Dr Carolyn Yucha provides a brief overview of the Clinical Simulation Center of Las Vegas (CSCLV), a 31,000 square foot center used collaboratively by two schools of nursing and a medical school. The CSCLV celebrated its fifth year of operation in 2014, successfully providing7,500 hours of student and resident learning activities in the academic year. Dr. Yucha shares her experiences in negotiations to assure an effective and efficient student learning environment. In addition, she discusses the different roles and training needs for staff. Finally, she provides an administrator’s view to help learners better communicate their needs to administration.