Nursing educational programs are struggling with how to educate students to safely and efficiently administer medications. There is no doubt education programs need to find a way to assist students to acquire the skill of medication administration and to also transfer the skill into practice. Knowledge, skills, and abilities are requirements for nursing practice and are part of Quality and Safety Education for Nurses competencies, but research has shown that nursing education programs have not done an adequate job to prepare students to administer medications in the practice arena. With the increase use of various medication deliver systems; nursing students are unable to learn and deliver safe administration of medications in clinical facilities. Yet, facilities expect the new graduate to have knowledge and confidence in their ability to safely administer medications to patients. Students and full-time nursing faculty performed the same medication administration simulated scenario. Both groups must achieve 100% accuracy and had three attempts for success. Faculty members perform medication administration skills with students in the nursing skills laboratory and in the clinical settings; therefore, faculty must accurately perform the scenario. During performance of the simulated scenario, common distractors experienced in clinical practice were incorporated. The faculty members must be able to assist students in correctly administer medications. There were 59 students and 9 faculty members that participated in the medication administration capstone project. The data findings indicated 50 out of 59 or 85% of students were successful on the first attempt. Only 4 out of 9 or 44% of the faculty participates were successful on the first attempt of the simulated scenario. Both groups responded to distractors without being diverted from administrating medications. Medication administration skills must be deliberate and accurate with patient safety first. The data findings support the need for change while students are learning the medication administration process and periodical practice for faculty is warranted. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]