Today’s healthcare environment has had a significant impact on nurses and nursing care across the country. In recent years, our institution has undergone several changes in patient care delivery models. These changes resulted in RNs being assigned tasks such as electrocardiograms, respiratory treatments, and peripheral blood draws that historically had been performed by other healthcare workers. Simultaneously, the focus of orientation was more on learning tasks and less on learning bone marrow transplant (BMT) nursing care and procedures.