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Productivity in nursing care is a major concern in all residential facilities, as is improving the quality of care. Pervasive computing offers great promise in this area. In this paper we discuss requirements analysis, multiphase prototyping, and effective use of commercial off-the-shelf technologies to improve communication and situation awareness in nursing teams. We developed a wearable prototype with only a person-month of development time, using existing electronic meeting technologies for its multimodal communication platform.