As a bedside nurse and nurse leader, Kaycee was an alien on a strange land in a healthcare design role about 7 years ago.  Even after being a nurse manager on a previous new floor project, she didn’t know what was her role was, how hard she should advocate for operational flow and what change orders did late in the project. In her new role, NIHD member Kaycee Shiskowsky has learned to integrate a focus on schedule, budget and clinical operational flow.