Aims & Objectives: Daily goals checklists have been shown to improve patient care and team communication in the critical care setting. Institutional surveys showed that staff found previous checklists ineffective. The objective of this study was to evaluate a novel daily goals checklist using the glass door of the patient rooms, as an easily visible communication tool, to set patient goals and track progress in a Pediatric Intensive Care Unit (PICU). Methods: We used the Pronovost’s 4 E’s model (Engage, Educate, Execute, and Evaluate) to implement the Glass Goals. The Glass Goals are a template on patient doors, for goal setting in specific domains of sedation, breathing, circulation, diet, early mobilization, fluids, and family goals. Content was created in collaboration with PICU staff, leadership, and families, and rolled out over 1 month. Goal setting and team communication were assessed using pre- and post-implementation rounding audits and surveys, and a post-implementation uptake assessment.Results: Pre-implementation rounding audits on 49 patients found the frequency of goal setting was 40.2% across all domains excluding family goals. Median rounding time was 11:46 (IQR = 8:25). Post-implementation, Glass Goals completion was 94.6% (N = 74). Post-implementation surveys and rounding audits are ongoing. Conclusions: Preliminary analyses indicate that implementation of the Glass Goals leads to improved uptake of patient goal setting and team communication. Future analyses will assess post-implementation goal setting during rounds, rounding time, and perceptions of the Glass Goals by parents and HCPs using surveys. Acknowledgements: Hannah Zimmerman, Grace Lamond, Data Collection Assistants; McMaster Family Advisory Council; Dr. Samara Zavalkoff