At Seattle Children’s, the Improvement and Innovation Department is driven by their commitment to helping faculty and staff find new and better ways to serve their patients, families, and team members. This shared resource spans the organization and includes services such as coaching, consulting, design engineering, education, project management, and simulation. Amidst the COVID-19 pandemic, the team’s work has shifted to help overcome potential equipment shortages in personal protective equipment. A recent example illustrates how the team collaborated to meet the demands of fast-changing clinical workflows that taxed the supply of Controlled Air Purifying Respirator (CAPR) helmets. What could have turned into a serious safety issue, instead became an innovation story with a fairytale ending.