CPT Hamel demonstrated excellence in clinical knowledge and decision making while caring for an intubated patient on 3N Combined Intensive Care Unit. Despite the initial x-ray showing an in place ET tube, CPT Hamel persisted in conveying his concern for the ET tube being displaced. Following further re-evaluation by the ICU team, the ET tube was reinserted. CPT Hamel’s clinical expertise, rapid action and persistence in “something” not being right with his patient resulted in a positive outcome. CPT Hamel’s efforts are an example of the overall competency, caring, compassion and responsiveness displayed to SAMMC/BAMC patients every day. CPT Hamel truly represents that “extraordinary nurse” worthy of the DAISY award.