Healthcare workers are regularly faced with new equipment, new procedures, policy changes, and system vulnerabilities, to name a few. Currently, hospitals hold annual competencies for nurses and staff members, while licensing organizations require a certain number of CEUs or CMEs every 2-3 years to maintain an active license. But beyond that, the IOM has recommendations for the healthcare facility itself to create a learning environment. These include: using simulation when possible, encouraging reporting of errors, ensuring there is no retaliation for reporting errors, developing a culture where communication flows freely regardless of authority, and implementation of feedback mechanisms and learning from errors (The Institute of Medicine, page 178, 2000). Ongoing education is essential to creating a safe environment for the patient. Although this seems like a new concept, introduced only in the last few decades, its importance was recognized more than 150 years ago. To quote Florence Nightingale, the mother of modern nursing, “Nursing is such a progressive art that to stand still is to go backwards” (Lannon, p.. 17,