Problem: Write a detailed report base on evidence practice to explain why hospice at ST Barnabas Hospital should not be combined with the Geriatric unit. Include definition for both units. Some reasons are listed: Geriatric is a 12hr flex shift while hospice is 8hrs shift. Include patient safety reason patient acuity level such as wound care , mouth care q4hrs, total care requiring 2 assist for all patient in hospice ( the RN and the CNA) while Geriatric is mostly ambulatory patient. The patient in hospice also have vent and tracheostomy requiring additional time for suctioning and tracheostomy noting that the nurse RN are ultimately responsive for all care. Also mention that having 7 of these patient is not only unsafe but affect the quality of the the RN can provide given that patient ratio. Also give care example why hospice is a speciality unit while geriatric is a med-surgical unit so the patient RN to patient ratio must be different (compare hospice with 7S that have patient with tracheostomy and ventilator with a RN to patient 1:5 and was never combine . with the sister unit for the all the same reason despite low census of the unit. Provide citation