1 00:00:00,040 --> 00:00:03,480 Pikmonic 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 --> 00:00:30,440 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 --> 00:00:37,160 learning needs so you'll be reminded to review the right 11 00:00:37,160 --> 00:00:41,360 information at the right time, increasing long term retention. 12 00:00:41,840 --> 00:00:46,440 Picmonic is also integrated into the true learned question Bay so 13 00:00:46,440 --> 00:00:49,680 you can study exactly what you need and test your knowledge. 14 00:00:50,040 --> 00:00:53,360 Check them out today if you're preparing for board link in the 15 00:00:53,360 --> 00:00:56,520 show notes. Attention all nurse 16 00:00:56,520 --> 00:00:59,040 practitioners and MP students. Are you tired of feeling the 17 00:00:59,040 --> 00:01:02,120 disconnect between clinical rotations and didactic teaching? 18 00:01:02,440 --> 00:01:06,720 Say hello to success in PS clinical booklet guides. 19 00:01:06,960 --> 00:01:09,720 As NPS ourselves, we know how valuable it is to have a 20 00:01:09,720 --> 00:01:13,000 resource that helps bridge the gap between clinical and class, 21 00:01:13,360 --> 00:01:16,040 So we created the digital resource to do just that. 22 00:01:16,600 --> 00:01:19,600 Our clinical booklets cover five major NP tracks. 23 00:01:19,840 --> 00:01:24,600 Psych, adult kids, family and Women's Health success. 24 00:01:24,600 --> 00:01:26,920 NPS wants to create tools and provide support. 25 00:01:26,920 --> 00:01:28,840 NPS need to thrive in their careers. 26 00:01:28,840 --> 00:01:32,440 So why wait? Check out our Success NP Etsy 27 00:01:32,440 --> 00:01:36,000 shop, LinkedIn, the show notes for our digital guides and other 28 00:01:36,000 --> 00:01:41,440 digital clinical resources. Hi welcome Success NP. 29 00:01:41,440 --> 00:01:45,560 We have another episode of our podcast today with the amazing, 30 00:01:45,560 --> 00:01:49,680 the illustrious, my dear friend Sarah Lorenzini. 31 00:01:49,840 --> 00:01:53,320 She's a passionate rapid response nurse, an educator who 32 00:01:53,320 --> 00:01:56,520 brings energy and expertise to the nursing community. 33 00:01:56,520 --> 00:01:59,360 She's the host of the rapid response podcast, which I've 34 00:01:59,360 --> 00:02:01,760 been on. She is so captivating as she 35 00:02:01,760 --> 00:02:06,040 tells real life emergency stories from her over 20 years 36 00:02:06,040 --> 00:02:10,880 of nursing experience in the ICU, cardiac ICUER and being the 37 00:02:10,880 --> 00:02:14,320 head of the rapid response team. She tells all these complex, 38 00:02:14,480 --> 00:02:19,360 beautiful, written applicable stories that you can then learn 39 00:02:19,360 --> 00:02:23,320 the pathophys, pharmacology, anything that the nurse needs to 40 00:02:23,320 --> 00:02:25,920 understand their role, especially in the acute care 41 00:02:25,920 --> 00:02:28,160 setting in healthcare. She breaks it down for you. 42 00:02:29,080 --> 00:02:31,960 She actually also has the Rapid Response Academy, which I think 43 00:02:31,960 --> 00:02:34,520 she's phasing out for summer, but probably coming back at some 44 00:02:34,520 --> 00:02:38,280 point, where she's teaching rapid response nurses how to be 45 00:02:38,280 --> 00:02:40,560 the best that they can. She holds a master's degree in 46 00:02:40,560 --> 00:02:44,280 nursing as well as her CCRN and her CEN certification. 47 00:02:44,280 --> 00:02:45,600 So she just loves to teach nurses. 48 00:02:45,800 --> 00:02:50,160 She lives in the wonderful state of Florida, and she's got a 49 00:02:50,320 --> 00:02:51,840 bunch of kids. How many do you have now? 50 00:02:51,840 --> 00:02:57,240 Like, 455, 55 kids. And she is a passionate mom. 51 00:02:57,240 --> 00:03:00,080 And yeah, she's just a friend. She's just a friend. 52 00:03:00,080 --> 00:03:02,920 Welcome, Sarah to the podcast. I could cry. 53 00:03:02,920 --> 00:03:05,880 I just love you so much. Sanji, thanks for having me on 54 00:03:05,880 --> 00:03:07,520 your show. I'm kind of laughing. 55 00:03:07,520 --> 00:03:10,280 You called me illustrious that. Just. 56 00:03:10,440 --> 00:03:12,360 Scared me that. Just mouth. 57 00:03:12,360 --> 00:03:14,600 I just let it. Thank you for having me. 58 00:03:14,600 --> 00:03:16,200 It's always good to chat with you my friend. 59 00:03:16,200 --> 00:03:19,840 Good to see your face. Today I really want to talk 60 00:03:19,840 --> 00:03:24,840 about an interesting role of the rapid response nurse and how it 61 00:03:24,840 --> 00:03:27,160 intersects with the role of the nurse practitioner at the 62 00:03:27,160 --> 00:03:29,360 bedside. Because I think that's something 63 00:03:29,360 --> 00:03:32,000 that not a lot of NPS know too much about. 64 00:03:32,000 --> 00:03:35,640 And if they are maybe a new grad nurse that is just finished 65 00:03:35,640 --> 00:03:38,360 acute care nursing is going to be kind of maybe in that setting 66 00:03:38,360 --> 00:03:40,920 where you're working. Maybe this is her first time 67 00:03:40,920 --> 00:03:42,960 interacting with that role. What does that look like for 68 00:03:42,960 --> 00:03:45,680 her? Like for a nurse practitioner 69 00:03:45,720 --> 00:03:47,200 that's just starting. Yeah. 70 00:03:47,680 --> 00:03:51,560 So I think just to back it up, let's just level set describe 71 00:03:51,560 --> 00:03:54,360 what is a rapid response nurse, because I think that might mean 72 00:03:54,360 --> 00:03:55,920 something different at different facilities. 