Recently, Madison Rowe caught a stroke that the ER missed. She recognized the signs immediately upon assessment. She activated the stroke alert and stood her ground as multiple people doubted and questioned her. The patient was taken to CT, where they found a large acute hemorrhagic stroke, and was transported to a tertiary care center. Madison consistently demonstrates excellent nursing care, going the extra mile and doing what is right for the patient. She always performs at a higher level. She deserves to be recognized; she is the most extraordinary and compassionate nurse.