Our orientation is six weeks with a primary preceptor, a two week critical care course, and a one week dysrhythmia course. The new hire is in the unit immediately, and scheduled for the classes within six months of hire. Our orientation is structured, with certian goals set for each week of the orientation. Both the orientee and preceptor fill out an evaluation of each other and the process on a weekly basis. We do the PBDS to evaluate new hires before they reach the unit, and try to tailor orientation to their needs. A lot of one on one teaching is done during the orientation. We have four primary preceptors who do all of the orientation and teach the critical care course along with our Clinical Education Specialist. We have an orientation booklet given to each new person, which is designed to go along with each weekly goal. For instance, the first week, the focus is on the respiratory system so that section of the booklet, covers vents and ABGs. We also designed the course ourselves, and did our own textbook. We used to have a course that was designed by the staff development departments of the four hospitals in our county, and we were unhappy with it, so designed our own. We did our own textbook, and focus on the types of patients we usually deal with. After the employee has been there one year, they attend a two day open heart training course, and after two years a two day advanced critical care course, and a one day CRRT course. The entire process was developed by our Education Specialist and the primary preceptors, with input from the staff.