Trinity Health Grand Rapids Hospital, 3 Lacks is a 32 all private bed acute care unit that serves patients that are 65 & older. A high acuity adaptable unit; regularly have patients who are on telemetry, cardiac drips, high-flow oxygen; bi-pap; etc. Older adult can deteriorate quickly, so this unit requires a high level of assessment skills, comfortability with advocating for whatever the older adult patient may need. Our unit is considered a high acuity unit (because older adults require a lot of extra time and TLC) which makes 3L a very fast-paced unit. For this reason, we provide nurse directed care.