Project objectives were to train 10 nurses from hospitals in the Four Corners Area in rural critical care nursing, to have a training director organize and coordinate the project, and to utilize the replacement nurse concept. The course curriculum was determined through a needs assessment survey conducted by a team of health professionals from Arizona universities, and on-site clinical visits made to participating hospitals to discuss curriculum content with the nursing director and prospective trainee. Eleven nurses (9 RNs and 2 LPNs) took the 2-week course in Albuquerque, New Mexico. Ten were replaced by project-hired nurses. Since the eleventh nurse was the nursing director from Zuni, no replacement was hired. Six nurses were Navajo, one was a Pueblo Indian, and four were Anglo. Two groups of five nurses each attended the course on alternating weeks. Subjective and objective evaluations were conducted through pre- and posttests, and questionnaires given to the trainees, nursing directors from the participating hospitals, and the replacement nurses. After the course was completed, the training director, replacement nurses, nursing directors, and trainees met to evaluate the project's effectiveness. Overall, everyone felt the project had been effective. Appendices include a list of participating rural hospitals, nurse trainees, and replacement nurses' rotation assignments; results of the trainees' self-assessment of skills; and the various evaluation forms. (NQ)