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PROPOSAL FOR CHANGE at Cardiac Step down Unit, Memorial
University Medical Center, Savannah Georgia.
ABSTRACT
In this paper, I have designed a proposed change for the cardiac step down unit if the
Memorial University Medical Center, Savannah Georgia. I identified a need of the
said unit that is boosting of morale of the staff nurses employed in the said unit of the
hospital which needed a change in the real sense of the word. I devised a goal for the
said change and then proposed the objectives associated with meeting the decided
goal. I also suggested the steps to be undertaken with reference to each of the
objective so devised.
This change project is relatively low cost as it mostly employs the available resources
and is mostly concerned with the way resources are managed to achieve the desired
goal.
BRIEF HISTORY SURROUNDING THE NEED
The Cardiac Step down Unit is meant for patients requiring monitoring for a known
pre-existing condition related to cardiology e.g. their angioplasty has been done or their
coronary artery bypass grafting (CABG) has been done or they have a recently
diagnosed condition of the heart or an arrhythmia. The unit is also for the patients to
accommodate them for the first phase of their rehabilitation. Before getting discharged
from this unit, nurses on duty in the unit educate the patients about their disease, their
drugs and their side effects and about the lifestyle they need to adopt. As such, this is
the patients’ last place of the hospital before they go back home after availing cardiac
services in the hospital and in fact their last impression of the hospital. As discussed,
the unit has an important role for the patients and poses a good deal of responsibility on
the shoulder of the nurses in the efficient discharge of their duties. Keeping in view the
specific requirements mentioned above, nursing staff needs to have a good deal of
morale in order to do their job in the best possible way. A lot of counseling and that too
with a, lot of patience needs to be done by the nurses. This requires a good degree of
morale on their part so that they are satisfied with their jobs and can continue providing
the best of their services. A morale boost is definitely an area of need and improvement
in case of the Cardiac step down unit of Memorial University Medical Centre,
Savannah, Georgia.
PROPOSED PLAN OF CHANGE
Keeping the need in mind, I will lay down the goal, objectives and propose the steps
to be taken to achieve these goals and objective. This shall comprise the entire plan of

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the change which is described as follows
Goal of the project
After thorough deliberation and background search, I have decided the goal of the
project to be:
‘Improvement in the morale of the nursing staff of cardiac step down unit, Memorial
University Medical Centre, Savannah, Georgia’
The first step is the statement of a clear goal and goal statement as described above.
Objectives & Steps required to meet the objectives
The objectives of these goals are defined as follows. They are followed by a list of the
steps that shall be taken in order to achieve those objectives.
Objective: Appoint an In charge of morale
Steps:
Conduct a survey and ask for volunteers
Identify the best candidate for being the Chief Motivation Officer amongst the
volunteers
Appoint the Chief Motivation Officer and provide what he/she needs
Lay down the charter of duties of the Chief Motivation Officer and the entire
job description of the role.
Objective: Identify birthdays
Steps:
Look for records of date of birth from the official records present with the
human resource department of the hospital.
Mark birthdays on an electronic calendar and ensure a system which prompts
the chief motivation officer on the birthday of all the nurses
Prepare for the cake and other goodies to celebrate the birthdays
Celebrate birthdays according to the schedule and ensure participation of all
the nurses
Objective: Celebrate nurse of the month
Steps:
Set up a measurable system of nurse’s performance by defining relevant
performance indicators
Get the performance marking criteria remarked from all the nurses to
incorporate their suggestions
Identify the best performer for each month based on the performance criteria
already decided
Celebrate on the first day of each month, announcing the best nurse for the last
month by offering recognition to the best nurse and organizing a party.
Objective: Establish focus groups
Steps:
Establish focus groups consisting of nurses
Hold periodic discussions on problems according to a schedule
Identify the problems at workplace faced by the nurses

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PROPOSAL FOR CHANGE at Cardiac Step down Unit, Memorial University Medical Center, Savannah Georgia. ABSTRACT In this paper, I have designed a proposed change for the cardiac step down unit if the Memorial University Medical Center, Savannah Georgia. I identified a need of the said unit that is boosting of morale of the staff nurses employed in the said unit of the hospital which needed a change in the real sense of the word. I devised a goal for the said change and then proposed the objectives associated with meeting the decided goal. I also suggested the steps to be undertaken with reference to each of the objective so devised. This change project is relatively low cost as it mostly employs the available resources and is mostly concerned with the way resources are managed to achieve the desired goal. BRIEF HISTORY SURROUNDING THE NEED The Cardiac Step down Unit is meant for patients requiring monitoring for a known pre-existing condition related to cardiology e.g. their angioplasty has been done or their coronary artery bypass grafting (CABG) has been done or they have a recently diagnosed condition of the heart or an arrhythmia. The unit is also for the patients to accommodate ...
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