Ms Dela Cruz,

This smacks me of RBC (Relationship Based Care) which in our facility is being implemented with a Primary Nursing model.   To me, all it is really is a remarketing of a model of nursing that has been around the block already.    While I absolutely agree with the concept of returning to the basics of nursing and putting the patient’s needs above all else.  In this day in age, no nursing models will work without all the other medical personnel signing onto the model.  Additionally, none of these models will work as long as nursing is the only field that is held accountable for putting the patient first.  There is a joke among many of my colleagues at my facility:  “it isn’t over until the nurse is blamed.”  The sad fact of my own as well as my colleagues is that this statement is so often true.  Maybe it is time to think out of the box with our ‘nursing’ models and incorporate some added accountability and responsibility for the rest of the team.

Tim Honeycutt,

New York.