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hello my name is Leah Hall Im one of the administrative nursing supervisors at Greenville Memorial Hospital and Im currently completing my bachelors in nursing through Anderson University and for my senior change project proposal I chose to address the initial discharge process particularly by improving the admission discharge process by identifying and utilizing an admission discharge nurse for each unit or area of the hospital I felt this was an issue that all healthcare organizations deal with and could greatly improve upon being administrative nursing supervisor over the last nine years Ive taken many complaints regarding either the admission or discharge process especially for patients patient families and staff another key aspect of us as administrative nursing supervisors is we deal with patient throughput especially in the ER making sure the patients are not being held for long periods of time we also look at the units and make sure the patients lengths lengths of stay are