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  1. Kiker, Kelly MSN, RN
  2. Eversman, Shari MS, RN
  3. Kruggel, Heather MS, RN-BC
  4. Volkmann, Charlotte MS, RN


Patient care assistants (PCAs) are unlicensed personnel that perform direct patient care. Providing quality orientation is critical in supporting the transition of a PCA from new staff member to competent employee. PCAs have limited to no experience with simulation in prehire training. An 8-hour orientation day, using interactive teaching strategies and simulation, was successfully implemented at a large academic healthcare institution. This article explores the various teaching methods and outcomes of the class.