The patient care team model became common following World War II and was influenced by wartime experiences. It aimed to create a team of care providers led by a professional nurse with an emphasis on effective communication and delegation. Today, patient care teams can include an RN and paramedic working cohesively together under the RN's leadership to provide excellent patient care through ongoing communication and utilizing each member's skills.

1. Patient CarePatient Care

2. HistoryHistory
• Patient Care Teams became aPatient Care Teams became a
common model of nursing carecommon model of nursing care
following World War II.following World War II.

3. HistoryHistory
• The Patient Care TeamThe Patient Care Team
concept was influenced byconcept was influenced by
wartime experiences.wartime experiences.

4. HistoryHistory
• The goal was to create a team ofThe goal was to create a team of
care providers led by a Professionalcare providers led by a Professional
Nurse.Nurse.

5. HistoryHistory
• Emphasis was placed onEmphasis was placed on
effective communication andeffective communication and
delegation to enhance teamdelegation to enhance team
function.function.

6. PurposePurpose
• For alternative staffing optionsFor alternative staffing options
during periods of high census andduring periods of high census and
staffing challenges. That will bestaffing challenges. That will be
used at the discretion of theused at the discretion of the
Charge NurseCharge Nurse..

7. The RN and Paramedic workThe RN and Paramedic work
cohesively together, with ongoingcohesively together, with ongoing
communication with each other tocommunication with each other to
provide excellent patient care.provide excellent patient care.

8. RN role in the team modelRN role in the team model
The RN is the Patient Care Team Leader andThe RN is the Patient Care Team Leader and
responsibilities include but are not limited to theresponsibilities include but are not limited to the
following:following:
• Patient triage.Patient triage.
• Initial patient assessment.Initial patient assessment.
• Patient teaching.Patient teaching.
• Discharge.Discharge.
• Conscious sedation.Conscious sedation.
• Give and receive an SBAR bedside report, as aGive and receive an SBAR bedside report, as a
team, with paramedic when handing off care.team, with paramedic when handing off care.

9. Paramedic role in the team modelParamedic role in the team model
The paramedic responsibilities include butThe paramedic responsibilities include but
are not limited to the following:are not limited to the following:
• Assist in all patient care within scopeAssist in all patient care within scope
of practice.of practice.
• Document all patient care performed.Document all patient care performed.
• Give and receive an SBAR bedsideGive and receive an SBAR bedside
report, as a team, with RN whenreport, as a team, with RN when
handing off care.handing off care.

10. Benefits of a Team ModelBenefits of a Team Model
• Team members interact more closely, whichTeam members interact more closely, which
encourages trust and cooperation among them.encourages trust and cooperation among them.
• Each patient benefits from the combined skills of theEach patient benefits from the combined skills of the
team, in that needs that might not be recognized inteam, in that needs that might not be recognized in
the functional system may be identified in a teamthe functional system may be identified in a team
environment. Patients are more satisfied.environment. Patients are more satisfied.
• Ideally, a team model recognizes and uses the differentIdeally, a team model recognizes and uses the different
skill levels of each team member.skill levels of each team member.

11. Things to RememberThings to Remember

12. Team AssignmentTeam Assignment
• The RN is the Team Leader.The RN is the Team Leader.
• There is no “my patients” orThere is no “my patients” or
“your patients” only“your patients” only
““our patients”.our patients”.

13. Clinical JudgmentClinical Judgment
• Always use good clinical judgment, ifAlways use good clinical judgment, if
you are uncertain about ANYTHINGyou are uncertain about ANYTHING
seek advisement from your Teamseek advisement from your Team
Leader.Leader.

14. Don’t leave your teammateDon’t leave your teammate ..
• When assigned to the Team Model, it isWhen assigned to the Team Model, it is
important that you do not leave yourimportant that you do not leave your
teammate to perform tasks outside ofteammate to perform tasks outside of
your assignment.your assignment.
• When asked to do so by other staffWhen asked to do so by other staff
members explain to them that you cannotmembers explain to them that you cannot
because you are in an assignment.because you are in an assignment.

15. Take initiative.Take initiative.
initiativeinitiative
• ability to act on your own: ability to act on your own: the ability tothe ability to
act and make decisions.act and make decisions.
• Be self-motivated to accomplish whatBe self-motivated to accomplish what
needs to be done, without prompting.needs to be done, without prompting.

16. DocumentationDocumentation
• There should be a mutualThere should be a mutual
understanding that the RNunderstanding that the RN
documents what the RN does anddocuments what the RN does and
the Paramedic documents what thethe Paramedic documents what the
Paramedic does.Paramedic does.

17. Timely DocumentationTimely Documentation
• One of the greatest challenges inOne of the greatest challenges in
patient care is staying on top of yourpatient care is staying on top of your
charting.charting.
• Make it a habit to immediatelyMake it a habit to immediately
document after everydocument after every
task/intervention/interactiontask/intervention/interaction
performed.performed.

18. CommunicateCommunicate
• Ongoing communication is the key toOngoing communication is the key to
a successful Patient Care Team.a successful Patient Care Team.
The problem with communication…is
the illusion that is has been
accomplished.
--George Bernard Shaw

19. Conflict ResolutionConflict Resolution
• If conflict arises within the teamIf conflict arises within the team
that cannot be resolved, do notthat cannot be resolved, do not
hesitate to communicate yourhesitate to communicate your
concerns with the Charge Nurse.concerns with the Charge Nurse.

20. ““The way a team plays as aThe way a team plays as a
whole determines its success. Youwhole determines its success. You
may have the greatest bunch ofmay have the greatest bunch of
individual stars in the world, butindividual stars in the world, but
if they don't play together, theif they don't play together, the
club won't be worth a dime.club won't be worth a dime. ""
--Babe Ruth--Babe Ruth

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