In 2016, Fraser Health (FH) partnered with the Langara School of Nursing and senior nurse consultant, Marilyn El Bestawiand to pilot the PREVIEW-ED© tool. Two (2) term 8 Bachelor of Science in Nursing (BSN) students facilitated implementation of the tool with Fraser Health’s first cohort of 176 residents across 4 Fraser Health Care Homes. Students worked with Care Aides who completed the PREVIEW-ED© tool to prevent transfers to the Emergency Department for: pneumonia, congestive heart failure, urinary tract infections and dehydration. A noted 71% reduction in Emergency Departments (ED) transfers for tool sensitive conditions. This is now a best practice for Fraser Health Residential Care Homes.