 1. Assist the registered nurse in setting up a multidisciplinary conference to discuss the discharge needs of the client.
2. Assist the registered nurse in getting a case manager involved in the discharge process for the client.
3. Assume the responsibility for discharge planning for the client.
4. Assume responsibility for the care of the registered nurse's patients to allow for direct communication by the registered nurse with the client's health care provider.
Assist the registered nurse in setting up a multidisciplinary conference to discuss the discharge needs of the client.
Rationale: In team nursing, the registered nurse performs decision making and coordinates care conferences for patients with complex health needs. The charge nurse in this system is responsible for facilitating communication between multidisciplinary caregivers; thus, the charge nurse can assist the registered nurse in arranging for a multidisciplinary care conference. The charge nurse in the case method would suggest getting a case manager involved, representing a collaborative effort between the bedside nurse, case manager, and health care provider to ensure the continuity of care for clients with changes in their level of care requirements. In functional nursing, the charge nurse would assume the role of discharge planer for the client. Charge nurses are not involved in the direct communication between the nurse and the health care provider regarding client care issues in the primary nursing model of care. The charge nurse would assist the registered nurse with other client care issues while the primary nurse managed the care of a client with a changing condition.
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