73 00:03:55,920 --> 00:04:00,160 Let's do it. And so, gosh, back in 2004, they 74 00:04:00,160 --> 00:04:04,480 decided, I think it was called the 100,000 Lives campaign, that 75 00:04:04,480 --> 00:04:06,560 they were going to make all these standards of care, they're 76 00:04:06,560 --> 00:04:08,760 going to save 100,000 lives. And one of the centers of care 77 00:04:08,760 --> 00:04:12,400 is there needs to be some sort of rapid response team or team 78 00:04:12,400 --> 00:04:14,360 that responds to emergency at the bedside. 79 00:04:14,600 --> 00:04:17,320 And so every hospital gets to decide who's on that team, how 80 00:04:17,320 --> 00:04:19,800 they structure that team. But there is a team of people 81 00:04:19,800 --> 00:04:21,880 who is supposed to respond. Patients are crashing. 82 00:04:22,040 --> 00:04:23,320 So it's not just left in the hand. 83 00:04:23,320 --> 00:04:26,520 So say the one bedside nurse to manage this crashing patient. 84 00:04:27,000 --> 00:04:29,360 And so some facilities have dedicated rapid response teams 85 00:04:29,360 --> 00:04:31,400 where it's a nurse, that's all they do all day long is just 86 00:04:31,400 --> 00:04:33,080 respond to and prevent emergencies. 87 00:04:33,560 --> 00:04:36,400 And then some facilities, it's like the ICU charge nurse, let's 88 00:04:36,400 --> 00:04:39,200 say, or the ER Chargers might leave their unit and go respond 89 00:04:39,200 --> 00:04:41,080 to the emergency wherever it may be happening. 90 00:04:41,720 --> 00:04:44,360 So kind of like the 911, but on the inpatient side. 91 00:04:44,760 --> 00:04:46,640 So that is my role at my hospital. 92 00:04:46,640 --> 00:04:48,040 We have a dedicated Rep response team. 93 00:04:48,240 --> 00:04:53,000 So I just respond to emergencies all day long and often times as 94 00:04:53,000 --> 00:04:55,560 interacting with the bedside nurse, with the patient, with 95 00:04:55,560 --> 00:04:59,120 the family, with the physician, with the nurse practitioner, 96 00:04:59,120 --> 00:05:01,840 with the consulting team. Like I interrupt with all those 97 00:05:01,840 --> 00:05:04,160 people. I think the expertise that I 98 00:05:04,160 --> 00:05:07,680 bring is not just my 20 years of critical care experience, but 99 00:05:07,680 --> 00:05:11,040 also team leadership. And I think that's the part that 100 00:05:11,040 --> 00:05:14,920 I would love to focus on today. It's just talking about how as a 101 00:05:14,920 --> 00:05:18,800 nurse practitioner you go, it's a very quick transition from 102 00:05:18,960 --> 00:05:21,440 you're a bedside nurse to bam, now you're in charge, You're the 103 00:05:21,440 --> 00:05:23,240 one that's ordering the things, you're the one that everyone's 104 00:05:23,240 --> 00:05:26,840 looking to for guidance. And I, I mean, I haven't been 105 00:05:26,840 --> 00:05:30,320 through MP school, but I, from what I hear, there's not much 106 00:05:30,320 --> 00:05:32,960 training about that particular aspect of your role. 107 00:05:32,960 --> 00:05:35,800 Like you get really good at understanding which antibiotics 108 00:05:35,800 --> 00:05:39,320 to order and the diagnostics and like all of that. 109 00:05:39,560 --> 00:05:42,280 But like, what about when the patient's crashing and it's 110 00:05:42,280 --> 00:05:44,240 chaos in the room and everyone's freaking out? 111 00:05:44,240 --> 00:05:47,520 Like that skill set, managing that, that's, there's no class 112 00:05:47,520 --> 00:05:49,160 for that in a peace school, unfortunately. 113 00:05:49,600 --> 00:05:51,840 But that is something that I have taken years and years and 114 00:05:51,840 --> 00:05:54,000 years to try to perfect in my own practice. 115 00:05:54,360 --> 00:05:57,560 And so I love to come alongside my NP colleagues and like 116 00:05:57,560 --> 00:06:00,320 support them in that, give their tools and resources and verbiage 117 00:06:00,320 --> 00:06:02,880 really to do that very well. So I don't know if I answered 118 00:06:02,880 --> 00:06:05,200 your question. Yeah, yeah, Yeah. 119 00:06:05,640 --> 00:06:07,240 No, you didn't. And that's exactly how they 120 00:06:07,240 --> 00:06:10,040 collaborate is in those situations where the nurse 121 00:06:10,040 --> 00:06:15,000 practitioner is kind of leading. And what you're noticing in at 122 00:06:15,000 --> 00:06:18,320 the bedside is that they're thrown in to these. 123 00:06:18,320 --> 00:06:21,160 And again, that's just so classic NP sometimes is that 124 00:06:21,160 --> 00:06:25,160 you're thrown into situation and you're like, OK, this is trial 125 00:06:25,160 --> 00:06:27,120 by fire. I'm going to have to learn, 126 00:06:27,640 --> 00:06:30,360 build the plane as I fly it, learn as I'm doing. 