The Foundations for Acute and Critical Care program provides on-boarding for the incoming RN who has been hired into one of Stanford Hospital’s Adaptable Acuity Units (AAU). The AAU nursing model serves patients ranging in acuity from acute care med-surg to the intermediate critical care arena and includes ECG dysrhythmia detection. The FACC on-boarding program was initiated to extend the acute care, med-surg nurse’s knowledge base and comfort zone in the AAU range of acuity. The content focus is on advanced respiratory and cardiac concepts and clinical reasoning.