Our manuscript details the implementation of nurse-driven screening of geriatric patients for delirium, fall risk and vulnerability. We demonstrate that the Consolidated Framework for Implementation Research (CFIR) can be successful for emergency department geriatric processes can be successful even when interrupted by a global pandemic. We hope that our experiences (good and bad) during this process can help others as they embark on their own implementation journeys. Two important lessons we learned that we hope others can take before their own projects include: (1) your single ED may function as small "units" that each need their own implementation process; and (2) sometimes the best way to be successful in implementation is to take a step back to avoid burn out and moral injury by accidently exacerbating factors outside your control (in our case the COVID-19 pandemic).