127 00:06:30,360 --> 00:06:33,160 And it does make it kind of hard. 128 00:06:33,160 --> 00:06:36,560 And there are ways that I wish. And that's part of the reason 129 00:06:36,560 --> 00:06:38,960 why we created the booklets that we did was because there's just 130 00:06:38,960 --> 00:06:41,960 so many instances where NPS are put in positions where it's 131 00:06:41,960 --> 00:06:45,800 like, well, why isn't anyone giving us some quick notes on 132 00:06:45,800 --> 00:06:49,360 like, what it is that we need to be doing here so that we look 133 00:06:49,360 --> 00:06:52,360 more prepared? Nobody wants to be unprepared, 134 00:06:52,360 --> 00:06:55,240 especially when you spent all this time in school, you spent 135 00:06:55,320 --> 00:06:58,040 all this time in clinical, and now you're in another position 136 00:06:58,040 --> 00:07:00,760 where you're like, unprepared. Like you don't want that 137 00:07:00,760 --> 00:07:02,480 feeling. That feeling is terrible. 138 00:07:02,680 --> 00:07:06,640 What are some tools that you think that NP's could bring to 139 00:07:06,640 --> 00:07:09,560 the bedside as far as maybe communication? 140 00:07:09,760 --> 00:07:12,360 And yeah, let's start with communication and dealing with 141 00:07:12,360 --> 00:07:15,520 bedside inside emergencies. What have you noticed or some of 142 00:07:15,520 --> 00:07:19,120 the things that you said this MP did this or this MP didn't do 143 00:07:19,120 --> 00:07:21,920 this and this was a benefit or a hindrance? 144 00:07:22,440 --> 00:07:26,040 OK, let me talk about an MP that I love so much that I think 145 00:07:26,560 --> 00:07:30,280 totally does an amazing job when she shows up to emergencies. 146 00:07:30,280 --> 00:07:32,560 And then we'll talk about something that I've seen that I 147 00:07:32,560 --> 00:07:34,680 would recommend people not. To. 148 00:07:34,960 --> 00:07:38,320 OK, so one thing she does is she shows up and introduced herself. 149 00:07:38,640 --> 00:07:42,320 Hey, guys, I'm Sandra, the MP from Blah blah. 150 00:07:42,320 --> 00:07:44,280 Tell what's going on. So start the instruction. 151 00:07:44,320 --> 00:07:46,040 No one knows who you are. We're all wearing scrubs. 152 00:07:46,040 --> 00:07:48,240 It's hard to say who's in charge of what, what the role is. 153 00:07:48,280 --> 00:07:51,040 Introduce yourself. And your role seems pretty 154 00:07:51,040 --> 00:07:53,000 obvious. I can't tell you how many people 155 00:07:53,000 --> 00:07:54,440 just forget to do it. OK. 156 00:07:55,080 --> 00:07:57,840 And then she kind of like, gathers information, and you can 157 00:07:57,840 --> 00:07:59,520 see all the wheels turning in her head. 158 00:07:59,840 --> 00:08:02,920 And then once she's kind of like, made a plan, she announces 159 00:08:02,920 --> 00:08:04,960 it. All right, guys, so we're going 160 00:08:04,960 --> 00:08:07,960 to do this, this, this and this. I'm looking for this. 161 00:08:08,000 --> 00:08:10,520 I'm assuming this might be going on, but I'm not totally sure 162 00:08:10,680 --> 00:08:12,640 once we get the results back from this that I'm going to do 163 00:08:12,640 --> 00:08:14,400 this. So just like basically lays out 164 00:08:14,400 --> 00:08:16,560 the plan of care for the whole room and for the patient to hear 165 00:08:16,560 --> 00:08:17,920 as well. Wow. 166 00:08:17,920 --> 00:08:20,240 Does anyone have any questions or did I miss anything? 167 00:08:20,240 --> 00:08:23,480 And that's my favorite part that she asked with humility is did I 168 00:08:23,480 --> 00:08:24,960 miss anything? Anything else I should know 169 00:08:24,960 --> 00:08:26,520 before we move forward with this plan? 170 00:08:27,200 --> 00:08:29,640 And every once in a while, someone has a little piece of 171 00:08:29,640 --> 00:08:31,880 information that she wasn't pretty to yet. 172 00:08:32,120 --> 00:08:33,799 And when she hears that, she's like, oh, good point. 173 00:08:33,799 --> 00:08:35,520 OK, well, let's go ahead and add this lab. 174 00:08:35,799 --> 00:08:38,520 Let's go ahead and read. Like she's so good at 175 00:08:38,520 --> 00:08:41,679 communication. And so she lays it all out 176 00:08:41,679 --> 00:08:43,280 because everyone a chance to contribute. 177 00:08:43,720 --> 00:08:45,400 And then she says, is there any questions? 178 00:08:45,880 --> 00:08:48,640 All right, well, let me know about this and I'll circle back 179 00:08:48,640 --> 00:08:50,920 in about this. Like she just closes the loop 180 00:08:51,200 --> 00:08:53,320 every time. And everyone in the room is 181 00:08:53,320 --> 00:08:57,560 like, like, we got this, like we know the plan, we can move 182 00:08:57,560 --> 00:08:59,600 forward. I know what I'm looking for. 183 00:08:59,880 --> 00:09:02,560 She she also thanks everyone for their contribution. 184 00:09:02,560 --> 00:09:04,480 That also feels really good to the whole team. 185 00:09:05,120 --> 00:09:09,360 And I think the bedside nurse, the family, the patient all feel 186 00:09:09,360 --> 00:09:11,440 like, OK, this is being managed 12. 187 00:09:11,840 --> 00:09:14,120 So this is for like an emergency that doesn't end in like a code 188 00:09:14,120 --> 00:09:15,200 blue, right? That's a whole different 189 00:09:15,200 --> 00:09:17,440 situation. But a lot of his rap responses, 190 00:09:17,440 --> 00:09:19,680 it's just all the pieces of psychocardic. 191 00:09:19,680 --> 00:09:21,000 We have to manage this tech Guardia. 