I have had the privilege of working with Karen for many years, always thankful to have a coworker who is committed to her job, her patients, and those who work alongside her. Recently, I have watched her flourish in her new role as one of the facility's admission/discharge RNs. Karen always takes her responsibilities seriously, advocates for patients and families regarding anticipated needs, and, in doing so, ensures the safest possible discharges with patients fully set up for success. Karen always meets challenges with solutions and answers for patients and families who may be nervous about the transition home with new diagnoses and conditions. On this particular day, however, I witnessed Karen advocate for a patient as I had never seen before. There was a patient here who had a chronic, progressive condition that had recently exhibited some signs of deterioration in his disease process. The patient saw a specialist at the hospital, who prescribed medications that seemed to help, and the doctors felt the patient was ready for discharge. As with any patient who leaves our facility, medications were sent to the pharmacy, and follow-up appointments were scheduled. In this case, the patient's follow-up appointment with the specialist was months away. The patient would be running out of medications well before the follow-up appointment, and these medications are vital for keeping the patient's symptoms at bay. Because the patient did not have an appointment, the family was concerned about the patient's safety and expressed their fears, leading them to delay the discharge. The following day, Karen spent many hours collaborating with the primary RN and the attending hospital physician to get the patient an appointment with a specialist who can manage his symptoms until he can get in to the proper appointment. An appointment was scheduled, and then the office called the patient's wife to cancel it, stating that it was not the right office to manage care and that the patient should keep the appointment that was much further out. Karen escalated her concerns to ensure the patient received exactly what he needed to make a safe transition home with his family. Because Karen tirelessly worked, advocated, and escalated concerns, the patient received what he needed and was safely discharged to his home, with his family at ease because they had the resources they needed for him.