N the summer of 1953, the hospital's nursing service administration group-nursing service administrators, supervisors, head nurses, and faculty members-recognized the need for a thorough revision of nursing procedures. The procedures had not been revised since 1948, and at that time it was done by the nursing arts department which was concerned primarily with the needs of students. The procedures were cumbersome to carry out and, for practical purposes, most of them had to be modified to meet the needs of the actual clinical situation. This meant that they were being carried out differently on each service and in the nursing arts laboratory. Numerous difficulties were created, particularly with students and relief personnel. We needed new procedures that were based on patient's needs, clear enough to be used by all nursing personnel on all services, flexible enough to be modified easily for individual situations without disregard of principle, and complete enough to be used in teaching. This need precipitated the formation of a procedure committee. At first the work of the procedure committee was hampered by the members' lack of training in procedure revision, so two of them took a course in nursing procedure development at the University of Utah. Half of their tuition and half of the time required for the course were provided by the hospital. Their efforts resulted in the committee's adopting the 2-column form-"Key Steps" and "Key Points"-which provides a review of essential steps for those who are familiar with the procedure and important details for the guidance of those who are carrying out the procedure for the first time.