We don't have a manual per se, but we do have a laddered orientation. I could send you the competencies ladder list if you like. I'm currently preceptoring a new grad in our PICU; we had five all start at the same time. Puts a bit of a strain on the unit to have so many... we have 16 beds, and summer is typically slower than the rest of the year, so we have a lot of very senior nurses looking after the stable-ready-for-transfer patients so the orientees can get some experience.
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