Faculty identified a need to provide a student-centered approach to assist in simulation preparation. Students had to complete patient preparation by filling out Ticket-to-Simulation before coming to the first of two simulation sessions. This required students to review the primary diagnosis, pathophysiology, and medications for each patient. The Ticket-to-Simulation promoted and improved student preparation, performance, and confidence in the second simulation of the term. It was also acknowledged as an evidence-based intervention by simulation faculty to be the best practice in nursing education and was implemented in other courses.