The shift started out for Nicole Castellano as it normally does- very busy on the mid-shift. It was around 7:30 pm when Henderson Fire Department brought in a patient who was reported to be somewhat mentally impaired and confused. This patient was found at Kohl's department store wondering and shopping for about 6 hours before Henderson fire was called to assist. When the patient was brought in Nicole was assigned as her nurse. Nicole immediately was concerned after assessing the patient and discovering she was making incoherent statements and did not seem to know where she was. After discussing her concerns with the ED physician, Nicole attempted to find any identification that would lead to her residence or family who could help. Nicole attempted to contact the number on file in her chart but it was out of service. She then tried to search the internet for any contact information with no luck, all the while wondering how the patient was able to get to Kohl's and who was responsible for her. The patient was medically cleared after her work up so Nicole decided to reach out to her sister who just happens to be a Henderson police officer. Nicole's sister was just finishing up a report when Nicole reached out to her for help. After explaining she was very concerned the patient may be a missing person her sister was able to run the patient's name through the system and found she truly was a missing person! Nicole's intuition and experience as an ED nurse allowed her to identify this at-risk patient. If it wasn't for Nicole taking the extra time to identify the facts not adding up in this case, who knows what would have happened to this patient. Henderson police was able to contact the parents of the patient on their way home from California and arrange the patient's safe pick up and return to her home the next day. The compassionate and caring behavior shown to this patient is how Nicole treats all of her patients each and every time.