192 00:09:21,000 --> 00:09:23,600 Oh, they're hypotensive, but to fix hypotension, it's something 193 00:09:23,600 --> 00:09:25,920 that we can fix, right? It's not like they're not about 194 00:09:25,920 --> 00:09:27,760 to die, but that's something we need to address. 195 00:09:28,080 --> 00:09:31,280 As for those situations, she she addresses the thing she talks 196 00:09:31,280 --> 00:09:34,600 about what the plan is, what to look for it, it goes so smooth. 197 00:09:34,880 --> 00:09:38,040 OK, so that's the that's the ideal nerve practitioner, right? 198 00:09:38,440 --> 00:09:39,480 Beautiful. I love it. 199 00:09:39,480 --> 00:09:40,040 It's. Beautiful. 200 00:09:40,040 --> 00:09:41,600 Yeah, she's amazing. Everyone loves her, right? 201 00:09:41,600 --> 00:09:44,720 Of course, because they feel safe whenever she is present. 202 00:09:45,160 --> 00:09:47,400 But let me type. That's not good. 203 00:09:48,280 --> 00:09:52,320 So here, Here's my most hated question. 204 00:09:53,080 --> 00:09:56,480 Whenever OK, tensions are high, everyone's stressed out, 205 00:09:56,480 --> 00:10:00,240 something's happening with the patient, and then the provider 206 00:10:00,240 --> 00:10:03,840 or MP or whoever shows up and says why'd you call a rapid? 207 00:10:06,120 --> 00:10:08,320 Interesting. OK, it's studying a different 208 00:10:08,400 --> 00:10:10,680 SO. Yeah, I also want to know why 209 00:10:10,680 --> 00:10:14,400 they called a rapid. But something about asking why 210 00:10:14,400 --> 00:10:17,760 did you do this immediately puts people on the defensive. 211 00:10:17,760 --> 00:10:19,360 It would put me on the defensive. 212 00:10:19,360 --> 00:10:21,880 Right now I'm questioning, wait, should I have it? 213 00:10:21,880 --> 00:10:23,640 Is it inappropriate that I called it? 214 00:10:24,000 --> 00:10:26,680 I'm, I'm sorry, like like it actually makes you think like 215 00:10:26,800 --> 00:10:28,600 you have to defend yourself. Well, I can't wrap it because of 216 00:10:28,600 --> 00:10:29,960 this. And they get people, you can 217 00:10:29,960 --> 00:10:32,280 feel it in the room. People get more stressed because 218 00:10:32,280 --> 00:10:35,040 they have to defend their decision to have called the 219 00:10:35,040 --> 00:10:38,200 rapid response. There's so many other ways that 220 00:10:38,200 --> 00:10:40,760 you could ask why did you call the rapid except for that 221 00:10:40,760 --> 00:10:42,960 particular question. And I get it that I also want 222 00:10:42,960 --> 00:10:45,520 that answer, but I'm not asking it that way. 223 00:10:45,720 --> 00:10:48,480 I'm starting with, hey, guys, I'm Sarah from rap response. 224 00:10:48,600 --> 00:10:52,120 Who's the primary nurse, Sue? Hey Sue, time by your patient. 225 00:10:52,120 --> 00:10:54,160 What should I know? There's so many other ways you 226 00:10:54,160 --> 00:10:55,840 can ask what's going on with this patient. 227 00:10:55,960 --> 00:10:57,120 Besides, why don't you call the Rep? 228 00:10:57,400 --> 00:10:59,200 OK, so that's thing #1 don't do that. 229 00:10:59,960 --> 00:11:05,280 And then you do not need to start like, listen, people with 230 00:11:05,280 --> 00:11:08,920 questions, give them a second to like get it out of their their 231 00:11:08,920 --> 00:11:10,200 chest. You know, you don't have to be 232 00:11:10,200 --> 00:11:11,840 like, what's the blood pressure? What's the beds? 233 00:11:11,960 --> 00:11:14,120 What's the history? They will get to it. 234 00:11:14,120 --> 00:11:17,840 Just give them a second. It gets, it's really frustrating 235 00:11:17,840 --> 00:11:20,120 when you have a fish in your head and you're trying to get it 236 00:11:20,120 --> 00:11:23,640 out at what you think to be an organized fashion and someone's 237 00:11:23,640 --> 00:11:25,760 asking these random questions from all over the place. 238 00:11:26,360 --> 00:11:28,680 The other thing too is they were like, what's the blood pressure? 239 00:11:28,880 --> 00:11:32,360 I'm like, OK, listen, just look on the dark screen right there. 240 00:11:32,360 --> 00:11:33,560 The model of the machine is right there. 241 00:11:33,560 --> 00:11:37,840 Just look at it, you know, like, what's the patient's name? 242 00:11:37,880 --> 00:11:39,120 OK. It's literally written on the 243 00:11:39,120 --> 00:11:40,640 white board right behind you. Like that some of these 244 00:11:40,640 --> 00:11:42,760 questions, like you're just adding to the chaos. 245 00:11:43,080 --> 00:11:45,080 Just like take a minute, take it all in. 246 00:11:46,920 --> 00:11:49,120 Sometimes like the lack of emotional intelligence and 247 00:11:49,120 --> 00:11:53,280 reading the room, you know, like as an MP, as a rapid response 248 00:11:53,280 --> 00:11:56,640 nurse, when I show up to emergency, I actually act 249 00:11:56,640 --> 00:12:00,080 different every time I show up. I read the room. 250 00:12:00,360 --> 00:12:02,880 Sometimes I'm like funny cracking jokes. 251 00:12:02,880 --> 00:12:04,800 Sometimes that's totally inappropriate. 252 00:12:05,360 --> 00:12:08,720 Sometimes I'm like had to be very firm because the patient's 253 00:12:08,720 --> 00:12:11,120 kind of wild out. Other times, no need for 254 00:12:11,120 --> 00:12:13,000 firmness. This patient's scared and they 255 00:12:13,000 --> 00:12:19,080 need someone to be maybe for me or like nurturing or consoling, 256 00:12:19,080 --> 00:12:21,040 right? My tone of voice changes. 