A registered nurse who works in a women's hospital assumes care for the same patients from the time they are admitted to the time they are discharged home. The nurse has associate nurses helping with the care. Which type of nursing care delivery model is the nurse using?
a. Team nursing
b. Primary care nursing
c. Case management
d. Total care
B
Primary nursing is a model of care delivery in which a registered nurse assumes responsibility for a caseload of patients over time (e.g., a length of stay in a hospital or a series of home care visits). Typically the registered nurse selects the patients for his or her caseload and cares for the same patients during their hospitalization or stay in the health care setting. Associate nurses help with patient care. During total patient care, a registered nurse is responsible for all aspects of care for one or more patients during an assigned shift. In team nursing the RN leads a team of other RNs, practical nurses, and unlicensed assistive personnel (UAP). Team members provide direct patient care under the supervision of the RN. The team leader develops patient care plans, coordinates care among team members, and provides care requiring complex nursing skills. Case management is one nurse managing care for a specific type of patient from admission to discharge to home. The case management nurse does not provide direct patient care.
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