Since beginning my career at Swedish Medical Center, I have overseen tremendous growth in the use of simulation for nursing education. Initially with the introduction of simulation in the RN Residency Program responsible for training new nurses from all five hospitals in the Swedish system and then moving to experienced nurses onboarding, nursing assistant education and staff competencies. This work has included the design, fund raising, project management and construction of the brand new Swedish Simulation Center. This center is has specialty specific simulation rooms, a classroom individually linked to each specialty lab (Med/Surg/Tele, CC, ED/OB, NICU), and is complete with a nurses station and medication/supply room. The success of the Swedish Simulation Center has demanded significant growth not only in the size of the center but in the increase of the opportunities we are able to provide.