Kiana Vance is a nurse we all should model; She called a Brain Attack on a patient in her care, G, who had only been her patient for a short time.  She saw a change in his condition and felt it should be addressed.  I responded as a nurse from the ICU, even though she got some push back as to why she called this, she stood her ground and advocated for her patient, who, although he was ok when the hospitalist saw him, was now not.  She spoke clearly and concisely, giving the facts and changes in the patient's condition. Maintaining professionalism the entire time, the physicians were questioning what she saw.  Although they made her doubt herself, she never backed down and stood strong for her patient.  
 
While transporting her patient to a CT scan, her patient arrested right outside the Emergency Department doors.  She had the hindsight to open the ER door and yell for help.  She then took the patient into the ER trauma where Dr Zimmerman and the ER staff jumped and began coding the patient. A Rapid Response was called because the patient was an inpatient.  They intubated the patient and continued to stabilize him; she stayed present the entire time, giving information to the ER physician and staff so that they could care for him.  When I arrived at the rapid response, she was in the room with the patient, never leaving his side, assisting the staff in his care.  
 
I feel what I saw her do and the care she gave is the epitome of what the DAISY Award is about.  She could have allowed herself to be swayed, but didn't, and never left the patient, advocating the entire time.  The patient was transported to the ICU, where we assumed care for the patient. Her report was thorough. She made sure all the meds for the patient came with him, and she stayed with the patient's wife, explaining why she could not get back in the ICU at this moment, just so she could have a face that she knew.  When we could get the patient's wife back, she brought her and introduced her to the staff, making a smooth transition of care.