The National League for Nursing and the American Nurses' Association publish many works that are vital to nursing literature, but their publications are difficult for libraries to handle efficiently and for users to find. This paper discusses the problems involved in making NLNIANA publications accessible to users. A survey was conducted to determine how libraries are handling these publications and whether or not they are satisfied with their methods. Results show that a majority are content with their processing of NLNIANA materials and that these libraries are not using different methods to handle these publications from those who are not satisfied.