Devoted to EMS for almost 30 years, Nikki has fulfilled many roles as a paramedic, including Advanced Care Paramedic, District Chief of Paramedic Operations, 911 Communication Supervisor and Quality and Patient Safety Officer. Nikki has a passion for patient-centered quality improvement of systems and has advocated for policy advances in the areas of opioid overdose, patient safety, and team communication. Nikki has dedicated countless hours to improve the quality and safety of patients with non-transport dispositions, (especially elderly and at-risk persons) and to improve the care for patients experiencing Acute Coronary Syndromes (with particular focus on gender disparities in care). Nikki has devoted many hours sharing her knowledge and expertise in the paramedic community and to allied professionals in effort to move the profession forward. Nikki has also contributed through committee work by way of the Paramedic Chiefs of Canada and the Manitoba Chapter of the Canadian Women’s Heart Health Alliance. In the area of Quality Improvement and paramedic education, Nikki is in her sixth year as faculty of the National Association of EMS Physicians (NAEMSP) Quality & Safety Year-Long capstone course and preconference workshop. Her dedication to furthering the educational mission of the organization and skill in teaching patient safety and improvement science to paramedic professionals and EMS physicians was duly recognized when she was named co-director.