1 00:00:00,040 --> 00:00:03,480 Picmonic is a quick and effective aid to help you pass 2 00:00:03,480 --> 00:00:07,200 your NP boards. They utilize 2 minute videos 3 00:00:07,400 --> 00:00:09,960 that connect difficult to remember facts with 4 00:00:10,200 --> 00:00:13,880 unforgettable characters. By tying facts together into 5 00:00:13,880 --> 00:00:17,960 ridiculously memorable stories, you'll be able to retain the 6 00:00:17,960 --> 00:00:21,680 information for testing. They help reinforce what you 7 00:00:21,680 --> 00:00:25,800 learn and track your progress with thousands of built in rapid 8 00:00:25,800 --> 00:00:30,480 review multiple choice quizzes. The use of the intelligent space 9 00:00:30,480 --> 00:00:33,920 repetition algorithms automatically adjust to your 10 00:00:33,920 --> 00:00:37,200 learning needs so you'll be reminded to review the right 11 00:00:37,200 --> 00:00:41,360 information at the right time, increasing long term retention. 12 00:00:41,880 --> 00:00:46,480 Picmonic is also integrated into the true learned question Bay so 13 00:00:46,480 --> 00:00:49,680 you can study exactly what you need and test your knowledge. 14 00:00:50,080 --> 00:00:53,400 Check them out today if you're preparing for board link in the 15 00:00:53,400 --> 00:00:57,920 show notes and all nurse practitioners and MP students. 16 00:00:57,960 --> 00:01:00,320 Are you tired of feeling the disconnect between clinical 17 00:01:00,320 --> 00:01:04,879 rotations and didactic teaching? Say hello to success in PS 18 00:01:04,959 --> 00:01:08,720 Clinical Booklet guides. As NPS ourselves, we know how 19 00:01:08,720 --> 00:01:11,040 valuable it is to have a resource that helps bridge the 20 00:01:11,040 --> 00:01:14,600 gap between clinical and class, So we created the digital 21 00:01:14,600 --> 00:01:18,320 resource to do just that. Our clinical booklets cover five 22 00:01:18,320 --> 00:01:22,840 major NP tracks. Psych, adult, kids, family and 23 00:01:22,840 --> 00:01:25,640 Women's Health. Success NPS wants to create 24 00:01:25,640 --> 00:01:28,280 tools and provide support. NPS need to thrive in their 25 00:01:28,280 --> 00:01:30,280 careers. So why wait? 26 00:01:30,320 --> 00:01:34,080 Check out our Success NP Etsy shop, LinkedIn, the show notes 27 00:01:34,240 --> 00:01:38,000 for our digital guides and other digital clinical resources. 28 00:01:39,360 --> 00:01:43,840 Hi Success NP, your host here Sandra, and today I am joined by 29 00:01:43,840 --> 00:01:47,240 Tina Vasant. She is a registered nurse with a 30 00:01:47,240 --> 00:01:51,440 BSN from Lincoln, Lincoln Memorial University and an MSN 31 00:01:51,440 --> 00:01:55,640 in acute care coordination. She has experience in both 32 00:01:55,640 --> 00:01:58,960 progressive and cardiovascular intensive care units and she's 33 00:01:58,960 --> 00:02:01,600 currently working with an insurance company working with 34 00:02:01,600 --> 00:02:05,000 chart review and occasionally works as a transfer coordinator 35 00:02:05,000 --> 00:02:08,160 nurse on the side. I don't know how she has time 36 00:02:08,160 --> 00:02:11,160 for all these things. He's also the host of the 37 00:02:11,160 --> 00:02:14,680 podcast Good Nurse, Bad Nurse, which explores the realities of 38 00:02:14,680 --> 00:02:17,400 nursing through compelling stories and discussions. 39 00:02:17,640 --> 00:02:20,400 The podcast covers both the positive and the negative 40 00:02:20,400 --> 00:02:23,880 aspects of nursing using real life scenarios and sometimes 41 00:02:23,880 --> 00:02:27,680 involves true crime. Da, da, da to illustrate these 42 00:02:27,720 --> 00:02:30,280 points. Welcome to the podcast, Tina. 43 00:02:30,280 --> 00:02:33,600 We're so happy to have you on. Let's get started on kind of 44 00:02:33,600 --> 00:02:36,600 what you're into these days. The good nurse, bad nurse. 45 00:02:36,840 --> 00:02:39,280 You're blending the true crime with the nursing ethics. 46 00:02:40,080 --> 00:02:43,920 What inspired you to start this podcast and how has it been 47 00:02:43,920 --> 00:02:44,800 evolving over time? Well. 48 00:02:46,200 --> 00:02:48,800 So way back then, it feels like forever ago. 49 00:02:48,800 --> 00:02:53,240 It was 2018. I had been a nurse for about 3 50 00:02:53,240 --> 00:02:58,440 years at a time. I remember I had reached a point 51 00:02:58,680 --> 00:03:02,120 that I was feeling very confident in my nursing and I 52 00:03:02,120 --> 00:03:05,960 had turned a corner where I was actually enjoying nursing. 53 00:03:05,960 --> 00:03:09,240 I remember just kind of having this epiphany moment just like, 54 00:03:09,840 --> 00:03:14,320 well, because when I first started, I was horrified. 55 00:03:14,320 --> 00:03:16,040 I was just like, what have I done to myself? 56 00:03:16,040 --> 00:03:20,120 I put myself through this awful, terrifying experience that 57 00:03:20,120 --> 00:03:24,640 called nursing school. And now I just, I really wasn't 58 00:03:24,640 --> 00:03:27,800 sure it was what I wanted to do. I wasn't sure if I liked it. 59 00:03:28,000 --> 00:03:30,280 I didn't know if I was any good at it. 60 00:03:30,720 --> 00:03:33,400 Were you in the ICU or you were just like Med surg? 61 00:03:33,480 --> 00:03:37,080 I started out on PCU. I actually started out on a step 62 00:03:37,080 --> 00:03:39,280 down, cardiac step down floor and I was only there for a 63 00:03:39,280 --> 00:03:42,120 couple months. Just not good there. 64 00:03:42,120 --> 00:03:46,520 And then I transferred to a level 1 trauma trauma center on 65 00:03:46,520 --> 00:03:49,640 their PCU, still quite overwhelming. 66 00:03:49,640 --> 00:03:53,200 And I just felt overwhelmed for probably about, I would say 67 00:03:53,200 --> 00:03:57,880 about a year and then a year, maybe two years in, about a year 68 00:03:57,880 --> 00:04:01,880 later, I was feeling OK. And then probably two to three 69 00:04:01,880 --> 00:04:04,600 years in was when I really started to feel like I'm 70 00:04:04,920 --> 00:04:06,040 actually enjoying this. It did. 71 00:04:06,040 --> 00:04:07,400 I didn't. It's not like it happened 72 00:04:07,400 --> 00:04:09,440 overnight. I just I realized it one day. 73 00:04:09,440 --> 00:04:11,640 I was looking forward to going to work as opposed. 74 00:04:12,040 --> 00:04:14,280 To. Dreading it with like crying, 75 00:04:14,280 --> 00:04:18,519 I'm at my home or like thinking about everything you did, you 76 00:04:18,839 --> 00:04:20,480 know, did I do everything correctly? 77 00:04:20,480 --> 00:04:22,600 Did I, you know, do something to hurt someone? 78 00:04:22,600 --> 00:04:26,400 Did I miss something? And it was just all of that 79 00:04:26,400 --> 00:04:28,880 stuff, that self doubt that creeps in, that imposter 80 00:04:28,920 --> 00:04:32,560 imposter syndrome that everyone goes, goes through or seems to 81 00:04:32,560 --> 00:04:35,760 go through. And so when I, I discovered 82 00:04:35,760 --> 00:04:38,840 podcasting, I was listening to a lot of podcasts and I thought I 83 00:04:38,840 --> 00:04:41,520 would love to have a place to just like talk about my 84 00:04:41,520 --> 00:04:47,360 experience and, and let other people know that when you feel 85 00:04:47,360 --> 00:04:49,760 that way at the beginning, that's OK. 86 00:04:49,760 --> 00:04:53,120 You, you can, you can feel that way and you will get through it. 87 00:04:53,200 --> 00:04:55,240 You will get through that time. It's different for everyone. 88 00:04:55,400 --> 00:04:57,800 Not everyone feels that way. There are people I know that 89 00:04:57,800 --> 00:05:01,160 just are very confident in themselves and for whatever 90 00:05:01,160 --> 00:05:02,840 reason they don't experience that. 91 00:05:02,960 --> 00:05:04,720 That's OK too. I think the vast majority of 92 00:05:04,720 --> 00:05:08,600 people go through it though and and have that period of time. 93 00:05:09,120 --> 00:05:12,440 That's probably different for everyone where you feel so 94 00:05:12,440 --> 00:05:14,760 unsure of yourself. And I wanted to just talk about 95 00:05:14,760 --> 00:05:16,120 it. And and I found that when I, 96 00:05:16,120 --> 00:05:18,840 when I did start it, that's I started hearing from people 97 00:05:19,200 --> 00:05:22,400 saying things like, Oh, thank you so much for talking about 98 00:05:22,400 --> 00:05:23,680 this. This makes me feel so good. 99 00:05:23,680 --> 00:05:25,720 I'm a new nurse and I'm, I'm scared to death. 100 00:05:25,720 --> 00:05:28,200 And I thought it was the only one that felt this way. 101 00:05:28,200 --> 00:05:30,560 And I'm just like, oh, OK, that's why I did this. 102 00:05:30,560 --> 00:05:31,040 This is. Good. 103 00:05:31,040 --> 00:05:33,520 Yeah, Yeah, this is this is the purpose. 104 00:05:33,840 --> 00:05:38,120 And so you start off kind of talking about your experience 105 00:05:38,120 --> 00:05:42,080 and then you change it to this true crime. 106 00:05:42,080 --> 00:05:46,720 Let's breakdown what's happening with the good and the bad in 107 00:05:46,720 --> 00:05:49,880 nursing and, and, and talking and creating stories around 108 00:05:49,880 --> 00:05:51,520 this. When did that kind of start? 109 00:05:51,520 --> 00:05:54,040 And then how did you really start to kind of grow momentum 110 00:05:54,040 --> 00:05:55,400 with that? Because that is, that's a 111 00:05:55,400 --> 00:05:56,760 different beast in and of itself. 112 00:05:57,160 --> 00:05:59,360 It really is. And when I first started, I 113 00:05:59,360 --> 00:06:01,760 actually started doing that from the beginning. 114 00:06:01,760 --> 00:06:06,280 I did, I I sat down and thought about the what I wanted to talk 115 00:06:06,280 --> 00:06:08,560 about. I at the time I liked listening 116 00:06:08,560 --> 00:06:11,680 to true crime podcast. I kind of have grown out of that 117 00:06:11,680 --> 00:06:15,680 now at this point for my, my just as a personal preference. 118 00:06:16,400 --> 00:06:19,800 But at the time I was listening to a lot of true crime podcasts. 119 00:06:19,800 --> 00:06:22,200 I think I realized it was kind of like causing some mental 120 00:06:22,200 --> 00:06:24,960 health issues for myself. And I realized that's probably 121 00:06:24,960 --> 00:06:27,760 not the smartest thing you start, yeah, you have to be 122 00:06:27,760 --> 00:06:30,840 listening to that stuff all the time, but back away from that. 123 00:06:30,880 --> 00:06:34,360 But because of the time I was, I wanted a way to, could I 124 00:06:34,360 --> 00:06:38,080 incorporate this somehow like nursing, you know, there? 125 00:06:38,360 --> 00:06:42,080 And I start looking at, you know, these stories online and 126 00:06:42,080 --> 00:06:44,720 realized, wow, there are actually a lot of stories out 127 00:06:44,720 --> 00:06:48,160 there about not just nurses, but other health professionals too. 128 00:06:48,200 --> 00:06:50,960 You know, there are bad people out there and they get into 129 00:06:50,960 --> 00:06:53,240 healthcare, unfortunately. So I was just like, you know, 130 00:06:53,440 --> 00:06:57,600 this could not, this could be a good thing to use these stories 131 00:06:57,600 --> 00:07:00,400 as a way to highlight the good and the bad and. 132 00:07:01,200 --> 00:07:04,480 Educate. Educate people about the the 133 00:07:04,520 --> 00:07:07,480 types of people who you could be working right alongside in a 134 00:07:07,480 --> 00:07:09,320 hospital. The importance of advocating for 135 00:07:09,320 --> 00:07:11,640 all patients on your floor, not just yours. 