In pursuit of Nursing Excellence, CNMC nurses are seeking Magnet Recognition through the American Nurses Credentialing Center (ANCC). As part of the Magnet process, nurses strive to improve performance related to Nurse Sensitive Indicators (NSIs). NSIs reflect the structure, process, and outcomes of nursing care (ANA, 2003). The purpose of this project was to increase patient compliance with preprocedure preparation and to improve family satisfaction with the overall experience. Collectively, the ambulatory nurse selected procedural sedation in the neurology clinic as the NSI. This involves implementing preprocedural education via telephone interaction 24 hours prior to the scheduled appointment for anxiolysis. Historically, the neurology nurse noticed an increased trend in patients arriving unprepared or ineligible for their Brainstem Auditory Evoked Response (BAERS) appointment. The registered nurse wanted to increase family compliance, decrease test failure, decrease wait times, and increase patient family satisfaction. Above all, the neurology clinic nurse wanted to maximize patient safety. The first step in assessing patient safety includes assessing whether the procedure and the patient are appropriate for the setting. To date, minimal published evidence related to anxiolysis in the outpatient pediatric arena exists. Beginning in February 2007, the neurology RN implemented calling all patients scheduled for the BAERs test 24 hours prior to the appointment. A pre-appointment assessment is conducted over the phone by the RN. Currently, there are 13 slots per week, 3 per day, Monday through Thursday. Since the RN initiated preassessment calls, the rate of successfully completed BAERs has increased from 55% to 90%. In addition, there have been no adverse events related to anxiolysis in the neurology clinic. The implementation of preprocedural screening is now a standard of nursing practice in the neurology clinic. In pursuit of Nursing Excellence, CNMC nurses are seeking Magnet Recognition through the American Nurses Credentialing Center (ANCC). As part of the Magnet process, nurses strive to improve performance related to Nurse Sensitive Indicators (NSIs). NSIs reflect the structure, process, and outcomes of nursing care (ANA, 2003). The purpose of this project was to increase patient compliance with preprocedure preparation and to improve family satisfaction with the overall experience. Collectively, the ambulatory nurse selected procedural sedation in the neurology clinic as the NSI. This involves implementing preprocedural education via telephone interaction 24 hours prior to the scheduled appointment for anxiolysis. Historically, the neurology nurse noticed an increased trend in patients arriving unprepared or ineligible for their Brainstem Auditory Evoked Response (BAERS) appointment. The registered nurse wanted to increase family compliance, decrease test failure, decrease wait times, and increase patient family satisfaction. Above all, the neurology clinic nurse wanted to maximize patient safety. The first step in assessing patient safety includes assessing whether the procedure and the patient are appropriate for the setting. To date, minimal published evidence related to anxiolysis in the outpatient pediatric arena exists. Beginning in February 2007, the neurology RN implemented calling all patients scheduled for the BAERs test 24 hours prior to the appointment. A pre-appointment assessment is conducted over the phone by the RN. Currently, there are 13 slots per week, 3 per day, Monday through Thursday. Since the RN initiated preassessment calls, the rate of successfully completed BAERs has increased from 55% to 90%. In addition, there have been no adverse events related to anxiolysis in the neurology clinic. The implementation of preprocedural screening is now a standard of nursing practice in the neurology clinic.