Problem: At a local cardiology practice, 20% of stress test appointments were not completed due to instruction nonadherence per log book audit between September 2021 and December 2021. Prior to this project, there was no formal procedure to schedule and educate patients. Canceled cases pose a financial problem in terms of staff wages and wasted isotope. This problem can also lead to a delayed diagnosis for patients putting them at risk for a preventable cardiac event. Purpose: To improve workflow and supplement patient instructions with video education to improve stress test completion, instruction adherence, and preparedness of cardiac patients for their nuclear stress test. Methods: Staff will give patients being scheduled for a stress test an educational packet that includes written instructions and a QR code to access an educational video. On test day, patients will be asked what type of education they used to prepare. If patients are not able to complete their test due to instruction nonadherence, it will be documented in the patient’s electronic chart. This is recorded to distinguish between other reasons for test incompletion. Results: 33 patients were scheduled for nuclear stress tests, and 26 were eligible for this project. 23 out of 26 eligible patients were documented to have received an education pamphlet with a QR code, received an explanation on how to access the educational video, and verbalized understanding. 26 out of 26 eligible patients reported the type of education they used to prepare. Nine patients reported using the written instructions only, 16 patients reported using both written and video instructions, and one patient was given their instructions via telephone. 25 out of 26 eligible patients scheduled for a nuclear stress test completed their test at their scheduled visit. Conclusion: Findings suggest that implementing video education alongside written instructions is effective at decreasing the rate of canceled tests due to patient non-adherence to the instructions.