136 00:07:11,640 --> 00:07:15,480 The ones that you're assigned for because you see someone, a 137 00:07:15,480 --> 00:07:18,800 colleague or Co worker doing something that is questionable 138 00:07:19,160 --> 00:07:21,840 importance of sticking up and advocating for all of those 139 00:07:21,840 --> 00:07:23,560 people. Those are human beings at the 140 00:07:23,560 --> 00:07:25,560 end of the day. You know, they're, they're not 141 00:07:25,560 --> 00:07:27,360 just like, oh, it's not my patient, not my problem. 142 00:07:27,360 --> 00:07:29,360 No, it's, it's, it's a human being. 143 00:07:29,360 --> 00:07:32,200 It is your problem if you suspect something is going on. 144 00:07:32,560 --> 00:07:35,760 And I was like, wow, I could definitely use this to advocate 145 00:07:35,760 --> 00:07:37,840 people. Yeah, because when I was 146 00:07:37,840 --> 00:07:41,520 listening to your podcast, I was finding that from the patient 147 00:07:41,520 --> 00:07:44,760 perspective too. I was kind of thinking like 148 00:07:45,080 --> 00:07:47,480 patients need to know that you've got these people in here 149 00:07:47,480 --> 00:07:50,320 because you'll be feeling a certain way and you won't be 150 00:07:50,320 --> 00:07:55,200 validated because the system won't really like let you 151 00:07:55,200 --> 00:07:56,720 believe like, no, this can't be going on. 152 00:07:56,720 --> 00:07:58,880 No, this, there's no way. And then you start to realize 153 00:07:58,880 --> 00:08:01,640 like then one episode with one of the Pas that came on and he 154 00:08:01,640 --> 00:08:04,440 was talking about like providers and how they have this authority 155 00:08:04,440 --> 00:08:07,240 over you and how you think they always have your best interest 156 00:08:07,240 --> 00:08:10,200 and you they must. And most of us do, right? 157 00:08:10,200 --> 00:08:13,240 It's the, the rare zebra that doesn't. 158 00:08:13,240 --> 00:08:16,480 But when you encounter a zebra, you need to know like, Oh no, 159 00:08:16,560 --> 00:08:18,600 no, this is not a normal situation. 160 00:08:18,600 --> 00:08:21,040 And I just thought it was very informational from so many 161 00:08:21,040 --> 00:08:24,320 different perspectives, not just from the nurse perspective or 162 00:08:24,320 --> 00:08:26,800 even during that episode, the provider that you had on that 163 00:08:26,800 --> 00:08:30,360 was kind of describing that his perspective on the stories that 164 00:08:30,360 --> 00:08:34,280 you guys were sharing about providers that were abusing 165 00:08:34,280 --> 00:08:37,039 their authority and hurting people for money. 166 00:08:37,039 --> 00:08:39,600 When the guy had like a Lamborghini or some Maserati or 167 00:08:39,600 --> 00:08:41,200 something like that. And it was just kind of like, 168 00:08:41,200 --> 00:08:43,799 what is going on? You know, that's so scary. 169 00:08:43,799 --> 00:08:46,960 You don't think it's happening. And until you hear it happening, 170 00:08:47,000 --> 00:08:49,920 how is your perspective on the profession change through the 171 00:08:49,920 --> 00:08:52,600 stories that you've been sharing and you research for the show? 172 00:08:52,600 --> 00:08:55,480 Because I feel like it'd be kind of hard, kind of like what you 173 00:08:55,480 --> 00:08:57,360 said, I'm listening to this stuff all the time. 174 00:08:57,360 --> 00:08:59,840 Like it kind of is super dark for your soul. 175 00:09:00,040 --> 00:09:02,320 Was it hard to keep perspective? And maybe that's what led you 176 00:09:02,320 --> 00:09:04,680 away from the bedside? And I that maybe to ask that 177 00:09:04,680 --> 00:09:08,040 question like where, where has this taken you in your own 178 00:09:08,200 --> 00:09:10,840 journey with nursing through this side of storytelling? 179 00:09:11,040 --> 00:09:13,840 Well, fortunately I did, you know, I am a end on a good note 180 00:09:13,840 --> 00:09:17,520 kind of person anyway, I do like to keep things positive, even 181 00:09:17,520 --> 00:09:21,840 though I I'm also a realist, so I want to keep things real. 182 00:09:22,400 --> 00:09:25,600 So I do balance it out with a good nurse story. 183 00:09:25,600 --> 00:09:28,840 So for every horrible story that I read about or talk about, 184 00:09:29,200 --> 00:09:31,120 there's always a good one to end in on. 185 00:09:31,200 --> 00:09:35,000 And so you those are endless. And the good thing is when I do 186 00:09:35,000 --> 00:09:40,040 the research, looking for these stories, the good, the quote, 187 00:09:40,040 --> 00:09:42,720 good nurse stories are the stories about, you know, people 188 00:09:42,720 --> 00:09:46,720 doing amazing things out there helping people sometimes just 189 00:09:46,720 --> 00:09:49,960 like great, you know, nurses or healthcare professionals living 190 00:09:49,960 --> 00:09:53,280 their life and out in the world. And then something happens or 191 00:09:53,280 --> 00:09:56,400 sometimes things that they do while they're at work, sometimes 192 00:09:56,400 --> 00:10:02,320 creating entire jobs that that in order to advocate for, for 193 00:10:02,480 --> 00:10:06,200 cause or, or a certain group of people, just so many things. 194 00:10:06,320 --> 00:10:09,480 Those are just endless and they're ongoing all the time. 195 00:10:09,800 --> 00:10:13,440 And so these other stories, while yes, there are a lot of 196 00:10:13,440 --> 00:10:16,280 them, many of them because I've been doing this since 2018 and 197 00:10:16,280 --> 00:10:18,640 unfortunately, nobody, these people are not apparently 198 00:10:18,640 --> 00:10:21,440 listening to me because I keep telling them you're going to get 199 00:10:21,440 --> 00:10:22,960 caught if you do this stuff there. 200 00:10:23,080 --> 00:10:27,640 Those are out there and they are ongoing as well, but they're far 201 00:10:27,640 --> 00:10:30,680 outnumbered by all of the amazing, wonderful things. 202 00:10:30,680 --> 00:10:34,480 So I think that's helped keep my perspective in the right place 203 00:10:34,480 --> 00:10:40,520 as far as just the the the quality of the people in 204 00:10:40,520 --> 00:10:42,680 healthcare. I do think the vast majority of 205 00:10:42,680 --> 00:10:45,640 people that go into healthcare do it for the right reasons and 206 00:10:45,640 --> 00:10:48,600 are there to help and navigate for for people. 207 00:10:49,120 --> 00:10:51,160 Yeah. And I think too, what you're, 208 00:10:51,520 --> 00:10:54,640 what you're echoing and you're kind of confirming is that 209 00:10:54,640 --> 00:10:57,120 there's a reason why nursing is the most trusted profession, 210 00:10:57,120 --> 00:10:58,800 right? Like we're in the most trusted 211 00:10:58,800 --> 00:11:02,960 profession in, you know, when they compare US against anyone 212 00:11:02,960 --> 00:11:06,240 we just beat out, right? Like you trust your nurse and 213 00:11:06,240 --> 00:11:09,320 it's, they're going to be hundreds and thousands of more 214 00:11:09,320 --> 00:11:11,320 stories of a nurse looking out for you than a nurse taking 215 00:11:11,320 --> 00:11:13,560 advantage of you. So I think that's a really great 216 00:11:13,560 --> 00:11:15,320 perspective because that's the truth, right? 217 00:11:15,320 --> 00:11:16,560 Just like you're saying I'm a realist. 218 00:11:16,720 --> 00:11:20,400 The truth is the stories that you describe are very, very, 219 00:11:20,520 --> 00:11:24,440 very rare, but that we need to, you know, it's still interesting 220 00:11:24,440 --> 00:11:28,160 to talk about, dissect, even keep our eye out awareness for 221 00:11:28,160 --> 00:11:31,120 when we're in practice, even as nurse practitioners, you know, 222 00:11:31,640 --> 00:11:34,560 we do see people and I've, I've seen it in my practice that you 223 00:11:34,560 --> 00:11:36,360 just think like, how did he do that? 224 00:11:36,360 --> 00:11:39,720 Why did that doctor just, you know, make that call? 225 00:11:39,720 --> 00:11:41,480 That was not the right call. That's not the call the other 226 00:11:41,480 --> 00:11:44,360 doctors would have made. And you just wonder, like, where 227 00:11:44,360 --> 00:11:46,320 is this doctor at? What is he trying to do? 228 00:11:46,320 --> 00:11:48,520 And I think when you work in a private setting, that's 229 00:11:48,520 --> 00:11:51,600 different than, you know, a hospital setting because it's 230 00:11:51,600 --> 00:11:54,280 not as money driven as when you're trying to like generate 231 00:11:54,280 --> 00:11:55,840 your own revenue with a private practice. 232 00:11:55,840 --> 00:11:58,400 But it's definitely something to think about. 233 00:11:58,400 --> 00:12:01,160 So one of the things I kind of want to shift to is a kind of a 234 00:12:01,160 --> 00:12:03,360 nurse practitioner focus, right? Because that's what our podcast 235 00:12:03,360 --> 00:12:06,560 here is mostly about. How do you find that the 236 00:12:06,920 --> 00:12:12,280 portrayal of nurses and MPs in the media affect, especially in 237 00:12:12,280 --> 00:12:14,680 regards to true crime, affect public's perception? 238 00:12:14,960 --> 00:12:19,400 So like we said, most trusted profession, but do you feel like 239 00:12:19,400 --> 00:12:20,920 there's a shift or a change at all? 240 00:12:21,840 --> 00:12:25,840 Well, I think that, you know, media in general is just more 241 00:12:25,840 --> 00:12:28,520 accessible. Obviously these days, just this 242 00:12:28,520 --> 00:12:31,160 past what, 10 years or so, there's just, it's everywhere. 243 00:12:31,160 --> 00:12:34,680 And so that's affected lots of areas of our lives. 244 00:12:34,960 --> 00:12:37,760 Nursing is no different. I think it's just shown a light 245 00:12:37,800 --> 00:12:40,600 on things that are the reality of what goes on. 246 00:12:40,600 --> 00:12:42,600 And that's not a bad thing. I don't think that's a bad 247 00:12:42,600 --> 00:12:44,720 thing. I do think that there, you know, 248 00:12:44,720 --> 00:12:48,760 there's some media that can it can be frustrating for us as 249 00:12:49,080 --> 00:12:51,600 nurses and nurse practitioners both because there are 250 00:12:51,600 --> 00:12:55,200 stereotypes that play into the way we're treated when we're 251 00:12:55,200 --> 00:12:57,920 working or, you know, we're doing our jobs, that we are 252 00:12:57,920 --> 00:13:01,680 somehow the handmaidens for positions or that, you know, 253 00:13:01,680 --> 00:13:05,240 we're supposed to be, you know, we're seen as sex objects. 254 00:13:05,240 --> 00:13:08,320 You know, while we're doing our job, we're in our our workplace 255 00:13:08,760 --> 00:13:10,800 and we're trying to do our job taking care of people. 256 00:13:10,800 --> 00:13:14,520 And we're, you know, you walk into a room and the even family 257 00:13:14,520 --> 00:13:17,440 members sometimes they, and I know they probably mean well, 258 00:13:17,440 --> 00:13:20,640 that saying things like, Oh, you have a pretty nurse or, you 259 00:13:20,640 --> 00:13:23,200 know, just little making little hot on for that. 260 00:13:23,720 --> 00:13:26,480 And you just want to just be like, you know, you can't just 261 00:13:26,480 --> 00:13:28,680 stop and educate every single person every time they say 262 00:13:28,680 --> 00:13:30,680 something like that, because unfortunately it's pretty 263 00:13:30,680 --> 00:13:32,920 prevalent. And I do think media plays a 264 00:13:32,920 --> 00:13:36,640 role in that. I also think that media has done 265 00:13:36,640 --> 00:13:38,680 a pretty good job lately. I think it's gotten better. 266 00:13:38,680 --> 00:13:41,440 There are some, you know, cases of we were talking before the 267 00:13:41,440 --> 00:13:44,120 show Virgin River. I, when I started watching that, 268 00:13:44,120 --> 00:13:46,440 I did not even realize it was about a nurse practitioner. 269 00:13:46,720 --> 00:13:50,320 And I started watching it. And that one like first episode 270 00:13:50,320 --> 00:13:54,280 or so where the physician, she's she's supposed to to be coming 271 00:13:54,280 --> 00:13:56,080 to help in that physician's office. 