Jammie came in early (less than 7 hours after having completed a shift) to put in 16 hours. This happened to be on a day when three patients were on maximal critical care support with families in crisis over the impending death of their loved ones, two other patients were compassionately extubated, and three more required close monitoring on CRRT. That is to say, it was a day on which everyone was deserving of not just a DAISY Nomination, but perhaps their own Award.

That said, Jammie's efforts stood out to me in how she offered relentless care to a 44-year-old patient who 9 days prior had a meeting with his Hematologist to move forward with a stem cell transplant. Prior to that, even just 4 days ago, there was tremendous hope even if the timeline was a challenge. But after suffering seizure activity in CT, the patient was dying within 24 hours. Jammie's attentiveness to the needs of not just the primary family member - the Wife - but each family member who came in: mother, children, brother, niece, aunt, and so on ... was a tour de force of compassion and kindness. It seemed as if Jammie spent every moment engrossed in providing comfort and dignity to the patient - in life and in death - and family, supporting her colleagues through one of the busiest stretches the ICU has seen in several months.

This is not the first time I've witnessed Jammie pour her life and soul into her work. Not recognizing her high quality and consistent effort earlier is my shortcoming. And on this particular shift when needs across the Unit were especially. acute and intense, Jammie shone brightly. She's a tremendous asset to COH on a nightly basis.