Nursing who care for older patients are exposed to significant suffering and loss that can lead to the development of compassion fatigue and burnout. An exploratory descriptive study was conducted to assess compassion fatigue, burnout, and compassion satisfaction in a group of 42 nurses who worked on a geriatric medicine unit using the Professional Quality of Life (ProQOL) Compassion Satisfaction and Compassion Fatigue 5 Scale. Nurses reported average levels of compassion fatigue, burnout, and compassion satisfaction. However, the compassion fatigue scores for newer nurses were higher (x = mean score=28.7, std=9.75) than the scores of more experienced nurses (x = 21.9, std=4.66) (p < .01). Findings suggest the need to purposely build a supportive environment that focuses on new nurses to reduce compassion fatigue and burnout while enhancing compassion satisfaction.Nurses who care for older adults are routinely exposed to suffering and loss in the course of caring for high needs patients. These experiences can result in the development of compassion fatigue that can make continuing to care for patients challenging. 1 Compassion fatigue may occur in situations when the patient cannot be rescued or saved from harm, such as geriatric adults who experiences a loss of function, independence or death. This may result in the nurse feeling guilt or distress. 2 Compassion fatigue, also known as secondary traumatic stress, is an emotional, physical and mental exhaustion. A person experiencing compassion fatigue feels depleted, chronically tired, helpless, hopeless and sad, even cynical about work, life, the state of the world and about oneself. 3,4 Empathy and emotional energy are underlying drivers in the development of compassion fatigue. 3