272 00:13:56,520 --> 00:13:59,520 And there's this, you know, push back from the physician. 273 00:13:59,520 --> 00:14:03,040 It was just like, wait, what? Are you kidding me that I was so 274 00:14:03,040 --> 00:14:05,840 excited and I started, I just got hooked into that. 275 00:14:05,840 --> 00:14:09,200 I'm so happy that there was a show that was really showing 276 00:14:09,400 --> 00:14:13,240 what a nurse practitioner does, their role, the importance, the 277 00:14:13,240 --> 00:14:15,880 autonomy. Oh man, I loved that. 278 00:14:15,880 --> 00:14:18,920 I think Paul the midwife, Oh my goodness, that is show. 279 00:14:19,200 --> 00:14:21,840 Just an amazing show, Yes. No, it is. 280 00:14:21,840 --> 00:14:23,400 No, it's beautiful. It is beautiful. 281 00:14:23,880 --> 00:14:26,280 And it just shows what midwives do. 282 00:14:26,280 --> 00:14:32,240 It's again, the autonomy, the how, how much they advocate for 283 00:14:32,240 --> 00:14:36,080 their patients. Also, you know, Nurse Jackie and 284 00:14:36,080 --> 00:14:38,320 I know that's a little bit controversial with some people. 285 00:14:38,320 --> 00:14:41,480 I loved that show. I thought it was very raw and 286 00:14:41,640 --> 00:14:45,520 but it did show like the, you know, the action that goes on in 287 00:14:45,520 --> 00:14:48,600 an emergency department with the nurses and what they're doing 288 00:14:48,600 --> 00:14:50,840 and that things that they're doing hands on. 289 00:14:51,160 --> 00:14:53,800 Yeah, I agree to, you know, take care of patients. 290 00:14:54,120 --> 00:14:56,880 Scrubs a good one. Meet the parents. 291 00:14:56,880 --> 00:15:00,320 I love the movie Meet the Parents because it is a movie 292 00:15:00,320 --> 00:15:04,040 where he's a nurse. Ben Stiller characters a nurse. 293 00:15:04,040 --> 00:15:07,320 And I love that, you know, Robert De Niro, the dad of the 294 00:15:07,720 --> 00:15:12,000 of his fiance, just couldn't stand that he was that he was a 295 00:15:12,000 --> 00:15:13,280 nurse. Like why didn't you go to 296 00:15:13,280 --> 00:15:14,680 medical school? Fucker. 297 00:15:14,760 --> 00:15:16,840 Yeah, yeah, yeah, that. Conversation is amazing. 298 00:15:16,840 --> 00:15:20,240 That's amazing that such a popular movie had this 299 00:15:20,240 --> 00:15:24,200 conversation about and he said I didn't want to he even got into 300 00:15:24,320 --> 00:15:26,560 medical school. He, you know, did great on the 301 00:15:26,560 --> 00:15:30,320 MCAT and he and I can't. Remember host reasons he wanted 302 00:15:30,320 --> 00:15:31,600 to be. Because, you know, that's what I 303 00:15:31,640 --> 00:15:34,520 think people think you, you, you go into nursing because you 304 00:15:34,760 --> 00:15:38,800 didn't want to have to go, you know, spend 10 years in, in 305 00:15:38,800 --> 00:15:42,880 becoming a doctor. And no, nursing is a different 306 00:15:42,880 --> 00:15:46,040 profession. Even a nurse practitioner is 307 00:15:46,560 --> 00:15:50,640 it's diagnosing, it's prescribing, it's treating, but 308 00:15:51,040 --> 00:15:53,640 it's still a, it's the, it's a level of nursing. 309 00:15:53,640 --> 00:15:57,080 It's like the complete picture of nursing and. 310 00:15:57,240 --> 00:15:59,480 No, I love when they ask you as a nurse practitioner. 311 00:15:59,720 --> 00:16:00,960 Oh, so you're a nurse practitioner. 312 00:16:00,960 --> 00:16:03,000 Are you going to go to medical school at some point? 313 00:16:03,000 --> 00:16:04,320 It's like you're just like I did. 314 00:16:04,600 --> 00:16:07,040 No, no, no. This is this is where we where 315 00:16:07,040 --> 00:16:08,400 we stop. You haven't. 316 00:16:08,680 --> 00:16:11,200 I've completed you know my and I know there you know, there are 317 00:16:11,200 --> 00:16:13,400 doctorate programs and but. Yeah, yeah. 318 00:16:14,200 --> 00:16:15,360 Yeah. You're, you know, you're working 319 00:16:15,360 --> 00:16:16,760 at the highest level of your profession. 320 00:16:16,760 --> 00:16:21,760 And so it I I love seeing examples, you know, in the media 321 00:16:21,760 --> 00:16:24,560 where they're actually portraying it accurately. 322 00:16:24,560 --> 00:16:26,320 I love it. Yeah, no, I do too. 323 00:16:26,320 --> 00:16:27,440 There's. Plenty of shows. 324 00:16:27,440 --> 00:16:29,600 I mean, I could list the obvious Grey's Anatomy. 325 00:16:29,600 --> 00:16:32,520 I like, yeah, yeah, yeah. I just feel like, yeah, those 326 00:16:32,520 --> 00:16:35,480 are such melodramas that they're just, they take so away from the 327 00:16:35,520 --> 00:16:37,680 medicine part. Yeah, yeah, yeah, they're not 328 00:16:37,680 --> 00:16:39,840 yeah. But I felt like The Pit, I 329 00:16:39,840 --> 00:16:43,840 recently watched an episode of The Pit and it was pretty like 330 00:16:43,840 --> 00:16:47,800 raw and I felt like it was very accurate to like the roles of 331 00:16:48,160 --> 00:16:50,040 they don't really have nurse practitioners on there, which 332 00:16:51,360 --> 00:16:55,040 like, yeah, maybe they will. But I just kind of felt like I 333 00:16:55,040 --> 00:16:58,120 don't know the nurse and the physician like dynamic. 334 00:16:58,120 --> 00:17:01,280 When I worked in the ER, I felt like that was very accurately 335 00:17:01,280 --> 00:17:05,119 portrayed and the in the drama, the crime issues that are in 336 00:17:05,119 --> 00:17:06,800 that too. I mean, because some people come 337 00:17:06,800 --> 00:17:09,760 on drugs and there's ethical issues that they feel like we 338 00:17:09,760 --> 00:17:12,319 don't want to treat them or people that aren't vaccinated. 339 00:17:12,760 --> 00:17:16,000 Different concepts were so well portrayed, I thought, and very 340 00:17:16,000 --> 00:17:18,520 accurately portrayed the, you know, the frustrated provisions 341 00:17:18,520 --> 00:17:21,160 that healthcare providers have. I thought it was very good. 342 00:17:21,480 --> 00:17:25,079 So in your experience and the stories you've covered, what 343 00:17:25,079 --> 00:17:28,920 unique ethical dilemmas do NP's face that might differ from 344 00:17:28,920 --> 00:17:31,680 those of the RN from your experience that you've been able 345 00:17:31,680 --> 00:17:35,040 to pull up and go, yeah, this is a, this is a nurse practitioner 346 00:17:35,040 --> 00:17:37,720 solo issue that RN's really don't have. 347 00:17:37,880 --> 00:17:41,160 Well, obviously RN's do not prescribe medications. 348 00:17:41,160 --> 00:17:45,040 And one thing that I will tell you from, from doing the podcast 349 00:17:45,040 --> 00:17:49,400 is that nurse practitioners, any of you that are listening, I say 350 00:17:49,400 --> 00:17:52,840 this all the time on my podcast, you have got to be careful about 351 00:17:53,400 --> 00:17:56,560 prescribing controlled substances because you have a 352 00:17:56,560 --> 00:17:59,120 target on your back. And I've done stories about 353 00:17:59,160 --> 00:18:01,200 nurse practitioners who have done it intentionally. 354 00:18:01,200 --> 00:18:03,000 Unfortunately, those people exist. 355 00:18:03,000 --> 00:18:04,880 People are going to, you're going to always find people who 356 00:18:04,880 --> 00:18:07,080 are out to make a buck, you know. 357 00:18:07,080 --> 00:18:10,160 And so yes, they're working in pill mills or whatever you call 358 00:18:10,160 --> 00:18:12,720 them. But I've also done stories that 359 00:18:12,720 --> 00:18:14,800 will horrify you. Maybe the hairs on the back of 360 00:18:14,800 --> 00:18:17,240 your neck stand up. About one in particular I'm 361 00:18:17,240 --> 00:18:19,000 thinking of is a nurse practitioner who's working in a 362 00:18:19,160 --> 00:18:22,000 legitimate pain clinic that is trying to help people with 363 00:18:22,000 --> 00:18:25,160 chronic pain doing everything right. 364 00:18:25,360 --> 00:18:29,120 She was doing everything right and she they literally became 365 00:18:29,120 --> 00:18:34,480 barging in guns aimed ripped her documentation off the wall of 366 00:18:34,480 --> 00:18:37,120 her nurse practitioner license and everything and lives like 367 00:18:37,200 --> 00:18:41,400 you know get on the ground and she went through so much it 368 00:18:41,440 --> 00:18:42,800 took. I don't remember now the 369 00:18:42,800 --> 00:18:44,040 details. It's been a couple of years 370 00:18:44,280 --> 00:18:48,160 story, but went through so much to prove if it she did. 371 00:18:48,280 --> 00:18:51,400 She was able to prove that she did everything accurately. 372 00:18:51,400 --> 00:18:54,440 But when when the federal government gets their sights on 373 00:18:54,440 --> 00:18:59,680 you and you could you really get into a lot of trouble once they 374 00:19:00,040 --> 00:19:03,400 have their, once they are looking at you because they 375 00:19:03,400 --> 00:19:05,920 suspect that you are over prescribing medication. 376 00:19:06,320 --> 00:19:08,320 Yeah, they could get you in a lot of trouble. 377 00:19:08,320 --> 00:19:11,880 And even if you're doing everything right, you're going 378 00:19:11,880 --> 00:19:14,280 to have it's good. You're it's going to you're 379 00:19:14,280 --> 00:19:16,680 going to go through a lot to try to clear your name. 380 00:19:16,680 --> 00:19:19,080 And this person was able to do that. 381 00:19:19,600 --> 00:19:22,720 But, and I'm not trying to scare you at this, but the same time 382 00:19:23,200 --> 00:19:25,440 it's a reality. It is just a reality. 383 00:19:25,560 --> 00:19:28,080 So. You know what, and I'm just, I'm 384 00:19:28,080 --> 00:19:30,120 going to kind of stir the pot here because I think it's kind 385 00:19:30,120 --> 00:19:34,800 of interesting for nurse practitioners when we get that, 386 00:19:34,880 --> 00:19:38,320 you know, it's such a balance for us to get that prescribed 387 00:19:38,320 --> 00:19:43,280 substance, controlled substance, you know, legality approval. 388 00:19:43,280 --> 00:19:48,200 It's always a big state issue. Should we we give them a limited 389 00:19:48,200 --> 00:19:49,880 scope? I mean, all this everything, you 390 00:19:49,880 --> 00:19:52,360 know, what's fine? Very interesting physicians have 391 00:19:52,360 --> 00:19:56,000 were the ones prescribing this stuff the whole time creating 392 00:19:56,000 --> 00:19:59,560 the problem, right? Like I feel like doctors created 393 00:19:59,560 --> 00:20:02,520 the problem. Now there's a big hubbub about 394 00:20:02,520 --> 00:20:07,880 giving nurse practitioners the the access to these drugs. 395 00:20:08,040 --> 00:20:11,520 And what I find very interesting is they don't really acknowledge 396 00:20:11,520 --> 00:20:13,960 the fact that I'm like, we didn't have it. 397 00:20:14,320 --> 00:20:16,840 And y'all created the problem. Now you're worried about us 398 00:20:16,840 --> 00:20:20,400 getting access to these drugs. And by the way, I was a nurse on 399 00:20:20,400 --> 00:20:23,400 the floor and I saw what was happening with the narcotic 400 00:20:23,400 --> 00:20:25,120 thing. And it was very uncomfortable 401 00:20:25,120 --> 00:20:29,200 for me to administer these drugs as a nurse to patients that were 402 00:20:29,400 --> 00:20:33,600 completely not in pain, sitting on the phone talking. 403 00:20:33,800 --> 00:20:37,200 And I was told the pain is where the patient says it is. 404 00:20:37,200 --> 00:20:40,440 No matter what they say, you give the drugs, you don't ask 405 00:20:40,440 --> 00:20:42,280 any questions. And that was coming from the 406 00:20:42,280 --> 00:20:43,720 top, right. I don't know if you remember 407 00:20:43,720 --> 00:20:46,760 that, but I remember that as a baby nurse pain and I remember. 