In March 2023, I spent the last 36 hours of my father's life at his bedside. Robert was there for 12 of those hours. As both a daughter and a doctor, I had admittedly developed a routine of being highly critical of my dad's care. He had battled an aggressive form of lymphoma for over a year, and over that time frame, we had collected an immense range of medical experiences-- many good, and many bad. As a result, I approached every new player in his care with protective apprehension, and regularly found myself having to speak up when things did not seem right. It is with this background that I readily write Robert's nomination for a DAISY Award. Below is a non-comprehensive list of specific actions that made his care exceptional.

- Early in his shift, Robert asked at least 2 questions that surprised me: "What's your biggest concern right now?" and "How do you feel about the care your dad is getting?"

- As a 1:1 assignment, he rarely left the room. He even elected to finish charting in the room so he could stay close to my dad. - When he did leave the room, he (without fail) asked if I needed anything. I never did, but the gesture was very kind and appreciated.

- After hanging all meds and working on essential tasks (>5 hours of nonstop work), he elected to postpone his break to continue assessing for more ways to take better care of my dad.

- At this point, my dad was requiring multiple pressors. Robert set blood pressure alarms for not just when BP was low, but when it was high enough that he could safely lower the pressor rate, thus reducing damaging side effects. This was in sharp contrast to staff earlier in the week, who had silenced all his alarms overnight.

- Robert diligently managed 8+ IV pumps, including multiple that required regular titration. This was an incredibly difficult task, but I could tell he approached it with a critical mind.

- He repeatedly thought about and identified ways to reduce infection risk. This was critical as my dad was neutropenic.

- Robert recognized that my anxiety was quelled by understanding the situation. He explained every med adjustment, every new alarm, every objective assessment he was making in real time. I didn't realize how much that helped me before someone did it.

- Robert had heard in sign out that my dad had different pupil sizes on exam; despite his pupils looking normal visually, Robert obtained a pupillometer to get objective data on pupil size. I'm not aware of this being routine practice, so I greatly appreciated the initiative to get accurate data.

- Midway through the shift he openly welcomed feedback or suggestions on how to care for my dad differently. For the first time in a long time, I did not have any suggestions; my dad was already receiving excellent care.

Ultimately, it was a privilege to observe Robert's approach to nursing; in fact, it inspired me to reflect upon my own approach to medicine. I know that if my dad (also a physician) could have witnessed it, he also would have been impressed and proud of the care he was receiving. It brings me comfort to know that Robert's future patients will receive similarly meticulous, kind, and human care. I'm hopeful that his career growth will be supported in every way possible, and that he will be afforded every opportunity to educate future/current RNs, if desired, because I truly think it would produce more exceptional nurses.