257 00:12:21,040 --> 00:12:24,280 I'm not the same proper response nurse every time I show up. 258 00:12:24,600 --> 00:12:27,120 And I think, as MP said, to be aware of that too. 259 00:12:27,400 --> 00:12:28,840 Sometimes you show up with humor. 260 00:12:28,840 --> 00:12:31,240 Sometimes you should not be busted out the humor. 261 00:12:31,360 --> 00:12:34,800 Sometimes you show up with this kind, compassionate, nurturing 262 00:12:34,800 --> 00:12:36,520 voice. And sometimes that would seem 263 00:12:36,520 --> 00:12:38,360 kind of like you're making the patient feel like they're dumb, 264 00:12:38,400 --> 00:12:38,800 right? Yeah. 265 00:12:39,320 --> 00:12:41,120 They do condescending. Kind of change. 266 00:12:41,320 --> 00:12:44,240 You have to change your tone based on the patient's needs. 267 00:12:45,040 --> 00:12:47,000 OK, So we don't say why did you call the rapid. 268 00:12:47,240 --> 00:12:50,800 We have to be aware of the room, kind of respond to the room and 269 00:12:50,800 --> 00:12:52,760 then don't ask a gazillion questions. 270 00:12:52,760 --> 00:12:55,200 Give a second to get it out. And then if they didn't answer 271 00:12:55,200 --> 00:12:57,480 what you wanted to know, then of course ask the question, right? 272 00:12:58,000 --> 00:13:00,360 But what I have found is most of the time people do eventually 273 00:13:00,360 --> 00:13:02,400 get to all the things that I'm that I'm wanting to know. 274 00:13:03,200 --> 00:13:08,320 And then acting like people are dumb for not knowing the thing 275 00:13:08,320 --> 00:13:10,920 that you wanted to know. It actually doesn't help 276 00:13:10,920 --> 00:13:13,080 anything. In fact, I would say it's going 277 00:13:13,080 --> 00:13:18,760 to harm future patients because if they are afraid to speak up 278 00:13:18,960 --> 00:13:21,360 and share concerns and let you know about the patient declining 279 00:13:21,360 --> 00:13:25,120 because of fear that all the condescending MPs and I feel 280 00:13:25,120 --> 00:13:28,440 dumb, they won't call you. They'll wait until the patient's 281 00:13:28,440 --> 00:13:30,880 really, really bad to let you know. 282 00:13:31,360 --> 00:13:33,400 And so that means future patients are going to get your 283 00:13:33,400 --> 00:13:37,040 care delayed. And so I would rather even if in 284 00:13:37,040 --> 00:13:40,400 my head I'm thinking, how do you not know this are like, I'd 285 00:13:40,400 --> 00:13:42,760 never say it out loud. I'd never say with my facial 286 00:13:42,760 --> 00:13:45,840 expressions. My tone is always thank you so 287 00:13:45,840 --> 00:13:48,000 much for letting us know. Like thank you so much for 288 00:13:48,000 --> 00:13:50,320 advocating for your patient. Even if you don't have all the 289 00:13:50,320 --> 00:13:52,280 information, even have all the answers. 290 00:13:52,520 --> 00:13:55,240 You recognize something was up. So thanks for letting us know 291 00:13:56,200 --> 00:13:58,600 even times when like this is not even an emergency, this 292 00:13:58,600 --> 00:14:01,440 patient's fine. You know, maybe someone said the 293 00:14:01,440 --> 00:14:03,320 nurse is overreacting. They're not overreacting. 294 00:14:03,320 --> 00:14:06,560 They're just reacting to whatever triggered them for this 295 00:14:06,560 --> 00:14:07,640 patient. And that's fine. 296 00:14:07,840 --> 00:14:09,680 So I say thank you so much for letting us know. 297 00:14:09,840 --> 00:14:12,920 I actually feel OK about this patient's presentation right now 298 00:14:12,920 --> 00:14:15,320 because and then explain yourself, provide some teaching, 299 00:14:15,320 --> 00:14:17,440 right? But to say like this is an 300 00:14:17,440 --> 00:14:19,680 emergency, Why did you call this rapid? 301 00:14:19,680 --> 00:14:22,600 This patient's fine. All of that condescending stuff, 302 00:14:22,600 --> 00:14:25,120 it doesn't help anybody. It makes it makes you look like 303 00:14:25,120 --> 00:14:27,480 a jerk is what it does. And then the whole room is going 304 00:14:27,480 --> 00:14:30,400 to be questioning the future. Should I actually call Sarah 305 00:14:30,400 --> 00:14:32,240 because last time she was really rude. 306 00:14:32,800 --> 00:14:36,640 And so the energy you bring to the room, it just makes a 307 00:14:36,640 --> 00:14:38,760 difference, not just for this particular emergency we're 308 00:14:38,760 --> 00:14:42,120 managing, but every future one, how people are going to interact 309 00:14:42,120 --> 00:14:44,320 with you. So sure, super important. 310 00:14:45,000 --> 00:14:47,760 I think that like everything you've just said is important 311 00:14:48,040 --> 00:14:52,120 just for any interaction you have with anyone. 312 00:14:52,320 --> 00:14:56,320 I'm like sitting here, like kind of flabbergasted at just how 313 00:14:56,320 --> 00:14:59,520 you've broken down what communication should look like 314 00:14:59,520 --> 00:15:02,800 for the MP at the bedside, in the office, in the clinic. 