This vignette explores a communication challenge that arises during the care of a critically ill neonate requiring a lumbar puncture. The learner is provided with an opportunity to observe and reflect on interprofessional conflict and the skills needed to navigate it. They are then presented with a model response to guide future encounters. The case emphasizes the importance of validating team members’ concerns, maintaining professionalism, and redirecting focus toward shared goals. Learners will also gain strategies to de-escalate emotionally charged situations and preserve teamwork in high-stakes environments. Ultimately, this scenario highlights that delivering high-quality emergency care requires more than clinical knowledge—it also demands emotional intelligence and leadership under pressure.