I teach clinical at two different acute care hospitals for LVN program. Trying to meet all needs of all students and constantly trying to integrate and measure the effectiveness of classroom instruction into clinical setting to help students develop skills and proficiency is a continual challenge. However, by keeping in touch with classroom instructors, advance planning, knowing the policies and procedures of the clinical site and by providing in writing what is expected of each student helps manage the assignment. Also encouraging students to practice, practice and practice to help them better retain learned information.