408 00:20:46,760 --> 00:20:48,160 Being vital sign or whatever they. 409 00:20:48,160 --> 00:20:51,160 Yes, it was the 5th vital sign. And if you're in pain, I had, I 410 00:20:51,160 --> 00:20:53,320 could not question and I would come out and just be like this 411 00:20:53,400 --> 00:20:55,480 guy's in there sleeping. He woke me up. 412 00:20:55,640 --> 00:20:58,760 He called me out of a dead sleep to come in and bring more pain 413 00:20:58,760 --> 00:21:01,440 medicine like that does not feel like good care. 414 00:21:01,520 --> 00:21:03,960 Like this is this is a psychosocial thing. 415 00:21:03,960 --> 00:21:06,160 There's something going on. It's like logically with this 416 00:21:06,160 --> 00:21:07,560 guy, he's depressed, whatever, whatever. 417 00:21:07,880 --> 00:21:11,200 And it wasn't that I didn't want to take care of the patient, 418 00:21:11,200 --> 00:21:13,480 that wasn't it. But I knew that something else 419 00:21:13,480 --> 00:21:15,840 was going on. And so I just find it very 420 00:21:15,840 --> 00:21:18,920 interesting that this is the hill that some people die on 421 00:21:18,920 --> 00:21:21,440 with nurse practitioners. And I'm like, we didn't cause a 422 00:21:21,440 --> 00:21:23,760 problem. Like in fact, most of us. 423 00:21:23,760 --> 00:21:27,200 And personally, I can speak for myself, I don't want access to 424 00:21:27,200 --> 00:21:29,920 controlled substances. So I could apply for a DEA with 425 00:21:29,920 --> 00:21:32,000 my current job. They're of course pushing me 426 00:21:32,000 --> 00:21:35,280 like please, please, please. And I actually refused because 427 00:21:35,280 --> 00:21:37,840 of of the ethical issues I saw as a nurse. 428 00:21:38,160 --> 00:21:41,520 I don't even want to have the the ability to prescribe them 429 00:21:41,520 --> 00:21:43,520 because I saw how much of a mess it was. 430 00:21:43,880 --> 00:21:47,720 And you know, you said something earlier about Nurse Jackie, but 431 00:21:48,320 --> 00:21:51,080 it from a true crime perspective, nurses do get 432 00:21:51,080 --> 00:21:54,560 addicted to these things like, and I like that they showed that 433 00:21:54,560 --> 00:21:58,800 aspect in that show because a lot of nurses do struggle with, 434 00:21:59,120 --> 00:22:02,840 you know, taking substances from patients. 435 00:22:02,880 --> 00:22:06,600 And I remember, you know, in the the Florida bylaws, like you're 436 00:22:06,600 --> 00:22:10,480 able to fail after trying to get off the drugs. 437 00:22:10,480 --> 00:22:12,360 They will still give you your license. 438 00:22:12,640 --> 00:22:14,480 And I found that very interesting because I thought 439 00:22:14,840 --> 00:22:17,360 then this really must be a problem, like if they're even 440 00:22:17,360 --> 00:22:21,560 going to allow you to kind of relapse and then still try to 441 00:22:21,560 --> 00:22:23,400 get your nursing license after it. 442 00:22:23,400 --> 00:22:27,960 So I just feel like the problem is very complex. 443 00:22:27,960 --> 00:22:32,320 I think that there is also like a huge, you know, psych mental 444 00:22:32,320 --> 00:22:35,840 health problem associated with this, that we are not just 445 00:22:35,840 --> 00:22:39,560 medicating patients pain. We are medicating, you know, an 446 00:22:39,560 --> 00:22:43,960 emotional or spiritual, whatever you believe in pain in these 447 00:22:43,960 --> 00:22:45,280 settings. And I don't think nurse 448 00:22:45,280 --> 00:22:47,840 practitioners are the problem because we've had that problem 449 00:22:47,840 --> 00:22:51,520 way before we ever even got the rights to prescribe them. 450 00:22:51,720 --> 00:22:55,600 And in fact, you might find that NPS like me are a little more 451 00:22:55,600 --> 00:22:59,240 like, I don't know, I think I'm going to need to get take a 452 00:22:59,240 --> 00:23:02,320 Tylenol, take an ibuprofen and, you know, and have a little bit 453 00:23:02,320 --> 00:23:05,000 of more of that regulation. Not that we don't believe what 454 00:23:05,000 --> 00:23:08,040 the patients are saying, but that we know what can happen 455 00:23:08,040 --> 00:23:10,920 when you take these drugs. They are there are side effects 456 00:23:10,920 --> 00:23:13,480 from, you know, addiction with these medications. 457 00:23:13,760 --> 00:23:15,880 Yeah, there are plenty of stories out there about 458 00:23:16,240 --> 00:23:19,600 physicians doing the exact same things, about physicians 459 00:23:19,600 --> 00:23:24,600 getting, you know, their clinic shut down, arrested, charged. 460 00:23:24,840 --> 00:23:28,160 So it's not this is. And that's the way a lot of 461 00:23:28,160 --> 00:23:30,960 these stories go. Like you can find stories about 462 00:23:30,960 --> 00:23:33,400 nurse practitioners misdiagnosing something. 463 00:23:33,400 --> 00:23:35,000 I mean I'm missing a diagnosis or? 464 00:23:35,520 --> 00:23:37,600 Just. Diagnosing something completely 465 00:23:37,600 --> 00:23:40,400 wrong and someone dies as a result. 466 00:23:40,400 --> 00:23:43,200 There are stories like that they've been arrested because of 467 00:23:43,200 --> 00:23:46,000 it. Neglect for some reason, 468 00:23:46,000 --> 00:23:49,120 overlooking something or, you know, whatever the reason is. 469 00:23:49,840 --> 00:23:53,800 But for all of those, you can also find plenty of physicians 470 00:23:53,800 --> 00:23:55,800 doing the same thing. And I think that it's easy to 471 00:23:55,800 --> 00:24:00,240 just like pluck those stories out and pick on nurse 472 00:24:00,240 --> 00:24:03,720 practitioners and just say, see, see, we've given them too much. 473 00:24:03,960 --> 00:24:06,720 And as they're, we've expanded their scope to the point that 474 00:24:06,760 --> 00:24:13,320 no, that's it's because anything that you can say about a nurse 475 00:24:13,320 --> 00:24:16,640 practitioner, whether they, you know, you can find examples of 476 00:24:16,640 --> 00:24:19,680 nurse practitioners to, you know, just aren't good at their 477 00:24:19,680 --> 00:24:21,840 job. They're just not that, you know, 478 00:24:21,920 --> 00:24:25,000 for whatever reason, I've worked with some that are just you can 479 00:24:25,000 --> 00:24:28,400 just tell like they're they're just they don't care about the 480 00:24:28,400 --> 00:24:31,040 patient as. Healthcare providers, every 481 00:24:31,040 --> 00:24:34,920 single second counts, especially when you're making critical 482 00:24:34,920 --> 00:24:37,680 decisions. That's why nurse practitioners 483 00:24:37,680 --> 00:24:42,640 and physicians at every stage of the career rely on Apocrates. 484 00:24:43,040 --> 00:24:46,400 Apocrates is the trusted clinical intelligence platform 485 00:24:46,800 --> 00:24:50,240 accessible via app and the web to support healthcare 486 00:24:50,240 --> 00:24:53,720 professionals with access to indispensable clinical 487 00:24:53,720 --> 00:24:57,960 intelligence they value to make the best possible decisions at 488 00:24:58,000 --> 00:25:01,120 any moment of care. Whether it's checking drug 489 00:25:01,120 --> 00:25:05,120 interactions, identifying pills, or assessing evidence based 490 00:25:05,120 --> 00:25:09,760 guidelines, Apocrates provides the accurate, timely answers you 491 00:25:09,760 --> 00:25:13,160 need. Visit apocrates.com and apply 492 00:25:13,440 --> 00:25:18,040 Offer Code Success to their most popular yearly subscription. 493 00:25:18,040 --> 00:25:23,560 Plan to receive a whopping 20% off discount on your purchase. 494 00:25:23,800 --> 00:25:27,720 Again, that's apocrates.com. Offer Code Success. 495 00:25:28,120 --> 00:25:32,080 Apocrates is the clinical information you need at your 496 00:25:32,080 --> 00:25:34,240 fingertips. Pigmonic is a quick and 497 00:25:34,240 --> 00:25:37,320 effective aid to help you pass your NP boards. 498 00:25:37,840 --> 00:25:41,560 They utilize 2 minute videos that connect difficult to 499 00:25:41,560 --> 00:25:44,560 remember facts with unforgettable characters. 500 00:25:44,960 --> 00:25:49,080 By tying facts together into ridiculously memorable stories, 501 00:25:49,400 --> 00:25:52,320 you'll be able to retain the information for testing. 502 00:25:52,960 --> 00:25:56,240 They help reinforce what you learn and track your progress 503 00:25:56,240 --> 00:26:00,760 with thousands of built in rapid review multiple choice quizzes. 504 00:26:01,400 --> 00:26:04,720 The use of the intelligent Space repetition algorithms 505 00:26:05,000 --> 00:26:08,280 automatically adjust to your learning needs, so you'll be 506 00:26:08,280 --> 00:26:11,760 reminded to review the right information at the right time, 507 00:26:12,200 --> 00:26:16,720 increasing long term retention. Picmonic is also integrated into 508 00:26:16,720 --> 00:26:20,920 the true learned Question me so you can study exactly what you 509 00:26:20,920 --> 00:26:24,200 need and test your knowledge. Check them out today if you're 510 00:26:24,200 --> 00:26:26,880 preparing for board link in the show notes. 511 00:26:28,200 --> 00:26:33,360 They're overwhelmed Whatever. You can also find plenty of 512 00:26:33,360 --> 00:26:37,080 examples of physicians that are in the exact same boat. 513 00:26:37,080 --> 00:26:39,560 It is not about whether they are a nurse practitioner or PA 514 00:26:40,160 --> 00:26:42,560 versus a physician you know in a medical doctor or DO. 515 00:26:42,800 --> 00:26:45,440 It is not about that. It is about how much effort 516 00:26:45,440 --> 00:26:49,600 they've put into their own knowledge base, their skill 517 00:26:49,600 --> 00:26:50,920 level. Yes. 518 00:26:50,920 --> 00:26:54,440 How much education have you, do you have how much experience, 519 00:26:54,440 --> 00:26:56,400 how you know, how much mentorship have you had and 520 00:26:56,400 --> 00:27:01,240 guidance? And I've, I've worked with nurse 521 00:27:01,240 --> 00:27:05,720 practitioners that you know, in, in the CBICU that I would much 522 00:27:06,040 --> 00:27:09,600 prefer having them taking care of my patients as far as like 523 00:27:10,520 --> 00:27:13,760 knowing, understanding the disease process that's going on. 524 00:27:13,840 --> 00:27:16,120 The pathophysiology, pharmacology, whichever. 525 00:27:16,120 --> 00:27:17,280 Yeah, yeah, yeah. Exactly. 526 00:27:17,280 --> 00:27:20,560 And I and then versus, you know, some physicians where you're 527 00:27:20,560 --> 00:27:23,840 just like, I know they may understand it or they may not. 528 00:27:23,840 --> 00:27:25,680 You know, some of them, they're just like, you can just be like, 529 00:27:25,680 --> 00:27:28,880 Oh my goodness, we're gonna struggle to get through these 12 530 00:27:28,880 --> 00:27:31,240 hours. Yeah, yeah, that's my dad, says 531 00:27:31,240 --> 00:27:32,840 not every doctor made straight A's. 532 00:27:33,480 --> 00:27:35,840 But it's true, and that is so true. 533 00:27:35,840 --> 00:27:37,760 I've said that too. Somebody had to graduate at the 534 00:27:37,760 --> 00:27:39,440 bottom of their class. Somebody graduated. 535 00:27:42,120 --> 00:27:44,960 Yeah, yeah, yeah. Well, very. 536 00:27:45,120 --> 00:27:47,200 I think that's just something else I wanted to talk about. 537 00:27:47,200 --> 00:27:49,280 I thought was very interesting and I really appreciate you 538 00:27:49,280 --> 00:27:53,560 bringing that up because I think again, like having those, just 539 00:27:53,560 --> 00:27:56,840 realizing that it can happen to anyone, you know, just say that 540 00:27:56,840 --> 00:27:58,280 nurse practitioner did everything right. 