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Primary care is defined as a care delivery system in which a registered nurse (RN) has total responsibility and autonomy for the assessment, planning, implementation, evaluation, and outcomes of an assigned group of patients. This method of patient care delivery has been practiced for many years but is not always practiced in chronic outpatient hemodialysis settings. Functional care delivery, in which it is not unusual to have a different assignment each day s practiced in many units. In a functional unit, general care is supervised by the charge nurse and/or nurse manager. The following is an account of the development and outcomes of primary nursing care teams at a chronic outpatient hemodialysis unit at Holy Name Hospital, Teaneck, NJ., Managed care has become a major system of delivery of health care in the United States. This system evolved because of the need to control health care costs and improve [...]

Eighty-eight primigravidas underwent a roll over test performed according to the method suggested by Gant. A single individual performed the tests, and the results were withheld from the physician taking care of the patient. After delivery, 14 cases were excluded for various reasons, and, of the remaining 74 patients, 27 had negative results. Of these, 19 (70.4) results were true negative and 8 (29.6) were false negative. Forty-seven patients had a positive roll over test, of whom 35 (74.5) did not develop hypertension in pregnancy and 12 (25.5) did. The authors' results did not confirm the reliable predictive ability of the roll over test as reported by Gant and other investigators.