Nursing 108

N108: Transition to the Registered Professional Nurse Role Study Guide o Advantages: All members’ abilities are used according to their education and experience in giving care o Disadvantages: No one person is responsible for one specific patient; patients do not have a single nurse • Practice partnership : Developed by Marie Manthey in 1989, this consists of a senior partner and a junior partner working together to deliver care to a group of patients, such as the RN and LPN, RN and CAN, or an experienced RN and novice RN. o Advantages: Cost-conscious method o Disadvantages: Success depends on the commitment of the members of the partnership • Case Method : This is referred to as the total patient care model and involves one RN who is responsible for all aspects of a client’s care for a period of time. This method of delivery of care in the U.S. started at the beginning of 20 th century (home care). The concept of an attending registered nurse is a modern application of the case method. In hospitals using this concept, patients are assigned an attending registered nurse (ARN) on admission for the duration of the hospital stay and after discharge. The ARN builds a relationship with the patient and his or her caregivers, and ensures that all members of the patient’s health care team follow a shared care plan. Unlike other RNs, ARNs are designed to promote continuity of care, ideally with a five day, eight-hour work schedule. o Advantages: Patient care continuity and autonomy of the RN o Disadvantages: It is costly 3.10 Assigning, Delegating, and Supervising Care In today’s healthcare environment, the need for all RNs to skillfully delegate, assign, and supervise those who have lesser educational preparation is an essential competency. Both the ANA and the National Council of State Boards of Nursing have developed resources designed to make the delegation process easier to understand and utilize. Principles of delegation include the following: • The RN takes responsibility and accountability for the provision of nursing practice. • The RN directs care and determines the appropriate utilization of any assistant involved in providing direct patient care. • The RNmay delegate components of care, but does not delegate the nursing process itself. The practice pervasive functions of assessment, planning, evaluation, and nursing judgment cannot be delegated. • The decision of whether or not to delegate or assign is based upon the RN’s judgment concerning the condition of the patient, the competence of all members of the nursing team, and the degree of supervision that will be required of the RN if a task is delegated. • The RN delegates only those tasks for which she or he believes the other health care worker has the knowledge and skill to perform, taking into consideration training, cultural competence, experience, and facility/agency policies and procedures.

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