315 00:15:02,800 --> 00:15:07,040 Like no matter where we are, everything that you just said is 316 00:15:07,040 --> 00:15:12,040 so critical to how we should be interacting with each other on a 317 00:15:12,040 --> 00:15:14,000 team. And so when I present to the 318 00:15:14,000 --> 00:15:17,520 physician or when I am curbsiding something with one of 319 00:15:17,520 --> 00:15:21,120 the other and, you know, nurses or whichever, these are little 320 00:15:21,120 --> 00:15:25,360 tips and morsels that can play out anywhere and be very 321 00:15:25,360 --> 00:15:29,920 effective at kind of creating that collaboration in a team. 322 00:15:30,160 --> 00:15:32,680 And Sarah, one of the things I admire so much about you is that 323 00:15:32,680 --> 00:15:36,680 you do just have such a servant leadership heart that when you 324 00:15:36,680 --> 00:15:41,800 walk into the room, your mission is to serve the patient, serve 325 00:15:41,800 --> 00:15:44,560 the team. And that's why you're the leader 326 00:15:44,600 --> 00:15:49,120 of the rapid response team at your job, because you really do 327 00:15:49,360 --> 00:15:52,280 walk in with that energy everywhere you go. 328 00:15:52,280 --> 00:15:55,880 It's so inspirational. And it's one of those things 329 00:15:55,880 --> 00:15:58,920 that as you were talking, I was thinking, how did you get these 330 00:15:58,920 --> 00:16:00,680 skills? Because these are just not 331 00:16:00,680 --> 00:16:03,120 skills you're born with. These are skills you cultivate. 332 00:16:03,120 --> 00:16:07,440 These are skills you grow. And yes, part of it is from your 333 00:16:07,440 --> 00:16:10,320 20 years of experience, but has there been anything else that a 334 00:16:10,320 --> 00:16:12,280 nurse that's like, listen, our nurse practitioner is 335 00:16:12,280 --> 00:16:14,920 struggling? Like I don't really have those 336 00:16:14,920 --> 00:16:17,440 skills. This is really hard for me to do 337 00:16:17,440 --> 00:16:22,760 when I'm under the gun or under stress to be able to immediately 338 00:16:22,760 --> 00:16:24,960 go into that mode. What would you say to that nurse 339 00:16:25,160 --> 00:16:27,200 or nurse practitioner? Yeah. 340 00:16:28,040 --> 00:16:30,160 So again, these are things that I didn't learn the nursing 341 00:16:30,160 --> 00:16:33,280 school either, but I think that I'm a person that likes to 342 00:16:33,280 --> 00:16:37,240 reflect and debrief and I've learned a lot from that as well. 343 00:16:37,280 --> 00:16:40,640 So like on my drive to work, I'm jamming out to music, I'm 344 00:16:40,640 --> 00:16:42,640 listening to your podcast. Like I'm like getting in the 345 00:16:42,640 --> 00:16:45,680 zone, right? My drive home from work is 346 00:16:45,680 --> 00:16:49,760 almost always in silence and that's very intentional. 347 00:16:49,760 --> 00:16:52,960 I want to reflect on my day and think about not just like the 348 00:16:52,960 --> 00:16:56,480 patients I served and like the nurses I interacted with, but 349 00:16:56,480 --> 00:17:00,040 also like, how did I perform? Like how is that received in 350 00:17:00,040 --> 00:17:02,480 this particular situation? How how did people respond to 351 00:17:02,480 --> 00:17:05,520 the way that I managed that room or how did that interaction go 352 00:17:05,520 --> 00:17:08,119 with my colleague? And I'm like dissecting all of 353 00:17:08,119 --> 00:17:10,160 it, Like what went well, what was not so good? 354 00:17:10,400 --> 00:17:12,280 I think about other people and how they behaved. 355 00:17:12,280 --> 00:17:15,079 I was like, oh, I really liked how Joanne handled that 356 00:17:15,079 --> 00:17:16,640 situation. I'm going to, I'm going to try 357 00:17:16,720 --> 00:17:18,560 that's good verbage. But how she explained that to 358 00:17:18,560 --> 00:17:20,839 the family, I'm going to like, I'm going to capture that and 359 00:17:20,839 --> 00:17:23,800 hold that in my brain or like, Oh my gosh, that one doctor, the 360 00:17:23,800 --> 00:17:26,839 way he handled that conversation about goals of care was 361 00:17:27,359 --> 00:17:29,400 horrible. I will, I'll never do that. 362 00:17:29,520 --> 00:17:33,080 So I'm constantly like creating this filing cabinet in my brain 363 00:17:33,080 --> 00:17:36,400 of what I aspire to be and what I'd never want to do. 364 00:17:36,840 --> 00:17:40,920 And so that when it happens to me, when I get the opportunity 365 00:17:40,960 --> 00:17:44,480 to access those tools or resources that I filed away, 366 00:17:44,480 --> 00:17:48,080 that then I get to. And so the nurse that I am today 367 00:17:48,640 --> 00:17:51,840 behaves very different than the nurse that started out in 2004, 368 00:17:51,840 --> 00:17:54,680 right? I was one, only 19 years old 369 00:17:54,680 --> 00:17:57,400 when I became a nurse. And so I was like the baby of 370 00:17:57,400 --> 00:17:59,280 the unit and it was very obvious. 371 00:17:59,280 --> 00:18:01,400 I was like 100 lbs in this little time. 372 00:18:01,400 --> 00:18:03,600 I don't know, I'm still surprised they hired me, 373 00:18:03,600 --> 00:18:06,040 honestly. But the way I behaved back then, 374 00:18:06,560 --> 00:18:08,040 it's I'm, I'm very different now. 375 00:18:08,040 --> 00:18:12,040 I've, it's been a lot of practice and mistakes and 376 00:18:12,040 --> 00:18:13,880 failures and like, OK, we'll do that again. 