Minimum nutrition screening parameters in pediatrics should include accurate measurement of weight and stature. Correct measurements are necessary to evaluate the child's size with growth standards and to evaluate growth trends in chronic conditions. Height (Ht) accuracy is also important for body surface area (BSA) calculations for medication dosing. Obtaining reliable measurements in the acutely ill or uncooperative child may be enhanced with education of staff on correct techniques for using the length board & stadiometer. We compared the availability and accuracy of length & Ht measurements for 3 week time periods, before and after nursing staff education sessions on rationale & proper techniques. Ht measurements were obtained when not available (N/A) from admission data and repeated when inconsistent with previous records or visual observation. Prior to education 28 out of 82 (34%) patients (pts) screened required follow up of stature measurement; 11 were N/A initially and 17 measurements were >1cm different when rechecked (24% of initial data). After education only 10% of 69 pts screened needed intervention. Availability improved with only 4 N/A and inaccuracy lessened with only 3 Hts rechecked. The improvement in accuracy from 24% of incorrect Hts down to 5% of the pts measured on admission will facilitate appropriate identification of nutrition problems and BSA calculations. The positive results from this multidisciplinary approach for quality improvement include increased competency in nursing staff, appropriate use of measuring devices for clinical care and ongoing support from nutrition services with measurements, pt records & calibration of measurement tools.