Provide students with on-campus opportunities to practice skill sets using equipment/technology that they are expected to be able to use upon graduation. This technology will support instructional efforts for high-stakes skill testing. Currently, our medication dispensing cabinets are malfunctioning and on the verge of being obsolete. These cabinets are vital to our ability to replicate the experience of medication administration as it occurs in clinical agencies using the process that students are expected to perform upon graduation. Updated simulation equipment that includes warranties will ensure the availability of high-quality simulation experiences that enhance the development of critical thinking and hands-on skills. In addition, certain types of clinical experiences such as pediatrics and mental health are limited and could be enhanced by expanding simulation activities. New York State recently adopted a policy that simulation can be substituted for one-third of clinical hours. This provides us with an opportunity to improve clinical offerings in pediatrics and mental health. Simulation and skill lab facilities are variable between both campuses. The Newburgh campus offers an upgraded experience over the Middletown environment. To make both campus experiences equivalent we need a significant investment in the infrastructure of the skill lab and simulation area.