Simulation is frequently deployed in improving operation, education, and research, but it is unclear how quickly these effects persist and what is the optimal “dose” of simulations. Simulation is critical in preparing the staff for rare/never events like fire in the OR, power outage, Ebola contamination and other. Providing a cohesive structure for the team of somewhat disharmonized professional is a unique feature of clinically based simulation. After obtaining the title of Simulation Facilitator, we conducted several simulations in the operating room rehearsing difficult airway scenarios. Observation allowed us to modify several critical procedures in the hospital. The hospital staff was very appreciative of the experience.