This requested proposal for organizational change is the use of safety securement devices in hospitals as directed by OSHA. Due to the high incidence of needle sticks and hazards associated with blood borne pathogens, OSHA has revised the blood borne pathogen standard to meet the requirements of the Needlestick Safety and Prevention Act of 2000. The organizational change in this specific hospital will be guided by Kurt Lewin''s three-stage force field theory, which involves unfreezing, movement and refreezing. Training the staff on the use of the new securement devices and the associated equipment, changing from current tape method to securement devices, is essential for monitoring. Monitoring the involvement of the key people initiating the implementation of the changes will be another key to success. Include a brief description and history of the organization, the proposed change and rationale for the change, and ways in which the proposed change is compatible with the organization’s culture.