I would like to highlight a recent event where Maria made a profound difference in the life of her patient and the patient’s family. Maria was assigned as the rapid response nurse for the day. She received report on multiple patients in the hospital, all located on different units. As she was making her rounds, she checked in one on of the patients on the list and noticed that she seemed short of breath. She quickly mentioned this observation to the patient’s nurse, who responded by saying that the report she got about the patient stated that the patient was short of breath for most of the night. However, Maria continued to assess the patient who was also reporting chest pain. She quickly looked at the telemetry monitor and saw that the patient had an elevated ST segment. What exactly does this mean? An elevated ST segment is indicative that some part of the heart has a blockage and that the portion of the heart that is not getting blood flow due to the blockage is actively dying. The symptoms of a heart blockage vary and can be nuanced. However, Maria was able to determine that quick action was needed. She got a 12-lead EKG, which verified her observations that the patient was having a myocardial infarction (MI), better known as a heart attack. This is a medical emergency where, had Maria not intervened as quickly as she did, the outcome would have led to hemodynamic deterioration and sudden death. The required diagnostic assessments were performed, labs obtained, and patient was quickly transferred to a cardiac catheterization lab for further life-saving interventions such as reperfusion therapy. Despite having to do all the necessary tests to evaluate a suspected MI, which, again, needs to happen in a matter of minutes, the management of a patient with an MI requires a lot of care. Remember, the patient was reporting chest pain. The patient’s heart is trying to preserve what it can, which causes its vessels to constrict, but unfortunately, it causes an increase in the workload for the heart. Maria was able to provide medications to decrease the patient’s chest pain, thus decreasing the workload of the heart and providing comfort to the patient. In these high-stress moments, Maria understood that maintaining a calm environment can decrease a patient’s anxiety, which will also result in a decrease in myocardial workload. I’m unaware if Maria has attended any caring science classes, but regardless of that, she clearly demonstrates the effects of Jean Watson’s Caring Science. Maria stayed present in the moment with the patient. She provided safe and compassionate care to both the patient and the patient’s family. She was very intentional about the interventions she executed which allowed the patient to be transferred quickly to an appropriate facility, which also saved the patient’s life. She provided a sense of peace despite the chaos that is usually involved with diagnostics and transfers of patients. And lastly, I remember that she took a moment and offered a prayer for the patient. She involved the family to pray with her that the patient continues to experience good outcomes.