541 00:27:58,280 --> 00:28:01,120 Like why did this happen? And just kind of being on guard 542 00:28:01,120 --> 00:28:04,120 for those things. Have you ever noticed any 543 00:28:04,120 --> 00:28:07,360 recurring themes or red flags and a bad nurse story that a 544 00:28:07,360 --> 00:28:09,040 nurse practitioner should be aware of? 545 00:28:09,720 --> 00:28:12,320 Anything that you've noticed? You know that you're like, this 546 00:28:12,320 --> 00:28:14,760 is a common thread. I'm starting to see this. 547 00:28:18,080 --> 00:28:21,440 I mean, I, I guess I probably, that's probably the one that I 548 00:28:21,440 --> 00:28:24,560 would talk about the most is just the over prescribing. 549 00:28:24,680 --> 00:28:28,680 Yeah. Awareness also being aware of 550 00:28:28,680 --> 00:28:32,400 the fact that if you are in a state where you do have to have, 551 00:28:32,440 --> 00:28:35,920 you know, a provider, a, you know, a physician over, that's 552 00:28:35,920 --> 00:28:37,840 sort of like looking over your charts. 553 00:28:38,200 --> 00:28:40,760 You know, some, not all states give nurse practitioners the 554 00:28:40,840 --> 00:28:47,480 full property. And so being aware that you, you 555 00:28:47,480 --> 00:28:51,040 know, where you fall, you know, in that if you're, if you have 556 00:28:51,040 --> 00:28:54,240 someone that you're relying on to look at your charts and kind 557 00:28:54,240 --> 00:28:58,080 of like be that person that's helping you make decisions or 558 00:28:58,080 --> 00:29:01,160 whatever, just not just like taking that for granted. 559 00:29:01,160 --> 00:29:05,160 And just that they're doing that because in one, in one case, a 560 00:29:05,160 --> 00:29:09,680 particular work that I can think of, they that that doctor kind 561 00:29:09,680 --> 00:29:11,160 of just threw them under the bus. 562 00:29:12,520 --> 00:29:17,080 So, yeah, you know, being aware of that relationship, I wish all 563 00:29:17,080 --> 00:29:19,920 states just would give full practice authority. 564 00:29:20,320 --> 00:29:22,040 You know, I think that people are just afraid of it. 565 00:29:22,320 --> 00:29:24,120 And I think, you know, we've hinted at some of the reasons 566 00:29:24,120 --> 00:29:27,360 why and it's it's it's rooted in ignorance, really. 567 00:29:27,760 --> 00:29:30,320 But yeah, we have to do a better job of educating people. 568 00:29:31,160 --> 00:29:33,480 You know, when you were talking, you made me think about the 569 00:29:33,480 --> 00:29:37,480 nurse that in California that had been calling herself doctor. 570 00:29:37,800 --> 00:29:41,480 And then, you know, she was a doctorally prepared nurse 571 00:29:41,480 --> 00:29:44,960 practitioner, but it did not matter in her state. 572 00:29:44,960 --> 00:29:47,960 She was not supposed to be referring to herself as a 573 00:29:47,960 --> 00:29:51,240 doctor. And she ended up, yeah, yeah, 574 00:29:51,240 --> 00:29:54,120 she ended up getting, losing her ability to make, you know, her 575 00:29:54,240 --> 00:29:56,760 practice in that state. She was going to get sued. 576 00:29:57,120 --> 00:30:00,760 It was kind of a mess. And I remember, you know, 577 00:30:00,760 --> 00:30:03,920 thinking the rules aren't the same everywhere. 578 00:30:04,120 --> 00:30:07,600 And, you know, you have to make sure in each of your states, you 579 00:30:07,600 --> 00:30:10,760 can refer to yourself this way. But I just feel like it's one of 580 00:30:10,760 --> 00:30:14,440 those crimes that I don't really think is a crime. 581 00:30:14,440 --> 00:30:16,520 Like, I'm so sorry. I'm just having a hard time 582 00:30:16,520 --> 00:30:19,760 wrapping my mind around a nurse practitioner that's doctorally 583 00:30:19,760 --> 00:30:22,000 prepared that spent the extra time. 584 00:30:22,280 --> 00:30:26,080 She's not referring to herself as anything inappropriate, but 585 00:30:26,080 --> 00:30:28,680 this is just going back to some type of scope reach 586 00:30:29,080 --> 00:30:31,800 battleground. You're misrepresenting yourself. 587 00:30:31,800 --> 00:30:34,000 And I don't think there's anything wrong with saying I'm 588 00:30:34,000 --> 00:30:36,320 Doctor Pryor, I am a nurse practitioner. 589 00:30:36,320 --> 00:30:37,560 I'm going to be seeing you today. 590 00:30:37,560 --> 00:30:38,960 I don't think there's anything wrong with that. 591 00:30:39,000 --> 00:30:43,000 I don't typically do that, but there's nothing innately wrong 592 00:30:43,000 --> 00:30:45,600 with what I just said. That is an accurate statement. 593 00:30:45,880 --> 00:30:47,960 Then I just feel like it's just one of those things where it's 594 00:30:47,960 --> 00:30:53,080 like, why are we battling over this when we actually have 595 00:30:53,080 --> 00:30:54,800 bigger problems? Like, we don't have enough 596 00:30:54,800 --> 00:30:56,680 providers. Patients are waiting longer and 597 00:30:56,680 --> 00:31:01,040 longer to see someone to write medications or just hear what it 598 00:31:01,040 --> 00:31:03,120 is that they're going, you know, dealing with. 599 00:31:03,440 --> 00:31:06,400 And so it's really, it's a really bad hill to die on, 600 00:31:06,520 --> 00:31:09,560 especially as more professions are creating these doctoral 601 00:31:09,560 --> 00:31:12,840 programs from, you know, you know, physical therapy, 602 00:31:13,960 --> 00:31:17,080 pharmacology, like all these programs are coming out with 603 00:31:17,080 --> 00:31:19,040 doctoral degrees, which I think is just great. 604 00:31:19,040 --> 00:31:22,080 It's just more education and people are spending longer 605 00:31:22,080 --> 00:31:24,360 learning. But it just seems so strange to 606 00:31:24,360 --> 00:31:28,800 me that there's only one person in the whole hospital, 1° in the 607 00:31:28,800 --> 00:31:30,960 whole hospital that can call themselves doctor. 608 00:31:31,640 --> 00:31:34,560 So I just find it interesting that nurse practitioners are 609 00:31:34,840 --> 00:31:38,200 having to pay attention to their individual state laws before 610 00:31:38,200 --> 00:31:41,880 they can refer to the extra education that they got with 611 00:31:41,880 --> 00:31:44,120 confidence. And I just, I hate that for us. 612 00:31:44,120 --> 00:31:49,120 Like why make us feel more uncomfortable when it's already 613 00:31:49,120 --> 00:31:52,360 tough to be an NP? We're not physicians, We're not 614 00:31:52,360 --> 00:31:54,680 nurses. We're in this middle ground. 615 00:31:54,960 --> 00:31:56,400 And yet it's like, Nope, can't do that. 616 00:31:56,400 --> 00:31:58,040 Nope, can't prescribe, Nope, can't work alone. 617 00:31:58,040 --> 00:31:59,600 Nope, Nope, Nope, Nope, Nope, Nope, Nope. 618 00:31:59,760 --> 00:32:03,480 And then it's like we don't have enough providers, but we need 619 00:32:03,480 --> 00:32:04,040 how? Do we solve them? 620 00:32:04,040 --> 00:32:06,080 And we'll put you in an emergency room all by yourself 621 00:32:06,080 --> 00:32:09,720 with no physician whatsoever. No training, just go do it. 622 00:32:09,840 --> 00:32:11,520 Just figure it out. Throw you in there, Yeah. 623 00:32:11,760 --> 00:32:14,080 Throw you in there, but don't you dare do these things. 624 00:32:14,080 --> 00:32:16,120 And it's like these things aren't the problem. 625 00:32:16,120 --> 00:32:18,440 Like these things are just minor issues. 626 00:32:18,440 --> 00:32:23,720 When we actually have major problems, and we may not be, we 627 00:32:23,720 --> 00:32:26,400 may not, we may actually be the ones to help fix this or to 628 00:32:26,400 --> 00:32:28,960 bring a different perspective that could actually kind of 629 00:32:28,960 --> 00:32:30,880 create a different environment around this. 630 00:32:31,040 --> 00:32:33,400 Why this? I don't know. 631 00:32:33,440 --> 00:32:35,480 What do you think? I agree. 632 00:32:35,760 --> 00:32:40,960 Why are we focusing on why why, but it is you you you nailed it 633 00:32:40,960 --> 00:32:43,200 though. It's it's all about ego. 634 00:32:43,200 --> 00:32:47,680 It's all about you know that that worrying about soap free. 635 00:32:47,680 --> 00:32:50,880 We're worrying that oh, they're they're honing in on my they're 636 00:32:50,880 --> 00:32:56,000 coming in on my territory. I think a lot of there are, I 637 00:32:56,000 --> 00:33:01,480 know that there are people who go into medicine because of the 638 00:33:01,680 --> 00:33:04,240 prestige that goes along with, you know, just being called a 639 00:33:04,240 --> 00:33:06,400 doctor, of being called a physician. 640 00:33:06,720 --> 00:33:09,760 And I know not everyone is like, I know so many amazing 641 00:33:09,760 --> 00:33:11,560 physicians. So not everyone has that. 642 00:33:11,640 --> 00:33:13,280 Yeah, yeah. Yeah, this is not a blanket. 643 00:33:13,320 --> 00:33:15,680 Yeah, yeah. Most people that I work with 644 00:33:15,720 --> 00:33:19,680 don't don't act like that. Yeah, occasionally they come 645 00:33:19,680 --> 00:33:24,480 across those people and, and a lot of them have a lot of power, 646 00:33:24,760 --> 00:33:30,400 you know, they're so. And I do hope though, that this 647 00:33:30,400 --> 00:33:34,520 is this problem is aging out. I think maybe some of the 648 00:33:34,520 --> 00:33:36,680 younger, the people that are kind of in the younger 649 00:33:36,680 --> 00:33:40,200 generations don't have that mindset as much, you know? 650 00:33:40,360 --> 00:33:43,120 So I think that the, some of the residents that I worked 651 00:33:43,120 --> 00:33:47,880 alongside when I worked at 11 one trauma center, they seem to 652 00:33:47,880 --> 00:33:51,360 just have a much higher respect for bedside nurses and also 653 00:33:51,360 --> 00:33:53,840 nurse practitioners. And they and I, working as a 654 00:33:53,840 --> 00:33:57,080 transfer coordinator, I listen, that's literally my job is to 655 00:33:57,400 --> 00:34:00,120 connect providers and let them talk. 656 00:34:00,120 --> 00:34:02,040 And I literally sit there and listen to everything that they 657 00:34:02,040 --> 00:34:08,560 say and document what they say. And so I think that most, most 658 00:34:08,560 --> 00:34:12,440 physicians have high respect for nurse practitioners and they 659 00:34:12,440 --> 00:34:15,800 talk to them like, you know, their colleagues, their 660 00:34:15,800 --> 00:34:17,360 colleagues. Yeah, absolutely. 661 00:34:17,360 --> 00:34:18,440 Yeah. I would agree. 662 00:34:18,679 --> 00:34:20,960 It's horrible when it doesn't happen that way. 663 00:34:21,040 --> 00:34:23,639 But I definitely think that most of the most people are 664 00:34:23,639 --> 00:34:26,159 definitely very respectful. Yeah, I would agree. 665 00:34:26,159 --> 00:34:28,679 And unfortunately, like you said, the people that have the 666 00:34:28,679 --> 00:34:34,400 most pull or some of the most, you know, the highest authority 667 00:34:34,400 --> 00:34:37,840 tend to have that mindset. And so it's unfortunate, but I 668 00:34:37,840 --> 00:34:39,920 think it's I think it's it's important. 669 00:34:39,920 --> 00:34:42,520 I think the younger generations are more focused on work life 670 00:34:42,520 --> 00:34:44,360 balance. A lot of the physicians are more 671 00:34:44,360 --> 00:34:48,760 focused in on I can't do it all. And they're wanting, they're, 672 00:34:48,920 --> 00:34:52,159 they're liking the fact that an NP will take a level of that off 673 00:34:52,159 --> 00:34:54,840 of them and that they can focus just on one thing. 