377 00:18:13,880 --> 00:18:15,480 I'm going to try this way next time. 378 00:18:15,640 --> 00:18:19,240 I've, I've slowly learned how to do that and just like paying 379 00:18:19,240 --> 00:18:21,680 close attention to my mentors and people I look up to and 380 00:18:21,680 --> 00:18:24,640 trying to like clean how they, how they handle things. 381 00:18:25,600 --> 00:18:28,360 I remember there's this church that I looked up to so much, 382 00:18:28,360 --> 00:18:30,360 Jack. He was a nurse for like 30 years 383 00:18:30,360 --> 00:18:32,440 prior to me becoming a nurse. So he had been doing this for a 384 00:18:32,440 --> 00:18:36,680 while and just watching him in a code, he was just so calm. 385 00:18:36,680 --> 00:18:39,880 He didn't freak out. His like voice didn't really, 386 00:18:40,000 --> 00:18:43,240 like, fluctuate. He was just so I felt so much 387 00:18:43,280 --> 00:18:46,000 like, OK, we've got this. Like Jack says, we got this. 388 00:18:46,000 --> 00:18:48,320 I can tell from his body language, from his tone, OK, 389 00:18:48,320 --> 00:18:50,840 this isn't scary stuff. We can totally handle this 390 00:18:51,240 --> 00:18:52,800 versus this other nurse. Carol. 391 00:18:53,080 --> 00:18:54,560 Oh, my gosh, your hair is on fire. 392 00:18:54,560 --> 00:18:56,760 She's like yelling at everybody, freaking out. 393 00:18:57,040 --> 00:19:00,000 And I remember thinking, Oh my gosh, this is not going well. 394 00:19:00,600 --> 00:19:02,840 And it was probably the same exact situation as what Jack 395 00:19:02,840 --> 00:19:04,640 managed. It's just that what he brought 396 00:19:04,640 --> 00:19:07,680 to the room was so different. And so definitely the way he 397 00:19:07,680 --> 00:19:10,040 behave is important. And I and I take note, OK, Carol 398 00:19:10,040 --> 00:19:11,400 acts like this. I don't want to do that. 399 00:19:11,560 --> 00:19:13,440 Jack does this. I want to aspire to be that. 400 00:19:13,640 --> 00:19:17,640 So silly, find that away. And then I've just read so many 401 00:19:17,760 --> 00:19:20,520 books and listen to so many podcasts about team leadership 402 00:19:20,520 --> 00:19:24,800 and communication and trying to adapt those communication styles 403 00:19:24,800 --> 00:19:27,600 to how it sounds like in Sarah's words, right? 404 00:19:27,600 --> 00:19:29,760 I'm not Jack, I'm not going to talk just like him. 405 00:19:30,240 --> 00:19:31,880 So like, what does that sound like from Sarah? 406 00:19:31,880 --> 00:19:35,160 And eventually you kind of developed your own like script 407 00:19:35,160 --> 00:19:38,480 and responses and things that you then you can pull out 408 00:19:38,480 --> 00:19:40,120 easily. And you know, there's all the 409 00:19:40,120 --> 00:19:43,800 times where I've interacted with the doctor and it didn't go well 410 00:19:43,800 --> 00:19:46,200 or says with the patient that was not well received. 411 00:19:46,680 --> 00:19:51,080 As healthcare providers, every single second counts, especially 412 00:19:51,080 --> 00:19:53,200 when you're making critical decisions. 413 00:19:53,520 --> 00:19:57,560 That's why nurse practitioners and physicians at every stage of 414 00:19:57,560 --> 00:20:02,200 the career rely on Upocrates. 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Picmonic is also integrated into 438 00:21:34,160 --> 00:21:38,400 the true learned question me so you can study exactly what you 439 00:21:38,400 --> 00:21:41,680 need and test your knowledge. Check them out today if you're 440 00:21:41,680 --> 00:21:44,360 preparing for board link in the show notes. 441 00:21:45,800 --> 00:21:47,960 Then I'm like, OK, so next time I'm going to do this 442 00:21:47,960 --> 00:21:50,000 differently. I learned from mistakes. 443 00:21:50,000 --> 00:21:52,280 Like I wish I would have said this, OK, next time I'm going to 444 00:21:52,280 --> 00:21:55,520 try to say this today. And actually I've collected all 445 00:21:55,520 --> 00:21:58,040 these things that I want to use and that I get to use at the 446 00:21:58,040 --> 00:22:00,080 bedside. But it does take time and I 447 00:22:00,080 --> 00:22:03,600 think intentional practice it just, it may come a little bit 448 00:22:03,600 --> 00:22:06,560 naturally to some people, but it is a skill set to cultivate and 449 00:22:06,560 --> 00:22:10,360 to to hone and work on. This sounds like the debriefing 450 00:22:10,360 --> 00:22:15,040 that you do is a, a personal thing, but some places do this 451 00:22:15,040 --> 00:22:19,400 as a group, like after an event occurs, they all kind of sit 452 00:22:19,400 --> 00:22:22,480 around and talk about what went well, what didn't go well. 453 00:22:22,760 --> 00:22:25,440 And I I think that like some hospitals, I don't know if your 454 00:22:25,440 --> 00:22:27,840 hospital setting does this. Oh yes, we do. 455 00:22:27,840 --> 00:22:32,520 After events, you kind of have this debriefing of what went 456 00:22:32,520 --> 00:22:38,040 well, what didn't, and would you say the hospital culture plays a 457 00:22:38,040 --> 00:22:42,640 really big role in how much of this kind of breakdown of what 458 00:22:42,640 --> 00:22:46,120 can we do better, how can I change, how can I grow plays a 459 00:22:46,120 --> 00:22:50,400 big role in the nurse NP relationship during critical 460 00:22:50,400 --> 00:22:52,280 events. I think so. 461 00:22:52,400 --> 00:22:54,760 I'm really lucky that our hospital culture is a pretty 462 00:22:54,760 --> 00:22:59,160 safe culture in that when people make a mistake, they're not like 463 00:22:59,160 --> 00:23:02,040 penalized, rather it's just a teaching opportunity. 