Alexandra was a nurse who looked after Frank Clayton when he was in the Intensive Care Unit at Hotten General Hospital in August 2016. When Vanessa Woodfield overheard Tracy Shankley on the phone to Alex, she assumed Tracy was cheating on her fiancé David Metcalfe. Later Vanessa found Tracy at her barely conscious father Frank's hospital bedside, where Alexandra stopped them from fighting. Vanessa and Tracy were both shocked to discover they shared a father, thus making them half-sisters. When Alexandra checked Frank over, Frank called the nurse Alex.
Despite her name being revealed, Alexandra was credited as 'ICU Nurse'