O is an 18-year-old patient followed by the Voorhees Hematology team with SCD-SS who is preparing for gene therapy and is scheduled for admission. She presented to the Voorhees hematology day hospital for a routine transfusion to prepare for her upcoming surgery. Unfortunately, after numerous attempts to place an IV, the team was unsuccessful. A plan was made for O to go to the Buerger Day Hospital to have an IV placed and to receive her transfusion to coordinate with required imaging studies, including a CT of the chest, MRI/MRA of the brain, and MRI of the abdomen on the same day. Her day started at 8:30 am with IV placement followed by transfusion. When she presented to the DH, she was experiencing sickle cell pain. Her pain was treated, but when the transfusion was complete, O was feeling anxious about proceeding with the imaging studies as they were scheduled in different locations at CHOP with long wait times between the CT and MRIs. CT was scheduled at 4 pm, MRI/MRA at 8:10 pm, and MRI abdomen at 9:10 pm. She was expected to navigate the hospital and get to each of these locations alone, as her mother was at work and was not planning to return to pick her up until 11:00 pm. Due to anxiety and pain, O was refusing to proceed with her imaging studies despite knowing that delaying would delay her gene therapy and potentially require recollection of cells, depending on timing. The Voorhees hematology team, including social work, nurse practitioner, nursing, and psychology, was informed of her desire to cancel her imaging studies and quickly contacted the CuRed team to develop a plan to help alleviate O's anxiety surrounding navigating the hospital alone. We placed an ED referral in the chart explaining the situation in the event her pain brought her to the ED, as we were hoping the ED staff could help to ensure the imaging was done. We also reached out to the ED to explain the situation. The ED is familiar with O as she has been an ED patient frequently. Meghan Randall, RN, took the call and instantly offered to help even though O was not an ED patient. On her own, Meghan offered to go to CT to pick up O and help her navigate this process. SW was in contact with O and communicated to Meghan via secure chat to let her know when O's CT was completed. With that, Meghan went to pick up O, took her to hospitality to get a meal voucher, took her to the cafeteria to buy food since she hadn't eaten all day, and when O did not have enough money to cover a beverage with the voucher, Meghan bought her a drink and a snack to go along with the meal. Meghan had previously explained the situation to her charge nurse, and the charge nurse allowed the patient to come back to the ED and sit in a behavioral health room to eat her dinner while she awaited her imaging so that she could feel safe and comfortable. While O ate her meal, Meghan took it upon herself to reach out to MRI and ask if there was an opening to move up the times for the previously scheduled scans. A (MRI nurse) evaluated the schedule and offered new times for all of the MRI's allowing all three to start much earlier than previously scheduled and be completed by 8 pm instead of the original end time of 11:00 pm. Meghan returned to MRI when the imaging was complete to talk with O and see how she was feeling. When O told her that she was in a lot of pain, Meghan brought her back to the ED and checked her in to begin assessment and start the sickle cell pain pathway. During this entire process, Meghan kept the Voorhees hematology staff updated via secure chat. She spent time speaking with O about her pain and anxiety. She offered advice as O felt comfortable expressing her fears and concerns about her upcoming gene therapy, time missed at school, and sadness surrounding lost experiences during her senior year of high school due to her illness, hospitalizations, and need to prepare for gene therapy. In the end, O was admitted for pain control, but she made an impact on this ED nurse's life, changing her feelings about sickle cell disease. And at the same time, O was touched by the thoughtfulness and caring of Meghan. Meghan said goodbye at the end of her shift, gave O a hug, wished her good luck, and O said, "Thank you for all that you did for me tonight, I really needed your help". In our team's opinion, this nurse went above and beyond the call of duty, made a difference in the life of a patient as well as her own, and truly deserves recognition for her work.