674 00:34:54,840 --> 00:34:57,880 And then they realize when they get back or whenever that NP is 675 00:34:57,880 --> 00:35:00,040 gone and they have to go back and do that grunt work, they're 676 00:35:00,040 --> 00:35:04,440 like, oh, she's vital for me to get this part done of my 677 00:35:04,440 --> 00:35:06,680 practice so I don't have to do as much of that. 678 00:35:06,680 --> 00:35:09,280 And, you know, each of us have our roles and there's more than 679 00:35:09,280 --> 00:35:11,680 enough work to go around. And I think the younger 680 00:35:11,680 --> 00:35:14,760 generations are seeing that it's like, no, if you get APA nurse 681 00:35:14,760 --> 00:35:18,120 practitioner or Pennsylvania on your side, that just only 682 00:35:18,120 --> 00:35:20,920 extends what you're able to do. You're, you know, by 683 00:35:20,920 --> 00:35:24,800 collaborating with one of those providers, you are, especially 684 00:35:24,800 --> 00:35:26,720 when you train them well, you train them well. 685 00:35:26,720 --> 00:35:29,440 You have a hungry NP, you really spend some time training her. 686 00:35:29,720 --> 00:35:31,600 That's just an extension of your brain. 687 00:35:31,760 --> 00:35:34,760 That's all that you just did. And it's just such a beautiful, 688 00:35:34,880 --> 00:35:36,920 when I've seen those relationships, the physician and 689 00:35:36,920 --> 00:35:40,840 a nurse practitioner is such a beautiful collaboration and, you 690 00:35:40,840 --> 00:35:45,040 know, synergism that they're all working off of, of like, yeah, 691 00:35:45,040 --> 00:35:47,760 no, we're working together to get to the same thing. 692 00:35:47,760 --> 00:35:49,640 And yeah, I think that's really good. 693 00:35:50,000 --> 00:35:53,400 Any nurse stories on your show that have impacted you and how 694 00:35:53,400 --> 00:35:55,240 you view your role in healthcare? 695 00:35:55,800 --> 00:35:59,080 You've got to, you know, you got to tell me something like, hey, 696 00:35:59,080 --> 00:36:01,080 Sandra, like this one really stuck out to me. 697 00:36:01,080 --> 00:36:03,760 This one was really beautiful because you see enough of the 698 00:36:04,200 --> 00:36:08,040 you know the bad ones that which one that stuck with you that 699 00:36:08,040 --> 00:36:09,840 just makes you feel warm and fuzzy inside. 700 00:36:11,560 --> 00:36:15,080 So as far as like, unfortunately some of the some of the good 701 00:36:15,080 --> 00:36:19,280 nerd stories aren't necessarily happy ones, so. 702 00:36:19,960 --> 00:36:21,560 We all, we all love the smudge, right? 703 00:36:21,560 --> 00:36:24,480 We like, we like that, yeah. Well, they're, some of them are 704 00:36:24,480 --> 00:36:27,360 just like, they're heroes for a reason, you know, Maybe they, 705 00:36:27,360 --> 00:36:29,840 you know, died in the process of trying to help someone. 706 00:36:29,840 --> 00:36:32,760 Oh my gosh. So some of those are and so, so 707 00:36:32,760 --> 00:36:35,160 I, I try to end the show on a good, good note. 708 00:36:35,200 --> 00:36:37,120 And yet at the same time, I'm just like, boy, I've just 709 00:36:37,120 --> 00:36:39,320 depressed myself because I've had two really depressing 710 00:36:39,320 --> 00:36:41,720 stories. But I wanted to highlight, you 711 00:36:41,720 --> 00:36:43,800 know, the amazing thing that the nurse did. 712 00:36:44,200 --> 00:36:49,720 And one of them that is just like it's I'll never forget it 713 00:36:49,760 --> 00:36:53,280 is the story of a nurse. Her name was Tristan Kate Smith. 714 00:36:53,920 --> 00:36:59,040 And she, she, and I don't know if you can do a trigger warning 715 00:36:59,040 --> 00:37:02,560 or whatever, but she took her life and she was young. 716 00:37:02,560 --> 00:37:06,600 She was in her 20s, young nurse and she was an ER nurse and she, 717 00:37:06,800 --> 00:37:08,680 she took her life. But before she did, at some 718 00:37:08,680 --> 00:37:12,160 point, she had written a letter to her abuser and it was to the 719 00:37:12,160 --> 00:37:14,040 hospital. Oh my goodness. 720 00:37:14,040 --> 00:37:16,760 It will just rip your it just absolutely gutted me. 721 00:37:17,320 --> 00:37:22,400 And after that happened, or our father found on her laptop this 722 00:37:22,400 --> 00:37:23,960 letter that she had written to her abuser. 723 00:37:23,960 --> 00:37:30,000 It's so just beautiful. It's it was just so raw and so 724 00:37:30,000 --> 00:37:32,360 real. And you could just see the 725 00:37:32,360 --> 00:37:36,120 damage that it had done to her. And I really wondered at the 726 00:37:36,120 --> 00:37:39,280 time, I remember just thinking there was a hole that her father 727 00:37:39,280 --> 00:37:43,200 has just worked tirelessly ever since that happened to bring 728 00:37:43,200 --> 00:37:46,040 awareness to staffing ratios he's gone around. 729 00:37:46,320 --> 00:37:50,480 I actually went up to Columbus, OH, where she was in the state 730 00:37:50,480 --> 00:37:52,720 of Ohio. So you're trying to get laws 731 00:37:52,720 --> 00:37:55,960 passed to regulate staffing ratios? 732 00:37:56,440 --> 00:37:58,720 Yeah. In her using her memory, using 733 00:37:58,720 --> 00:38:01,600 her story. And so I actually went up there 734 00:38:01,600 --> 00:38:05,280 and I spoke at a rally there at the Capitol where they were 735 00:38:05,280 --> 00:38:08,200 supposed to be voting on I. Saw that you were involved in 736 00:38:08,200 --> 00:38:10,120 that, yeah. And so, yeah, I saw you on the 737 00:38:10,120 --> 00:38:11,160 podium. I did. 738 00:38:11,280 --> 00:38:15,640 I talked about her as a good nurse for one of my episodes and 739 00:38:15,720 --> 00:38:19,720 because, you know, she, she is look at what she's done, you 740 00:38:19,720 --> 00:38:22,760 know, posthumously. She look, look at the what her 741 00:38:22,760 --> 00:38:25,480 father is doing in her name. And even though it's very 742 00:38:25,480 --> 00:38:29,080 painful and difficult to talk about, it's also very important 743 00:38:29,080 --> 00:38:34,160 to talk about because for, for even though her story is, has 744 00:38:34,160 --> 00:38:37,160 gotten a lot of media attention and it's very high profile and 745 00:38:37,160 --> 00:38:39,000 lots of people are talking about it. 746 00:38:39,360 --> 00:38:45,040 There are so many people that have, have have succumbed to 747 00:38:45,040 --> 00:38:49,600 mental health, you know, issues and stemmed from all of the 748 00:38:49,600 --> 00:38:53,640 stress of working that side of work, you know, and just feeling 749 00:38:53,640 --> 00:38:55,400 inadequate. That, that feeling when you 750 00:38:55,400 --> 00:38:58,120 leave work at the end of the day and you feel like you just 751 00:38:58,120 --> 00:39:01,360 didn't do enough to help your patients, you feel inadequate. 752 00:39:01,680 --> 00:39:04,800 And really what's at this? The root of that problem was 753 00:39:04,840 --> 00:39:06,560 the, you know, the, the root cause. 754 00:39:06,560 --> 00:39:09,000 If you really go back and look at it, it's because there was 755 00:39:09,000 --> 00:39:10,680 just not enough resources for you to. 756 00:39:10,880 --> 00:39:14,640 Yeah, the system is failing. Yeah, the system is the problem. 757 00:39:14,760 --> 00:39:16,240 It's not the individuals. Yeah. 758 00:39:16,920 --> 00:39:19,480 So even though it's not a necessarily warm and fuzzy 759 00:39:19,480 --> 00:39:22,440 story, it's definitely probably, of all the good nerd stories 760 00:39:22,440 --> 00:39:25,200 I've done, it's definitely the one that's just like, stuck the 761 00:39:25,200 --> 00:39:26,920 most, the most. Yeah, yeah. 762 00:39:27,000 --> 00:39:31,400 That's just really like raw and real, and I think it's 763 00:39:31,400 --> 00:39:35,800 emblematic of the systemic issues that we have in nursing 764 00:39:36,080 --> 00:39:39,560 and it's why people are leaving nursing and going into the nurse 765 00:39:39,560 --> 00:39:42,840 practitioner role, hoping to get away from a level of that only 766 00:39:42,840 --> 00:39:46,360 finding as a nurse practitioner. They're their own mountains that 767 00:39:46,360 --> 00:39:48,600 you have to climb. You're the they're their own, 768 00:39:48,880 --> 00:39:51,280 you know, issues that you're having to navigate in your 769 00:39:51,280 --> 00:39:53,000 career. You know, one of the things I 770 00:39:53,000 --> 00:39:55,320 was thinking what you were talking, you know, you've had 771 00:39:55,320 --> 00:39:57,320 three million downloads of your podcast. 772 00:39:57,320 --> 00:39:59,640 I mean, you've you're doing phenomenal. 773 00:39:59,640 --> 00:40:02,600 It's incredible work, but you've also had on if you. 774 00:40:03,040 --> 00:40:06,280 Like either you one of the I think it was another podcaster 775 00:40:06,560 --> 00:40:11,160 recently had on Redonda Vaunt. What was her is that her name? 776 00:40:11,160 --> 00:40:14,000 Is that her Redondo? Redondo Vaught is her name. 777 00:40:14,000 --> 00:40:18,640 Yeah, and she was a nurse that, you know, had the homicide issue 778 00:40:18,640 --> 00:40:20,480 with. She had, you know, and I 779 00:40:20,480 --> 00:40:22,640 actually had a conversation with her as well. 780 00:40:22,640 --> 00:40:27,480 And I was so interested to hear the system failures that were 781 00:40:27,480 --> 00:40:30,960 going on with her job and how she's on the chopping block 782 00:40:30,960 --> 00:40:32,960 right there. I think they denied her her 783 00:40:32,960 --> 00:40:35,160 license back, right? I believe that she was not 784 00:40:35,160 --> 00:40:36,520 allowed to get her license back again. 785 00:40:36,920 --> 00:40:40,400 And yeah, I just found it very interesting that again, here's 786 00:40:40,400 --> 00:40:43,320 another system problem. She was able to override the 787 00:40:43,320 --> 00:40:44,880 computer. She made. 788 00:40:44,920 --> 00:40:48,680 You know, something happened. And they're not bad people. 789 00:40:48,680 --> 00:40:52,560 This is not a bad person. This is this is a system, you 790 00:40:52,560 --> 00:40:56,600 know, either overstaffed, distracted, it's a lot of 791 00:40:56,600 --> 00:41:00,880 different things that end up causing these tragic events. 792 00:41:01,200 --> 00:41:04,640 But again, I do think it's good that you focus in on, you know, 793 00:41:04,960 --> 00:41:09,440 what she sacrificed by sharing what it was that she was going 794 00:41:09,440 --> 00:41:13,680 through on the floor as a nurse. And so many nurses feel that 795 00:41:13,680 --> 00:41:15,360 way. A lot of nurse practitioners 796 00:41:15,480 --> 00:41:18,560 struggle. And you know, you go from being 797 00:41:18,560 --> 00:41:21,560 a nurse crying in your car to being an MP crying in your car. 798 00:41:21,560 --> 00:41:24,440 The only difference is that you're $250,000 more than when 799 00:41:27,360 --> 00:41:31,240 you are the nurse. So there's that same balance, 800 00:41:31,240 --> 00:41:34,800 that same issues that you're noticing, you know, I've noticed 801 00:41:34,800 --> 00:41:40,560 in both roles. And I think, you know, doing our 802 00:41:40,560 --> 00:41:44,120 best to change the system really is the focus and then doing our 803 00:41:44,120 --> 00:41:47,040 part to focus in on what we can do that day. 804 00:41:47,240 --> 00:41:49,000 And that's the most that we can do. 805 00:41:49,240 --> 00:41:52,320 And we got to let the rest of it go is something for both the 806 00:41:52,320 --> 00:41:55,480 nurse practitioner and the NP. Like we can only do what we can 807 00:41:55,480 --> 00:41:58,400 do in that space. The system is broken. 808 00:41:58,440 --> 00:42:01,400 And find your way in that system is the best thing that you can 809 00:42:01,400 --> 00:42:04,040 do for yourself. And I think, yeah, I think 810 00:42:04,040 --> 00:42:07,720 that's I think that's good advice for the nurse and the NP 811 00:42:07,720 --> 00:42:09,640 for sure. Absolutely. 