Nurse Knowledge Exchange, also known as change of shift report, is a real time exchange of information that promotes accountability and teamwork between nurses. It is also an opportunity to involve the patient and family in the patient’s plan of care. This example takes place in the pediatric environment. ++++ Dartmouth-Hitchcock is a national leader in patient-centered health care and building a sustainable health system. Founded in 1893, the system includes New Hampshire’s only Level 1 trauma center and its only air ambulance service, as well as the Norris Cotton Cancer Center, one of only 40 National Cancer Institute-designated Comprehensive Cancer Centers in the nation, and the Children’s Hospital at Dartmouth-Hitchcock, the state’s only Children’s Hospital Association-approved, comprehensive, full-service children’s hospital. As an academic medical center, Dartmouth-Hitchcock provides access to nearly 1,000 primary care doctors and specialists in almost every area of medicine, as well as world-class research at the Audrey and Theodor Geisel School of Medicine at Dartmouth. Learn more at http://www.dartmouth-hitchcock.org/.