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Nurse Anesthetists face a daunting educational curriculum from didactic to clinical practice requirements. Bridging didactic knowledge to clinical application is often a difficult task, and failure to do so adequately throughout one’s career may result in adverse patient outcomes. A strong fundamental understanding of the anesthesia machine and the clinical application of that knowledge is critical to the delivery of safe confident anesthesia care and is one of the first goals in preparing for entry into practice..Purpose of Project: The purpose of this study was to ascertain if the creation and implementation of an anesthesia machine video adjunct review would improve knowledge and self confidence among Student Registered Nurse Anesthetists (SRNAs)Methodology: A multicohort descriptive prospective design studied knowledge acquisition and retention as well as self-perceived confidence of 43 SRNAs enrolled in a single New Jersey institution. Pre- and post-tests and post- and delayed-post tests were employed to measure student confidence and knowledge after viewing a series of four adjunct videos related to the anesthesia machine. Results: There was no statistical significance found in knowledge acquisition and retention. There was notable improvement in perceived confidence, with a pre-implementation confidence score averaging 2.5 out of 4.0 and a post-implementation confidence score averaging 2.95 out of 4.0. Implications for Practice: Based on the results, implementation of this video review adjunct was especially significant in improving confidence of junior SRNAs entering their first clinical rotation.