Bladder urinary catheterization does not come without risk. Catheter- associated urinary tract infections (CAUTI) create an estimated cost of $340-450 million per year in the USA (1). As the complication is preventable in 50-70% (2) of the cases and Medicare and Medicaid stopped reimbursing for CAUTI treatment in 2008, one technique for preventing CAUTIs is performing a bladder scan (ultrasound) to detect incomplete emptying. Bladder scans also decrease the number of bladder catheterizations necessary to check post void residual volume, which are associated with patient discomfort and increased CAUTI risk. Accuracy of measurement is dependent on aiming technique, probe management, pressure application, understanding the human body anatomy, and psychomotor dexterity. Our simulation program received a request for a bladder task trainer. Staff were being trained to perform a bladder scan by watching a video, hands on with only the bladder scanner, and then during orientation staff was expected to gain skill and ability with bladder scanning during actual patient care. These interventions provided consistency in the education delivered but lacked the ability to gain the psychomotor dexterity prior to performing a bladder scan actual patient interaction. Our organization identified through qualitative feedback, bladder scanning results from person to person varied for the same patient, done at the same time. Staff had a difference in understanding the steps of bladder scanning accuracy and troubleshooting accuracy results were learned at the patient’s bedside. We began to search companies for a bladder task trainer that would allow staff to gain the psychomotor dexterity and apply troubleshooting techniques during the scanning procedure. What we found, was a biomedical simulator pad that was rectangle in shape, bulky, outdated, did not provide for use of the scanner crosshairs and did not replicate the human body anatomy. We decided to create our own bladder task trainer and converted a lower torso pelvic trainer for the purpose. The uterine module that sat inside the pelvic task trainer had a foam insert and this insert was scoped out and a punch balloon that was propped up and filled with sterile water was placed within the insert. To allow for filling of the punch balloon with sterile water an IV pig -tail adapter with valve attached to the balloon. The abdominal wall of the lower torso pelvic trainer was removed, and a new abdominal wall skin was created using unflavored gelatin and glycerin. The skin recipe required multiple attempts to assure the skin was thin enough to gain ultrasound accurate results. The skin provided the anatomical landmark of the belly button, visual location of the lower midline of the abdomen and the trainer provided the anatomical landmarks of the pelvic anatomy including the pubic bone. The adaptation of the pelvic trainer was accomplished at a minimal cost, $12.00. The items required to create the bladder trainer (unflavored gelatin, glycerin, punch balloons, liquid make-up, and super glue) can be found at a local discount store. The IV pig tail adaptor came from expired IV kits donated to the simulation program. The pelvic trainer was one of two trainers with no use within the last three years. Task trainer development required 4-6 hours to disassemble, create, test, revise and test again.