Answer 1: We have not changed our job description for expert nurses who are older than 45 years, but we do offer them positions within their job description that are sensitive to their physical challenges. There are a number of strategies we have successfully implemented to reduce the physical burden on our aging nurses. An option for 8 versus 12 hour shifts is given, experienced nurses are often asked to precept new graduate nurses, and our older population is given the option to work as Medical Incident Command Nurses, allowing them to sit at the radio and communicate with EMS staff on destination and plan of care in the field, reducing the physical workload for that shift. All of these roles within the emergency department capitalize on these nurses’ experience. The physical challenges that are accommodated by this division of labor include arthritic joints, chronic back injuries (from years of service to outpatients) and lower fatigue threshold.—Kelly Bernatine, RN, BSN, Emergency Department Nurse Manager, Arrowhead Regional Medical Center, San Bernadino, Calif