Becoming a site for Nurses Improving Care for Healthsystem Elders (NICHE) is an exciting way to improve the care of hospitalized elders. This article describes how a community-based hospital implemented the Geriatric Resource Nurse (GRN) Model on an orthopedic and acute medical surgical unit. Key elements of the program included focusing on a specific geriatric syndrome (acute confusion) and using outcome data to target practice changes. As a result, the incidence of acute confusion and the percentage of acutely confused patients at discharge decreased.
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