Cooperation and collaboration are an inherent part of the daily work performed at a hospital in general, and among nurses in particular. However, the technologies that support these work practises are still inadequate. In this case study, we explore the standardization process in nursing practice, and how standards are used across departments in a hospital environment in order to share information and knowledge. We explore what issues are at stake when standard care plans are used across organizational boundaries. Moreover, we examine the following: a) the adjustment of nursing classification in local practice; b) the tension between different standards; and c) the use of standard plans as a bridge to share information across various context.