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We believe in lifelong learning

Literature-based best practice requires continual research and skill development.  We should all be students when aiming to provide the best care for our patients. 



Nurses provide hands-on care under the direct supervision of an RN experienced with that particular case.  The length of the mentorship period varies depending on the complexity of the patient, and will continue until the nurse is prepared to provide care independently.  

Even experienced RNs who have completed the Residency Program will mentor under an RN knowledgeable on the case for each new patient.  

Once a nurse has completed the intake and mentorship process, the formal Residency Program takes two years to complete.  The Residency Program exposes nurses to the wide variety of situations and decisions that must be made in the field.  Residency includes both on the job and formal off-site training courses. 


All residents must be proficient in all required professional nursing care responsibilities.  Including:

  • Head-to-toe physical assessments

  • Tracheotomy care

  • Mechanical Ventilation -both pressure and volume ventilation intensive pulmonary treatments including:
    -Use of cough assist devices
    -Small volume nebulizers
    -Chest PT
    -Oral, nasal & pulmonary suctioning
    -Ambu bagging
    -Continuous SpO2 monitoring
    -Titrating oxygen administration

  • Managing and administrating fluids and mediations through peripheral, PICC, port-a-cath, Hickman catheters, and other central venous lines

  • On-going management and assessment of effectiveness of current nutrition & hydration interventions administered via:
    -Oral feedings
    -Continuous and bolus:
    -Gastrostomy-tube feedings
    -Gastrojejunostomy (GJ) tube feedings
    -Jejunostomy tube feedings
    -Gavage feedings
    -Total parenteral nutrition (TPN)

  • Administration of scheduled medications

  • Assessment & evaluation of need for and administration of PRN medications

  • Ongoing and continuous communication with: patient, family caregiver, nursing colleagues, primary care providers, therapists, social workers and educators. 

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