A Unique Way of Providing Nursing Care

Concerted Care

In this type of nursing care, the pivot nurse (the nurse assigned to the patient) works closely with the team, the patient and his/her family in order to respond effectively and efficiently to the patient's needs. The pivot nurse ensures that the proper people provide appropriate and timely care. During his/her shift, the pivot nurse is entirely responsible for the care of one or more patients, depending on the intensity of care required, in collaboration with the other members of the care team and the interdisciplinary team. The care team is composed of pivot nurses, orderlies working with one or more pivot nurses and collaborators from the interdisciplinary team. The pivot nurse is assigned to patients according to the intensity of care required.

The Pivot Nurse:

• Writes or modifies the therapeutic care plan
• Coordinates the interdisciplinary intervention plan
• Provides the care that requires his/her skills and delegates others to an orderly (or another caregiver) while ensuring supervision
• Manages the episode of care of patients for whom he/she is responsible
• Ensures a high quality of care
• Interacts with all the members of the interdisciplinary team and the partners involved in patient care
• Communicates with the patient and his/her family through active listening, teaching and support to help them take part in the care plan

The Orderly:

• Provides care according to the work plan kept up to date by the pivot nurses
• Informs the pivot nurse of any patient problems and keeps him/her up to date on the work plan's progress