Sara received a new baby at midnight. She immediately felt that the color of the baby did not appear correct but knew that this could possibly be normal for the baby’s ethnicity. However, Sara continued to feel that something about the baby was wrong. She kept a close eye on the baby and noticed that it was not sucking or feeding well and seemed to be gagging more than normal. She knew this could also be attributed to babies swallowing fluids during delivery and having to work to clear the lungs. Sara grew increasingly concerned as the baby was gagging more and started grunting. She felt that the baby’s color was actually getting worse. She told the baby’s mom that she wanted to take her to the nursery for some quick checks. The O2 was normal, her temperature and blood sugar were fine. She could hear a murmur but those tend to resolve so this was not a huge red flag. The nursery nurses did not observe the grunting but Sara would not give up on her concerns. She felt like this baby had an issue and did not want to take her baby back to the mom’s room yet. She requested to put the baby under the warmer and observe a little bit longer in the nursery. While she was monitoring the baby, she started grunting again, then retracting and actually stopped breathing. Sara yelled out to the nursery nurse and oxygen was immediately applied. An Ultrasound was ordered emergently and the baby was found to have an enlarged heart that was serious enough that the baby was considered for transfer to a higher level of care. I feel that if Sara had not continued to advocate for this baby and had not been monitoring it so closely, there could have been a terrible outcome. Mom and dad were sleeping and this event could have happened without any time to intervene if Sara would not have insisted to take the baby to the nursery. It is my feeling that Sara saved this baby’s life. Thank you, Sara, for advocating in a way that has truly made a difference for this baby and her family.