Decision making is a routine daily process for nurses; some of these decisions are easy and require little or no thought, but others are more difficult and complex and require skill and experience to generate the correct decision. “Decision making may or may not involve a problem, but it always involves the selection of one of several alternatives, each of which may be appropriate in certain circumstances” (Sullivan, 2013, p. 103). Many studies have examined various decision-making styles and attempted to determine the best style for each situation. While there is no absolute answer, many of these studies have incorporated critical thinking into the mix. Indeed, according to Sullivan (2013), “nurses supervised by managers with higher critical thinking skills perceived their work environment as more positive than those whose managers had lower scores in terms of critical thinking skills” (p. 100 ). With my experience in critical care and invasive cardiology, I have encountered ample opportunities to incorporate my decision-making skills. However, it wasn't until two and a half years ago, when I was assigned the role of clinical cardiology supervisor, that I made one of the most important decisions of my career to date. With this new role, I would be faced with a plethora of decisions and was a little overwhelmed by this challenge, but I knew that formulating appropriate decisions was critical to establishing trust with my newly acquired staff. One of the most difficult nursing decisions I have had to make in the last 2 years was combining the non-invasive cardiology department with the cardiovascular maintenance unit. I was responsible for analyzing the situation in order to make a fully informed and safe decision, for...... half of the article ......cardiovascular technology and support. ReferencesButterworth, C. (2013). Lead the way. Occupational Health, 65(11), 22-24.Gillespi, M., & Peterson, B. (2009). Helping novice nurses make effective clinical decisions: The situated clinical decision framework. Nursing Education Perspectives, 30(3), 164-170. Portoghese, I., Galletta, M., Battistelli, A., Saiani, L., Penna, M., & Allegrini, E. (2012). Change-related expectations and commitment to change among nurses: the role of leadership and communication. Journal Of Nursing Management, 20(5), 582-591.Stubbings, L., Chaboyer, W., & McMurray, A. (2012). Nurses' use of situation awareness in decision making: An integrative review. Journal Of Advanced Nursing, 68(7), 1443-1453.Sullivan, E. (2013). Effective leadership and management in nursing (8th ed.). Upper Saddle River, NJ: Prentice-Hall.