Memorial Hermann Northeast offered a patient-centered care, this model promotes efficiency, quality, and cost control. The number of caregivers at bedside is reduce, but responsibilities increases. For example, in the emergency department each nurse have and assignment of four patients at the time; then we have our technicians, they assist our patients with hygiene, ambulation, and more. Another medical staff is the charge nurse, who oversees the entire unit, the charge nurse is helping with triage of patients, discharges, and help staff when need it and help manage our unit and keep the floe effectively. Delegation flows from top to bottom and the chain of command is followed on the way back up. Administrative staff is in charge of complete
