Abstract
New nurse graduates are ill prepared to fulfill the roles and responsibilities of being competent, practice-ready registered nurses. This article describes one college of nursing’s journey in the creation of a clinical tracking document (CTD) to track, in real time, essential subbehavior actions that assist students in achieving the four main competencies of assessment, communication, critical thinking, and safety listed on the Creighton Competency Evaluation Instrument. The CTD is an innovative tracking tool used to ensure students are practice-ready and competent upon completion of their nursing program.