by: Aiza

Patient Care Delivery System

A template for organizing and providing care

to patients.

The purpose is to establish a therapeutic

relationship between patients/families.

nurses

and

A written delegation of duties to care for a

group of patients by trained personnel assigned to the unit.

Methods of Patient Care Delivery System

Traditional method

Case method Functional method Team method Modular nursing Primary nursing method

Advanced Method Case management

Case Method
One professional nurse assumes total

responsibility of providing complete care for one or more patient (1-6) while she is on duty.

Used frequently in intensive care units

and in teaching nursing students.

Total Patient Care (Case Method) Delivery

Registered Nurse
Registered Nurse (8 hours)
Patient
(organizes and performs all care)

(8 hours)

Registered Nurse (8 hours)

Functional Method
Focuses on getting the greatest amount

of tasks in the least time.

Nursing care is divided into tasks and

each staff member is assigning to perform one two or tasks for all patients in the unit according to the level of skilled required.

Functional Method
Registered professional nurses responsible

for administering medications to all unit patients and administering ordered treatments for all patients.

Technical Nurses responsible for taking

vital signs and recording I and O, while other might be giving baths to all bed ridden patients.

Functional Method
Nursing aides responsible for making beds

to all ambulatory patients and assisting mobility-impaired patients to move in bed or walk in the hall.

Unit Clerk responsible for answering

telephone, delivering messages, recording admissions and discharges, etc.

Functional Nursing Care Delivery Method

LPN/ LVN

PATIENT

RN

Nurse Aide

Team Method
It is a method of patient care delivery

that binds professionals, technical and nurses aides into small teams.

It allows for efficient utilization of

technical or/and nurses aide through the direct supervision, guidance and teaching of professional nurses.

Process of Implementing the Team Method

One registered nurse in the team is

appointed by the head nurse to serve as a team leader.

The team members commonly consist

of at least one professional nurse, one technical nurse, nursing students and nursing aides.

Team Leader usually assigns:

Professional nurse to care for the

most seriously ill patients, to ensure informed observation and skilled interventions.

Technical nurse to bath, feed, move

and change dressings for patients.

Team Leader usually assigns:

Nursing Aides assigned to make

beds, assist ambulatory patients with bathing and grooming, and performing simple nursing care procedures.

Team leader administer medications

and monitors parenteral fluid therapy for all patients assigned to the team.

Modular Nursing
Used when the nursing staff includes

technical and nurse aides, as well as professional nurses.

Although two or three persons are

assigned to each module, the greatest responsibility for the care of assigned patients falls on the professional nurse.

Modular Nursing
It is similar to team nursing because

professionals and non-professional employees cooperate in caring for patients under the leadership of a professional nurse.

Primary Nursing Method

comprehensive, continuous and coordinated nursing process for meeting the total needs of the client.

Basic Concepts in Primary Nursing Method

Patient Assessment by a primary nurse who

plans the care to be given by secondary or associate nurse when the primary nurse is off duty.

Complete communication of care given in the

nursing staff daily reporting method.

Discharge planning including teaching, family

involvement and appropriate references.

Process for Implementing Primary Nursing Method

HEAD NURSE
Assigns

primary nurse to patient by matching the skills of the nurse to the needs of the patient Ensures proper scheduling for all shifts so that if primary nurse is off the unit an associate nurse is available for care. Guides, counsel and evaluate care given.

Process for Implementing Primary Nursing Method

PROFESSIONAL STAFF NURSE Primary Nurse
Conducting

an admission assessment Developing, planning, implementing and revising the nursing care plan. Collaborating with physicians and families. Making referrals Making discharge plans

Process for Implementing Primary Nursing Method

Associate Nurse He/she carries out the nursing care planned by the primary nurse when she is not on duty.

Primary Nursing Method

Physician, other members of the health care team and families

Primary Nurse 24/7 responsible for planning, directing and evaluating patient

Associate Nurses Provide care when primary nurse is off duty

PATIENT

Case Management
A process of monitoring an individual

patients health care by the case manager, for the purpose of maximizing positive outcomes and containing costs.

Case Management
Case manager may follow the patient from

the diagnostic phase through hospitalization, rehabilitation and back to home care.

Case

manager has responsibility and authority for planning, implementing, coordinating and evaluating care for the patient throughout the period of illness, regardless of the patients movement among various units and services.

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