Primary nursing is a patient care delivery model that assigns each patient to a primary registered nurse who is responsible for planning, coordinating, and managing the patient's care. The primary nurse establishes a care plan and communicates with physicians, associate nurses, and other team members. When the primary nurse is off-duty, associate nurses follow the established care plan. This model promotes holistic and high-quality care through consistent care from relatively few nurses and clear interdisciplinary communication.

2. PRIMARY NURSING

 Also known as relationship base nursing, develop in
early 1970’s, uses some of the concept of total patient
care, and brings the RN back to the bedside to
provide clinical care.
 Primary nursing is one type of patient care delivery
that require a one-to-one relationship between an RN
and the patient, with responsibility for planning and
managing care clearly established.

3. 
 When the primary nurse is not on duty, associate
nurses, who follow the care plan established by the
primary nurse.
 Although design for use in hospitals, this structure
lends itself well to home health nursing, hospice
nursing, and other health care delivery enterprises.

4. 
 An integral responsibility of the primary nurse is to
establish clear communication, among the
patient, the physician, associate nurses and other
team members.
 Although the primary nurse establishes the care
plan, feedback is sought from others in coordinating
the patient’s care. The combination of clear
interdisciplinary group communication and
consistent, direct patient care by relatively few
nursing staff allows for holistic, high quality patient
care.

5. 
 Although job satisfaction is high in primary
nursing, this method is difficult to implement
because of the degree of the responsibility and
autonomy required of the primary nurse.
 However for these the same reasons, once nurses
develops skills in primary nursing care delivery they
feel challenged and rewarded.

6. Disadvantages

 In team nursing, lie primarily in improper
implementation
 Inadequately prepared or incompetent primary
nurse maybe incapable of coordinating a
multidisciplinary team or identifying complex
patient needs and condition changes.

7. 
 Many nurses maybe uncomfortable in this role or
initially lack the experience and skills necessary for
the role.
 Although all RN nursing staff as not been prove to
be more costly than other modes of nursing, it
sometimes has been difficult to recruit and retain
enough RNs, especially in times of nursing shortage

8. 
 Currently LVNs and LPNs serves as associate nurses
in some facilities, although the role of the primary
nurse should be reserved for an experienced RN who
has an appropriate scope of requisite skills for the
role.

9. Health Care
Physician Charge Nurse Organizations
 Resources
Primary
Patient
Associate Associate Associate
Nurse Nurse Nurse
(evening) ( nights) ( as needed)
(days)

10. 
Thank you
For
listening