Recently we took care of a profoundly ill/unstable cardiac surgery patient. This patient required maximal support & minute by minute, high-acuity bedside nursing care. Ms.Perales demonstrated excellence in EVERY aspect of her job. She exceeded all standards, with her clinical skills. Even assisting me at the bedside to reopen the patient's chest. Julissa is highly intelligent, hardworking, and compassionate. She exemplifies the definition of an "Extraordinary Nurse".