One of the most critical support systems for the registered nurse (RN) is the patient care assistant (PCA). At Houston Methodist, the PCA utilizes the knowledge and skills necessary to communicate appropriately, carries out delegated tasks for assigned age-specific, diverse patient populations, and assists in delivering patient—and family-centered care and safety measures under the supervision of a licensed nurse. The PCA Specialist role is the highest position for the PCA. They are considered experts within the assigned clinical area. This person must have at least three years of experience, be competent in at least three unit-specific skills, serve as a primary preceptor and mentor and have excellent leadership abilities. Active participation in unit-specific, evidence-based projects is also vital to the specialist role. For example, Marjorie Bernard has worked on Main 8 for seven years. As a PCA Specialist, she developed a new hire PCA onboarding program called "Grounding Day for New Hires." This program assists new hires in gaining experience while maintaining various levels of engagement within the unit. Furthermore, with active engagement at all levels of the interdisciplinary team, this program ensures that new hires feel welcomed, valued, confident and comfortable within their new role. From creating a unique clinical shadowing experience to determining individual new-hire needs, this program aimed to ensure success for all new hires. One of this program's key elements is building connections between new hires and the unit staff members. Other aspects of the program include orienting the new hires to their new work environment, integrating the hospital culture, and providing encouragement to become active within the unit. Shared Governance and team-building activities are great examples of what the unit incorporates. The Grounding Day for New Hires Program improves staff retention, outlines unit support resources and encourages professional development. Through effective collaboration with unit staff and leadership, this program remains effective and has not experienced any barriers. Effective communication has remained vital to ensure staff participation. This includes communicating with the team openly about the program updates, allowing time for feedback, ensuring availability to answer questions and consistently motivating all staff members. Ultimately, this program remains successful. Staff retention and overall unit collaboration have increased. Everyone should feel empowered to drive and implement change regardless of the role or unit specialty. As a result, patients feel safer, and quality outcomes are enhanced.