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Clinical nurse leaders (CNLs) and clinical nurse specialists (CNSs) often have shared views of patient care practices and process improvement strategies. At a level 1 trauma center, CNSs practice in intensive care units (ICUs) and CNLs practice in non-ICU areas. A CNL working on a neurosurgical unit caring for patients with stroke identified that patients transferred from the ICU to a lower level of care often had orders that were no longer applicable. These orders included continuous intravenous medications not typically given on a medical-surgical unit, blood pressure parameters that were unsafe at a lower level of care, and medication instructions that were inconsistent with ordered blood pressure parameters. After this gap was identified, the CNLs on 2 neuroscience units collaborated with the neurosurgical ICU CNS to address this problem. The ICU morning rounds were identified as both the safest and most efficient way to improve this issue. As a result, the nursing staff on the medical-surgical units became more complaint with as-needed medication administration, and valuable time was saved from paging multiple physicians to clarify orders. This correlates to improved safety and a better quality of care for the patients with stroke within this hospital. This is just one example of how the CNL and the CNS can work in unison to improve outcomes for patients. While the education for both roles is different, the result of collaboration between these roles has a significant impact on nursing practice, care quality, and clinical development of the nursing staff.