812 00:42:09,880 --> 00:42:13,400 And if you had to find and describe the perfect good nurse 813 00:42:13,600 --> 00:42:16,880 and maybe the bad nurse, what would you say? 814 00:42:16,880 --> 00:42:18,960 How would you describe them? How would you give that 815 00:42:18,960 --> 00:42:21,160 definition? Whenever you're telling your 816 00:42:21,160 --> 00:42:24,040 podcast stories, this is the good nurse and this is the bad 817 00:42:24,040 --> 00:42:24,960 nurse. How do you make those 818 00:42:24,960 --> 00:42:27,320 definitions? Yeah, So what I always tell 819 00:42:27,320 --> 00:42:29,120 people, you know, there's, there's certain things, you 820 00:42:29,120 --> 00:42:32,360 know, I was a preceptor also and, and, and trained people. 821 00:42:32,760 --> 00:42:36,920 So there's certain things, you know, making good habits, you 822 00:42:36,920 --> 00:42:39,680 know, certain things that you, there are things that you will 823 00:42:39,680 --> 00:42:41,320 have to sacrifice. You cannot. 824 00:42:41,320 --> 00:42:43,120 And this is one of the things I talked about with the Redondo 825 00:42:43,120 --> 00:42:47,160 bot story. You cannot follow every policy 826 00:42:47,160 --> 00:42:50,000 to the letter because they, the hospitals are going to put all 827 00:42:50,000 --> 00:42:53,800 these policies in place to cover their butt when something goes 828 00:42:53,800 --> 00:42:55,840 wrong and then come back to you and say, what? 829 00:42:55,840 --> 00:42:58,800 Wait, the policy is this, this and this, and you did that. 830 00:42:59,160 --> 00:43:01,680 And the fact of the matter is that if you followed every 831 00:43:01,680 --> 00:43:04,960 single one of those policies, you would never be able to take 832 00:43:04,960 --> 00:43:09,040 care of the patient. You would be, you know, stuck in 833 00:43:09,040 --> 00:43:12,200 the minutiae of all of these different steps, trying to get 834 00:43:12,200 --> 00:43:13,960 yourself to where you're actually taking care of your 835 00:43:13,960 --> 00:43:15,880 patient. And so you have to pick and 836 00:43:15,880 --> 00:43:18,640 choose the things that you're going to go. 837 00:43:18,920 --> 00:43:22,600 I'm not doing that one. And but when it comes to safety, 838 00:43:22,600 --> 00:43:25,280 you cannot. Just going to say safety is when 839 00:43:25,280 --> 00:43:26,480 you just. Safety is just something you 840 00:43:26,480 --> 00:43:29,160 just can't, you know, you've got to do those rights, you've got 841 00:43:29,160 --> 00:43:31,400 to check those fibrites, you've got to check the armband, you've 842 00:43:31,400 --> 00:43:34,600 got to, you know, monitor. You can't override the system. 843 00:43:34,600 --> 00:43:37,520 You can't tell it pull the drug out anyway, but you can't do. 844 00:43:37,680 --> 00:43:40,720 Those things, Sandra, you have to do that if you're working in 845 00:43:40,720 --> 00:43:42,840 an ICU. And this is something that I 846 00:43:42,880 --> 00:43:46,560 think a lot of people don't understand is that I remember 847 00:43:46,560 --> 00:43:50,800 when I worked in PCU, my preceptor, she was so good and 848 00:43:50,800 --> 00:43:54,880 she taught me not to ever, don't ever hit override. 849 00:43:54,960 --> 00:43:58,160 You can't hit override. Well, when I transferred to ICU, 850 00:43:58,160 --> 00:44:00,080 I still had that mindset. And they were just all like, 851 00:44:00,080 --> 00:44:01,440 you're going to have to get over that. 852 00:44:01,920 --> 00:44:04,640 And yeah, you really do. Because as an ICU nurse, you do 853 00:44:04,640 --> 00:44:08,440 have a lot more autonomy. You are allowed, and it is 854 00:44:08,440 --> 00:44:11,200 actually written in the policy that you do have. 855 00:44:11,200 --> 00:44:16,640 There is a level of in which you can make decisions that you know 856 00:44:16,640 --> 00:44:19,400 is reasonable if you feel like your patient's life is in 857 00:44:19,400 --> 00:44:23,000 danger, knowing that you're also at the same time going to be 858 00:44:23,000 --> 00:44:25,240 getting in touch with the provider. 859 00:44:25,240 --> 00:44:28,160 And it's so you kind of an understanding this is there's 860 00:44:28,160 --> 00:44:31,760 very Gray lines here. So you have a patient who is not 861 00:44:31,760 --> 00:44:35,760 on a pressor, but they're you're in an ICU for a reason. 862 00:44:35,760 --> 00:44:38,200 You all of a sudden their blood pressure starts to drop. 863 00:44:38,440 --> 00:44:40,680 Are you going to seriously go? I'm not going to go. 864 00:44:40,680 --> 00:44:42,080 Wait for a pharmacy. There is. 865 00:44:42,160 --> 00:44:44,520 No, Yeah, pharmacy has not seen it. 866 00:44:44,920 --> 00:44:47,920 A doctor has not, or a nurse practitioner or a PA has not put 867 00:44:47,920 --> 00:44:50,600 in an order for it yet. No, you're going to go get the 868 00:44:50,600 --> 00:44:54,280 levo, pull it out, come in while you're hanging it, call, you 869 00:44:54,280 --> 00:44:58,080 know, call Sandra MP and, and tell her I'm hanging this levo 870 00:44:58,080 --> 00:45:01,640 now and put the order in, you know, and so you, you're all of 871 00:45:01,640 --> 00:45:03,160 these things are happening at the same time. 872 00:45:04,200 --> 00:45:05,840 If you didn't do that, people would die. 873 00:45:06,080 --> 00:45:08,920 And that's just a reality in an ICU and in an ER. 874 00:45:09,320 --> 00:45:13,160 And I think it probably happens more in an in an ICU than it 875 00:45:13,160 --> 00:45:16,160 does in an ER because you in an ER, I feel like they're the 876 00:45:16,320 --> 00:45:17,920 physicians and nurse practitioners illegally. 877 00:45:18,040 --> 00:45:20,200 They're right there. Yeah, they're all working 878 00:45:20,200 --> 00:45:23,160 together in tandem, but in the ICU, the doctor someplace else. 879 00:45:23,160 --> 00:45:25,160 Yeah, you're right. Else and so you really do have 880 00:45:25,160 --> 00:45:27,960 to make those decisions. It doesn't happen all the time, 881 00:45:28,400 --> 00:45:31,560 but it happens enough that it's just, it's just a reality of 882 00:45:31,560 --> 00:45:35,640 life that yes, you will be hitting override a lot. 883 00:45:35,640 --> 00:45:39,360 And it's yeah, that's scary. And that's one thing that I, you 884 00:45:39,360 --> 00:45:44,760 know, it was literally a reason why I chose to leave the bedside 885 00:45:44,880 --> 00:45:46,680 because. I was hoping you were going to 886 00:45:46,680 --> 00:45:48,040 talk about that. Yeah, I mean, I did. 887 00:45:48,040 --> 00:45:52,480 I chose to leave the bedside because when when Redondo was 888 00:45:52,560 --> 00:45:56,240 arrested, I saw that story and I was just like, wait, what? 889 00:45:56,400 --> 00:45:59,160 And I just knew that there had to be something that she did 890 00:45:59,320 --> 00:46:03,160 wrong, that, that there was some egregious mistake that was just 891 00:46:03,160 --> 00:46:06,920 unforgivable. That and and I went and bred the 892 00:46:06,920 --> 00:46:11,160 whole CMS report that literally just step by step told 893 00:46:11,160 --> 00:46:14,320 everything that she did and I was just like she made a 894 00:46:14,320 --> 00:46:16,760 mistake. She made several mistakes that 895 00:46:17,200 --> 00:46:21,520 are probably because of the culture in which she was working 896 00:46:21,880 --> 00:46:26,760 and that's the problem. So in a just culture you in that 897 00:46:26,760 --> 00:46:30,920 situation, what should have happened is this horrible thing 898 00:46:30,920 --> 00:46:32,960 happened and a patient died because of it. 899 00:46:33,240 --> 00:46:37,160 And now we need to go back and look at this and figure out what 900 00:46:37,160 --> 00:46:40,440 do we need to change in our processes that can keep this 901 00:46:40,440 --> 00:46:42,760 from happening again. 100% agree. 902 00:46:43,120 --> 00:46:45,320 Arresting punish. Yeah exactly. 903 00:46:45,360 --> 00:46:48,040 This is how I feel as well. And then so she's arrested and 904 00:46:48,040 --> 00:46:52,040 immediately drove to Nashville to be there for the hearing. 905 00:46:52,320 --> 00:46:57,280 And I just could not believe that not only did you know she 906 00:46:57,280 --> 00:46:59,600 did everything she was, she did everything right in terms of 907 00:46:59,600 --> 00:47:02,720 like filling out her incident report, telling everything that 908 00:47:02,720 --> 00:47:05,360 happened. Just I will say. 909 00:47:05,520 --> 00:47:08,840 Honest disclosure, she wasn't trying to like, hide anything. 910 00:47:08,920 --> 00:47:12,240 Honest, one thing she didn't, she did wrong that she she 911 00:47:12,240 --> 00:47:16,280 didn't know and nobody I think would know is not asking for an 912 00:47:16,280 --> 00:47:18,160 attorney. And if you do something that 913 00:47:18,840 --> 00:47:21,600 very obviously leads to a patient's death, please ask for 914 00:47:21,600 --> 00:47:23,560 an attorney. She didn't know to do that. 915 00:47:23,560 --> 00:47:25,640 I think a lot of people would not know to do that at the time. 916 00:47:25,640 --> 00:47:28,560 I wouldn't have known. Do not trust the hospital and 917 00:47:28,560 --> 00:47:31,640 don't talk to their attorney. They're working in their their 918 00:47:31,640 --> 00:47:34,320 best interest. You need to just close your 919 00:47:34,320 --> 00:47:36,920 mouth. It obviously if a patient's life 920 00:47:36,920 --> 00:47:39,080 is at stake in that moment, you have to stick up and say 921 00:47:39,160 --> 00:47:41,520 whatever you need to say to help the patient. 922 00:47:41,520 --> 00:47:46,600 But yes, when all is said and done and you're kind of like 923 00:47:46,600 --> 00:47:50,840 looking at, oh, what just happened, you really do need to 924 00:47:50,840 --> 00:47:55,480 close your mouth and ask for an attorney and then decide how to 925 00:47:55,480 --> 00:47:58,040 take next steps or you're going to, you could get get in serious 926 00:47:58,040 --> 00:47:59,800 trouble because that's what happened with her. 927 00:47:59,800 --> 00:48:02,080 She was just so honest and just trying. 928 00:48:02,080 --> 00:48:06,720 And then for some reason this case came across the desk of an 929 00:48:06,720 --> 00:48:08,520 investigator, a TBI investigator. 930 00:48:08,520 --> 00:48:12,560 And that TBI investigator decided, OK, I need to look at 931 00:48:12,560 --> 00:48:14,200 this and started doing some investigating. 932 00:48:14,200 --> 00:48:17,080 And then based on some answers that they got from somebody 933 00:48:17,280 --> 00:48:20,960 working at a hospital, let's don't name names, but, you know, 934 00:48:20,960 --> 00:48:24,760 whatever hospital it happened to be, somehow that investigator 935 00:48:24,760 --> 00:48:27,240 got the impression that they needed to then present that case 936 00:48:27,240 --> 00:48:28,920 to the prosecutor. And the prosecutor took that 937 00:48:28,920 --> 00:48:30,800 information and went, yeah, it's a good idea. 938 00:48:30,840 --> 00:48:34,080 Let's go arrest this nurse. And that's exactly what 939 00:48:34,080 --> 00:48:36,440 happened. And then not only that, but two 940 00:48:36,440 --> 00:48:42,720 years later, they a jury of 12 people of her peers convicted of 941 00:48:43,280 --> 00:48:45,200 her. So yeah, that's why, that's why 942 00:48:45,200 --> 00:48:47,360 I walked away. I was just like, I can't live, I 943 00:48:47,360 --> 00:48:49,280 can't work in this environment. I am going. 944 00:48:49,800 --> 00:48:52,800 It's too dangerous. We don't have enough staffing. 945 00:48:53,000 --> 00:48:56,400 I'm working in a CVICU where I'm handed three patients, very very 946 00:48:56,400 --> 00:49:00,320 sick patients, and I'm leaving as an experienced nurse. 947 00:49:00,320 --> 00:49:03,720 I'm leaving crying because I was scared to death like what just 948 00:49:03,720 --> 00:49:07,640 happened. And no, I can't work in that 949 00:49:07,640 --> 00:49:11,080 environment knowing that if I make a mistake that leads to 950 00:49:11,400 --> 00:49:14,520 someone dying, I could literally be arrested and lose my freedom, 951 00:49:14,520 --> 00:49:16,760 lose me away from my. Family livelihood. 