TEERTHANKER MAHAVEER COLLEGE OF NURSING

LESSON PLAN ON
METHOD OF PATIENT ASSIGNMENT

DATE OF SUBMISSION –

SUBMITTED TO SUBMITTED BY

Mr. Mahantesh Dashyal Vidhi Tripathi

Associate Professor M.SC.( N) Final yr.

(CHN )

TMCON
 LESSON PLAN

Name of the teacher - Vidhi Tripathi

Name of the course - M.Sc. (N) final year

Name of the subject - Nursing Management

Name of the topic - Method of patient assignment

Class / Group / Batch - M.Sc.(N) final year

Date and time -

Previous knowledge - Student had attended classes on method of patient assignment in the subject during Msc 1st yr.

Method of teaching - Lecture cum discussion

Media of teaching - PPT,

General objective - At end of the class, the student will be able to gain in depth knowledge regarding the method of the
patient assignment and apply this knowledge in various contexts.

Specific objective -

At the end of the class, the student will be able to;-

Introduction of the method of patient assignment .

Define method of patient assignment .
Enlist the purposes of patient assignment .
Describe the principle of patient assignment .
Explain the factor affecting patient assignment
Explain the method of patient assignment
Summary
Bibliography
S.NO. TIME SPECIFIC CONTENT TEACHING A.V. EVALUTION
OBJECTIVE LEARNING AID
ACTIVITY

1. Introduce the topic The patient assignment is delegating or assigning Lecture PPT
. duties to the trained nurses for the care of the Cum
care of a group admitted to the unit . Discussion
The term nursing assignment is a pattern ,
nursing assignment systems and organization
mode of nursing care synonymously refers to the
methods of patient assignment.

2. Definition of The method of patient assignment is a process or Lecture cum

patient assignment system by which the nurses deliver the care to the discussion PPT
assigned patients.

3. Enlist the purpose  Provide nursing care to patient in an Lecture cum

of patient efficient and effective manner. discussion PPT
assignment  Describe a structure to the organization
nursing workload.
 Identify the types of health care personnel
in providing care .
 Define the boundaries for the distribution
of work and delegation of authority

Describe the
 principle of patient
4. assignment The principles of assignments are as follows-

 Assigning of the task of patient care by

the head nurses.
 Following departmental policy and
guidelines.
 Assigning equal and balanced workload
among staff on duty and rotation.
 Considering capabilities, experience and
interest of nursing staff.
 Assuring continuity of care .
 Documenting and making everyone
familiar.
Explain the factor
5. affecting the  Nursing resource - It include the
patient assignment percentage of qualified personnel and
ancillary staff ,nurse patient ratio ,
experience and education level etc.

 Patient characteristics- It include length

of stay ,and stability of condition and the
predictability of care and cure at the time
of admission etc.

 Organization support- It include

 presence of physician in the ward ,
communication between nurses and
physician and the documentation
process ,shift report etc.
 The severity of illness- The severity of
illness of patient and the amount of
nursing care required by the patient is an
essential factor to determining the method
of assignment.

Explain the  Case method nursing or total patient care.

6. method of patient  Functional nursing
assignment  Team nursing
 Primary nursing
 Progressive patient care

Case method

The case method or total patient care method of

nursing care delivery is the oldest method of
providing care to a patient.

In this method, nurses assume total responsibility

for meeting all the needs of assigned patient
during their time on duty.

The premise of the case method is that one nurse

provides total care to one patient during her entire
work period of one shift.

This method was used in the era of Florence

nightingale when patient received total care in the
home

During an 8-12 hour shift the patient receives

consistent care from one nurse. The nurse,
Patient, family share mutual trust and work
together toward specific goals. Usually the care is
patient centred, comprehensive, holistic and
continuous.

Advantage

 Nurse can see better and attend to the total

needs of the patient
 Continuity of care can be facilitated
 Client or nurse interaction and rapport can
be developed
 Client may feel more secure
 Nurse’s accountability for their function is
built-it

Disadvantages

 Great disadvantage when nurse is

inadequately trained
 Cost–effectiveness
 Nurse may feel over workload if most of
her assigned patient care sick.
  She/he may tend to ‘neglect‘ the needs of
patient when the other patients ‘problem‘
or ‘need‘ demands more time.

Primary nursing care

It was developed in the 1960s and improving the

professional relationships among staff members.

This method is based on the concept of ‘my

patient-my nurse” In this nursing care delivery
system, each registered nurse is assigned to the
care of group of patient for which she plans
complete 24 hours care and writes the nursing
care plan.

He or she is responsible for coordinating and

implementing all the necessary nursing care that
must be given to the patient during the shift.
If the nurse is not available, the associate nurse
responsible for filling in for the nurse‘s absence
will provide hospital care to the patient based on
the original plan of care made by the nurse.

Advantages

 Satisfaction for both patients and nurses.

 Nurse is the person who is planning and
providing complete care.
 She communicates with all other health
team members involved in client care .
 Patient receives quality and continuity of
care
  Reduces the number of errors.

Disadvantages

 More nurses are required for this method

of care delivery and it is more expensive
than other methods.
 Level of expertise and commitment may
vary from nurse to nurse which may affect
quality of patient care.
 Nurses should be well educated and
trained in all area of patient care, most of
the time which may lack.

Functional Nursing

It is task focused, not patient-focused.

In this model, the tasks are divided with one
nurse assuming responsibility for specific tasks.
For example, one nurse does the hygiene and
dressing changes, whereas

another nurse assumes responsibility for

medication administration.

Advantages

 Each person become very efficient at

specific tasks and a great amount of work
can be done in a short time (time saving).
 It is easy to organize the work of the unit
and staff.
  The best utilization can be made of a
person‘s aptitudes, experience and desires

Disadvantages

 Continuity of care may not be possible.

 Staff may become bored and have little
motivation to develop self and others.
 Client may feel insecure.
 Patients get confused as so many nurses
attend to them, e.g. head nurse, medicine
nurse, dressing nurse, temperature nurse,
etc.

Progressive patient care

It is a method in which client care areas provide
various levels of care. The central theme is better
utilization of facilities, services and personnel for
the better patient care.
Here the clients are evaluated with respect to all
level (intensity) of care needed

Advantages

 Efficient use is made of personnel and

equipment
 Clients are in the best place to receive the
care they require.
 Use of nursing skills and expertise are
maximized.
Disadvantages

 Continuity care is difficult.

 Long term nurse/client relationships are
difficult to arrange.
 SUMMARY
The patient assignment is delegating or assigning duties to the trained nurses for the care of the care of a group admitted to the
unit .The term nursing assignment is a pattern , nursing assignment systems and organization mode of nursing care synonymously
refers to the methods of patient assignment . The method of patient assignment is a process or system by which the nurses deliver the
care to the assigned patients. Purposes of patient assignment are provide nursing care to patient in an efficient and effective manner.
And describe a structure to the organization nursing workload, identify the types of health care personnel in providing care and define
the boundaries for the distribution of work and delegation of authority. Factor affecting patient assignment are severity of
illness ,patient characteristic and the physical design of the unit and nursing resources and the method of patient care are primary
nursing , total patient care , functional nursing and team nursing .
 BIBLIOGRAPHY

Jogindra Vati , ‘Principles and practice of nursing management’ published by jaypee brothers 1st edition
Page no – 211 to 216 .