This past week, we spoke with leaders at Baylor Scott & White Health (BSWH) about how they’re redeploying staff to achieve efficient, team-based staffing in response to this pandemic. Many organizations are moving towards team-based staffing, but during our conversation, we were struck by BSWH’s collaborative yet structured approach. From the beginning, leaders involved various clinical stakeholders and relied on a consistent design process to help with staff acceptance and readiness, as well as worked to standardize changes across service lines. My hope is BSWH’s approach and insights will assist you when making staffing decisions in the coming days or weeks.
Across the system, RNs from low volume areas are being redeployed to serve as ‘surge nurses’ in clinical areas predicted to be hardest hit, starting with the ICU. Rather than attempt to rapidly train more ICU RNs, a group of leaders, educators, clinical specialists, and staff created a team-based staffing model with an ICU RN as team lead, supported by a redeployed RN, RT, and PCT. This approach was subsequently replicated by key stakeholders for other areas, including ED, acute care, and dialysis.
To ensure success with team-based staffing, BSWH developed frameworks for each team, which are shared below. These outline the roles of RNs and ancillary care team members—providing clarity about who does what. All roles were carefully created to reflect complementary team structures, reflecting scope of practice for each practitioner. Leaders at BSWH also emphasized that this level of detail is essential to maximize collective staff safety, effectiveness, and efficiency. To help remind staff of role expectations, these frameworks are posted on patient doors as visual reminders.
Beyond role clarity, BSWH leaders took additional steps to support staff with role transitions and team-based care. What follows are key insights from these leaders regarding their process to help assist you with effectively redeploying clinicians into surge staffing models.
One of BSWH’s core values is “we are in it together,” which leaders believe has been key to overwhelming support for these new models of care. Additionally, leaders trust that the deliberate processes followed to create team-based staffing models, train redeployed staff, and prospectively socialize staff into new unit cultures has solidly prepared them for what lies ahead.
The Nursing Executive Center wishes to thank the following BSWH leaders for their willingness to share this outstanding work with colleagues across the country during this unprecedented time:
We are here for you
This is a summary document to provide leadership insights. Our entire team is available to be a thought partner with you. Email us with any questions you may have, but if you would like to schedule a call with either myself or someone from our research team, please reach out.
Create your free account to access 2 resources each month, including the latest research and webinars.
You have 2 free members-only resources remaining this month remaining this month.
Never miss out on the latest innovative health care content tailored to you.