Dear Ms. Villeneuve,
I am writing about the Registered Nurse position on the step-down unit at Etobicoke Creek Hospital. I carry a four-patient assignment on a twenty-eight bed step-down unit and take charge on nights, and I am interested in this posting because it describes two units being brought together.
I moved from medical-surgical to step-down during a unit reorganization, so I have been the staff nurse on the receiving end of a merge. On the falls reduction committee I ran the hourly rounding audit, and the finding that changed practice was that the misses clustered in the hour after handover.
A merge usually means two sets of routines and one new policy, and the nurses who trained under the older routine are the ones who need the most support. I would expect to spend the first months on that rather than on anything that looks like a project.
I hold registration as a Registered Nurse in the general class, Medical-Surgical Nursing certification, and current Advanced Cardiovascular Life Support.
I would like to hear how the two unit cultures are being brought together and what the charge rotation will look like afterwards. I am glad to meet at your convenience.
Sincerely, Grace Adeyemi