952 00:49:16,800 --> 00:49:17,960 Yeah. No, exactly. 953 00:49:18,320 --> 00:49:19,360 Yeah. Wow. 954 00:49:20,000 --> 00:49:22,880 Well, I want to end on a positive note, just like you do 955 00:49:22,880 --> 00:49:25,280 on your podcast, taking a page out of your own book. 956 00:49:25,560 --> 00:49:30,640 So what is some maybe a humorous moment from your podcasting on 957 00:49:30,640 --> 00:49:33,160 good nurse, bad nurse that may be stuck with you that you're 958 00:49:33,160 --> 00:49:35,200 just like, all right, this one's kind of funny. 959 00:49:35,200 --> 00:49:37,400 This one's kind of silly. Let's turn this thing around 960 00:49:37,400 --> 00:49:39,600 from going to jail. Let's turn it into laughter. 961 00:49:39,600 --> 00:49:44,640 Where what you got for me? OK, so I, I, I laugh all the 962 00:49:44,640 --> 00:49:47,360 time, all the way through my, even though the dark subject 963 00:49:47,360 --> 00:49:51,200 matter, I definitely am a person that laughs at inappropriate 964 00:49:51,200 --> 00:49:52,840 times. I am horrible at funerals. 965 00:49:52,840 --> 00:49:56,160 You don't want me ever coming to a funeral because I just once 966 00:49:56,160 --> 00:49:59,000 something strikes me, I would just like start smiling 967 00:49:59,000 --> 00:50:01,000 ridiculously. Yeah, I'm horrible. 968 00:50:01,360 --> 00:50:03,440 I'm just like, oh, please don't, please don't. 969 00:50:03,520 --> 00:50:04,880 It's not funny. Nothing's funny. 970 00:50:04,880 --> 00:50:07,360 And the more I try to do that, so I I try. 971 00:50:07,520 --> 00:50:09,400 To stop laughing The more you're laughing, yeah. 972 00:50:10,800 --> 00:50:14,200 But one thing that it made me think of is like that I would 973 00:50:14,200 --> 00:50:17,720 say the podcasting has connected me with so many just wonderful 974 00:50:17,720 --> 00:50:19,600 people. And I went on the Nurse Lake 975 00:50:19,600 --> 00:50:22,280 cruise, I guess it's been a little over a year ago now. 976 00:50:22,360 --> 00:50:24,600 And while I was there, I met all these amazing people. 977 00:50:24,600 --> 00:50:27,040 Like I just meet people that would just be like, I listen to 978 00:50:27,040 --> 00:50:28,600 your podcast and then. Yeah. 979 00:50:28,800 --> 00:50:31,720 And there's just different nurses, all kinds of other 980 00:50:31,720 --> 00:50:34,320 influencers, the people that call those influencers. 981 00:50:34,640 --> 00:50:38,600 And yeah, we were just all like, we decided we wanted to do 982 00:50:38,600 --> 00:50:42,400 karaoke and we went like to, we called it kiddie pool karaoke. 983 00:50:42,400 --> 00:50:45,720 And we went up to this, like, area like people, there are no 984 00:50:45,720 --> 00:50:47,080 children on the nurse plate crew. 985 00:50:47,080 --> 00:50:49,400 Yeah, yeah. No kids, but we're in the kiddie 986 00:50:49,440 --> 00:50:50,840 pools. We went to the kiddie pool. 987 00:50:50,960 --> 00:50:53,200 There was nobody there. And we somebody brought like 988 00:50:53,200 --> 00:50:56,640 their beats, like. Speaker you know, and they yeah. 989 00:50:56,880 --> 00:50:59,120 Playing portable. Speaker yes. 990 00:50:59,120 --> 00:51:01,800 Portable. Speaker We pull up music on 991 00:51:01,800 --> 00:51:04,240 that. And then we literally stood 992 00:51:04,240 --> 00:51:08,120 there and played and did did karaoke and it was so much fun, 993 00:51:08,120 --> 00:51:09,840 man. We had a that was like the most 994 00:51:09,840 --> 00:51:13,560 fun cruise ever. So yes, single, like 995 00:51:13,640 --> 00:51:15,600 unfortunately, you know, when you have little ones, it's just 996 00:51:15,600 --> 00:51:19,400 like can't go on the fun, you know, Nurse Blake Cruise. 997 00:51:19,400 --> 00:51:22,360 But it sounds like it's definitely checking out when 998 00:51:22,480 --> 00:51:24,120 you're into single, single space. 999 00:51:24,120 --> 00:51:26,760 No kids get out there, check it out. 1000 00:51:26,760 --> 00:51:30,160 That sounds like a good time. Well, we're, you know, Tina, I 1001 00:51:30,160 --> 00:51:33,040 absolutely love your podcast. I love your conversational 1002 00:51:33,040 --> 00:51:34,800 style. Just it's very relaxed. 1003 00:51:34,800 --> 00:51:36,840 It's such a great show to listen to. 1004 00:51:36,840 --> 00:51:40,920 So everyone check out Good Nurse, Bad Nurse, wherever you 1005 00:51:40,920 --> 00:51:43,760 get your your podcasts, we'll link them in the show notes. 1006 00:51:43,880 --> 00:51:46,880 Where can people find you? Give a shameless plug for what 1007 00:51:46,880 --> 00:51:49,160 it is that you're growing there. And it really is just a good 1008 00:51:49,160 --> 00:51:50,080 nurse, bad nurse. They gave me. 1009 00:51:50,080 --> 00:51:52,200 If you look up good nurse, bad nurse, it's pretty much just me. 1010 00:51:52,200 --> 00:51:54,120 Nobody else is going to call them crazy enough to call 1011 00:51:54,120 --> 00:51:57,520 themselves Best. Yeah, you'll find me if you just 1012 00:51:57,520 --> 00:52:00,120 Google good nurse, bad nurse or look it up on any of this, you 1013 00:52:00,120 --> 00:52:02,600 know, social media platforms or wherever you get, you know, like 1014 00:52:02,600 --> 00:52:06,440 you said, get your podcasts. Yeah, and we do a rapid fire at 1015 00:52:06,440 --> 00:52:07,800 the end. Are you ready, Tina? 1016 00:52:07,800 --> 00:52:08,880 For rapid fire? Are you? 1017 00:52:09,000 --> 00:52:10,720 Probably not. OK, Yeah, you're not. 1018 00:52:10,720 --> 00:52:13,720 Let's just go for it anyway. So tell me, what is your 1019 00:52:13,720 --> 00:52:18,160 favorite color? That was quick. 1020 00:52:18,160 --> 00:52:21,000 That was super quick. Are you like a solid Navy blue? 1021 00:52:21,000 --> 00:52:23,200 Are you like a royal blue? Are you like? 1022 00:52:23,200 --> 00:52:25,280 All colors of blue. Any blue. 1023 00:52:25,280 --> 00:52:28,000 Lighter, yeah. Okay, a lighter blue okay, okay 1024 00:52:28,360 --> 00:52:30,640 and then favorite dessert. If you have to pick a dessert, 1025 00:52:30,640 --> 00:52:33,360 no matter where you are, you're at least trying it because you 1026 00:52:33,360 --> 00:52:35,760 just love this thing so much. What's what it. 1027 00:52:35,760 --> 00:52:39,680 Is I'm from the South, yeah. Yeah, yeah. 1028 00:52:39,680 --> 00:52:42,400 I think I saw Tennessee, right? Yes, yeah, yeah, yeah. 1029 00:52:42,720 --> 00:52:47,480 And then, OK, so because this is the Success NP podcast, I want 1030 00:52:47,480 --> 00:52:52,280 to know, how do you find Tina? How does Tina defined success 1031 00:52:52,280 --> 00:52:54,320 for your life? This is not a rapid fire. 1032 00:52:54,320 --> 00:52:57,200 This is a little bit deeper, but I think it's important to hear 1033 00:52:57,200 --> 00:53:02,160 how you and your career and your life are chasing success, 1034 00:53:02,560 --> 00:53:04,800 chasing that thing. That's a great question. 1035 00:53:04,800 --> 00:53:08,800 I think that for me, and I've had lots of different roles as a 1036 00:53:08,800 --> 00:53:12,360 nurse and just, I'm, I'm constantly evolving and 1037 00:53:12,480 --> 00:53:16,560 challenging myself. So I feel like whenever I, as 1038 00:53:16,560 --> 00:53:20,000 long as I'm being challenged as like if I feel challenged in the 1039 00:53:20,000 --> 00:53:22,440 position that I'm, I'm in, I'll stay there. 1040 00:53:22,440 --> 00:53:25,600 And once I feel like, you know, I'm feeling stagnant, I'm going 1041 00:53:25,600 --> 00:53:27,280 to want to, I want to move forward. 1042 00:53:27,560 --> 00:53:30,120 So then, you know, but whatever I'm doing, I want to get the 1043 00:53:30,120 --> 00:53:32,640 certifications. When I was, when I was on PC, I 1044 00:53:32,640 --> 00:53:35,480 got my PCCN. When I was, when I moved to ICU, 1045 00:53:35,480 --> 00:53:38,120 I got my CCRN. I'm just always wanting to just 1046 00:53:38,120 --> 00:53:40,200 kind of like work at that highest level that I can. 1047 00:53:40,200 --> 00:53:44,040 And then when I feel like, you know, I'm, I'm feeling a little 1048 00:53:44,040 --> 00:53:47,040 bit, you know, like I got this, I'm ready to move on and 1049 00:53:47,040 --> 00:53:50,320 challenge myself. So to me, that's success. 1050 00:53:51,120 --> 00:53:54,040 Yeah, it's always, I think it goes back to the very first 1051 00:53:54,040 --> 00:53:57,760 story you told about how you finally kind of got settled as a 1052 00:53:57,760 --> 00:54:00,720 nurse at like 1-2 year mark, and that's when you decided to 1053 00:54:00,720 --> 00:54:03,520 launch the podcast. And so I think for any nurse or 1054 00:54:03,520 --> 00:54:07,600 nurse practitioner that is thinking like, all right, I'm at 1055 00:54:07,600 --> 00:54:11,360 this place like I'm feeling like what Tina did or, you know, 1056 00:54:11,560 --> 00:54:15,280 whichever, whatever that story is, for you to just launch 1057 00:54:15,280 --> 00:54:17,720 something new, go into something unexpected because you never 1058 00:54:17,720 --> 00:54:19,000 know what doors it's going to open. 1059 00:54:19,000 --> 00:54:20,640 You never know what conversations you're going to be 1060 00:54:20,640 --> 00:54:24,520 having and what stories you're going to be diving into to share 1061 00:54:24,520 --> 00:54:27,360 on your your no next episode. So thank you so much, Tina, for 1062 00:54:27,360 --> 00:54:29,360 coming on. It was so nice to meet you and 1063 00:54:29,360 --> 00:54:30,880 to sit here and have this conversation. 1064 00:54:30,960 --> 00:54:32,360 Absolutely. Thank you for having me. 1065 00:54:32,920 --> 00:54:35,880 Yeah, guys, thanks for hanging out be well, thanks for tuning 1066 00:54:35,880 --> 00:54:39,440 into another episode of success and P We hope today's discussion 1067 00:54:39,440 --> 00:54:43,000 has shed some light on the diverse career options or taught 1068 00:54:43,000 --> 00:54:45,160 you how to improve your clinical practice as a nurse 1069 00:54:45,160 --> 00:54:47,200 practitioner. Remember, whether you're 1070 00:54:47,200 --> 00:54:50,560 considering a specialization, pursuing advanced certifications 1071 00:54:50,800 --> 00:54:53,640 or exploring non traditional roles, there's a wealth of 1072 00:54:53,640 --> 00:54:55,440 opportunities out there waiting for you. 1073 00:54:55,840 --> 00:54:58,920 Be sure to subscribe to the show so you don't miss an episode and 1074 00:54:58,920 --> 00:55:01,480 leave us a five star review. It helps the podcast grow. 1075 00:55:01,960 --> 00:55:05,440 The Success and Peace Podcast is on the World Wide Web, YouTube, 1076 00:55:05,640 --> 00:55:09,320 Instagram, Facebook and X, so subscribe to our newsletter for 1077 00:55:09,320 --> 00:55:12,200 updates on new podcast episodes and other information to help 1078 00:55:12,200 --> 00:55:15,080 you on your own NP journey. You can always message us at 1079 00:55:15,080 --> 00:55:18,440 successandpeacepodcast@gmail.com with any NP. 1080 00:55:18,440 --> 00:55:21,000 Podcast episodes or topics you'd like us to discuss? 1081 00:55:21,200 --> 00:55:24,680 Until next time, take care, stay curious, and keep advancing your 1082 00:55:24,680 --> 00:55:27,760 careers as a nurse practitioner. And just a friendly reminder, 1083 00:55:27,920 --> 00:55:30,640 the information on this podcast is for educational purposes 1084 00:55:30,640 --> 00:55:32,360 only. The information should not be 1085 00:55:32,360 --> 00:55:34,960 used in substitute for professional care by a medical 1086 00:55:34,960 --> 00:55:37,080 provider. The information on this podcast 1087 00:55:37,080 --> 00:55:40,080 does not represent medical or professional advice or services. 1088 00:55:40,200 --> 00:55:40,960 Bye for now.