A patient was seen in our department and due to his blood pressure being low and him not breathing very well, Tiffanie told him to be seen in the Clinic or Emergency Department right away. The patient went to the clinic and they were full, so he checked into the ED. He was transferred via ambulance to Springfield and admitted. He had 2- 90% blockages in his heart. If it had not been for Tiffanie's quick actions, there is a possibility that the patient would no longer be with us. The patient had surgery to stent the areas and is doing much better. Tiffanie really takes good care of her patients and watches out for them. She is always going above and beyond.