Birtena has been nominated by a new graduate nurse colleague for exceptional clinical skill, steady leadership, and profound impact on patients and colleagues. The new graduate was administering his first long-acting injection and felt nervous. Birtena stood beside the nurse throughout the entire process, offering quiet guidance as needed. Birtena was also recognized for providing quick assessments of patients' needs and for guiding the team thoughtfully, with a therapeutic response to patients rather than a reactive one. Birtena's interventions promote safety, de-escalation, and comfort to the patients. She creates a psychologically safe environment where staff and patients feel comfortable asking questions, expressing uncertainty, and learning.