PQCNC created a state-wide algorithm to kickoff the Newborn Hypoglycemia Prevention and Care initiative to assist teams with a strong resource as they began standardizing the care and management of newborns at-risk for hypoglycemia. However, one team took it a step further. Understanding there were many scenarios and steps their staff would have to interpret when they rolled out the PQCNC algorithm, Vidant Medical Center saw an opportunity to ease implementation for their staff. They added line items on the algorithm for staff to document blood glucose results, as well as time of testing and treatment if carried out. The document is not only a guide for standardization it is now a working algorithm to ensure the protocol produces an accurate clinical pathway every time. The team also plans to collect these tools to track compliance and identify opportunities for further implementation support if necessary.