Playgrounds are a major source of unintentional injuries in the school environment. In fact, 80% of all injuries on public playground equipment happen at school. Thus, the need for developing a playground injury prevention plan is critical to provide safe educational outdoor environments for children. The S.A.F.E.[TM] framework for injury prevention is the first step in preventing playground injuries. This article highlights suggestions that school nurses can implement in creating an effective playground injury prevention program at their schools. (Contains 6 figures.)