464 00:23:02,040 --> 00:23:03,920 There is that culture of life. Let's learn together. 465 00:23:03,920 --> 00:23:06,600 Let's grow together. The whole debriefing process. 466 00:23:06,600 --> 00:23:09,760 I remember when I first started the RAP response team and I 467 00:23:09,760 --> 00:23:11,960 said, let's debrief. You're like, oh, no, like what 468 00:23:11,960 --> 00:23:13,720 did we do wrong? Oh, no, no, no. 469 00:23:14,000 --> 00:23:16,400 The goal of the debrief is actually to celebrate our wins, 470 00:23:16,400 --> 00:23:19,240 to point out the good things. So we keep doing those things. 471 00:23:19,600 --> 00:23:21,640 And if there's things we can learn from it, OK, let's do that 472 00:23:21,640 --> 00:23:22,920 too. This is a great opportunity to 473 00:23:22,920 --> 00:23:26,760 learn, but it's never the vibe of like, all right, Joe sucks at 474 00:23:26,760 --> 00:23:29,360 compressions. And, you know, Tamisha didn't 475 00:23:29,360 --> 00:23:31,280 document very good. Like, no, we're not. 476 00:23:31,440 --> 00:23:34,080 We're not bashing each other. We were talking about how can we 477 00:23:34,080 --> 00:23:35,960 grow as a team. And so once people started 478 00:23:35,960 --> 00:23:38,680 realizing the culture was shifting, this is not punitive 479 00:23:38,680 --> 00:23:41,640 that the goal is to celebrate. The goal is the kudos, right? 480 00:23:42,320 --> 00:23:44,120 People love that. People love kudos. 481 00:23:44,120 --> 00:23:47,240 And so I'm like, hey guys, what I usually say is I'm going to 482 00:23:47,240 --> 00:23:49,120 give this patient ICU. I'm going to come back. 483 00:23:49,120 --> 00:23:50,760 I wanted to talk to you guys about some things I saw that 484 00:23:50,760 --> 00:23:52,880 went really well. And so like, oh, I can't wait to 485 00:23:52,880 --> 00:23:56,120 hear like what went really well. Like, oh, am I one of the ones 486 00:23:56,120 --> 00:23:58,320 that she wants to mention? And so I come back for the 487 00:23:58,320 --> 00:24:00,200 debrief and I'd start with the good. 488 00:24:00,400 --> 00:24:02,080 I'm sure you've heard of the sandwich method, right? 489 00:24:02,240 --> 00:24:04,080 Yep, that teacher didn't. Peace goal. 490 00:24:04,360 --> 00:24:05,120 Bad. Good. 491 00:24:05,360 --> 00:24:07,840 Yeah, yeah, yeah, yeah, you. Start with Hey, guys. 492 00:24:07,840 --> 00:24:09,480 What? But, well, I noticed this. 493 00:24:09,480 --> 00:24:10,680 I saw this. Yeah, you're right. 494 00:24:10,840 --> 00:24:11,520 They did do that. Really. 495 00:24:11,560 --> 00:24:13,520 So kudos, kudos, kudos. As many as you can get out 496 00:24:13,520 --> 00:24:14,160 there. Right. 497 00:24:14,800 --> 00:24:17,000 And then you move into. All right, I agree. 498 00:24:17,000 --> 00:24:19,560 That was awesome. There are some things we could 499 00:24:19,560 --> 00:24:21,000 do better. What did you guys see that could 500 00:24:21,000 --> 00:24:23,720 have gone better? It's not what do we do wrong? 501 00:24:23,720 --> 00:24:25,880 What's the mistakes we made? It's just what what are the 502 00:24:25,880 --> 00:24:27,360 opportunities that we can learn from? 503 00:24:27,360 --> 00:24:29,600 Talk about those and never point at one person. 504 00:24:29,600 --> 00:24:31,840 You know, like let's say Joe was bad at CPR. 505 00:24:31,840 --> 00:24:33,280 I'm not going to say Joe sucked at CPR. 506 00:24:33,280 --> 00:24:37,040 I would say and notice the compressors were getting tired. 507 00:24:37,400 --> 00:24:39,520 Let's make sure that we're swapping out compressors more 508 00:24:39,520 --> 00:24:43,320 frequently next time. Or I noticed that Sarah was 509 00:24:43,320 --> 00:24:45,600 struggling with compressions because y'all, she's short. 510 00:24:45,720 --> 00:24:48,680 We need to make sure we have that stool available for future 511 00:24:49,400 --> 00:24:51,960 emergencies, like we need to have a home base for that stool 512 00:24:51,960 --> 00:24:54,280 so it's easy to access or whatever The thing is, right? 513 00:24:54,400 --> 00:24:56,640 So pointing it out, not like saying this one person sucks, 514 00:24:56,640 --> 00:25:00,120 but as a team, as a system processes, how can we improve? 515 00:25:00,600 --> 00:25:04,880 And then I always end the debrief with, all right, thank 516 00:25:04,880 --> 00:25:06,920 you for this strong work on this. 517 00:25:06,920 --> 00:25:09,280 Great job on this. How can we support each other 518 00:25:09,280 --> 00:25:10,520 moving forward? Do you need to help get this 519 00:25:10,520 --> 00:25:14,320 patient settled on 35 Can I help you clean that you want to pass 520 00:25:14,320 --> 00:25:17,080 measure How can we support each other and that vibe feels very 521 00:25:17,080 --> 00:25:19,280 different than all right. You shouldn't have this you 522 00:25:19,280 --> 00:25:21,000 shouldn't have this you stuck to this and you stuck to this 523 00:25:21,160 --> 00:25:25,360 questions. You must intend that that kind 524 00:25:25,360 --> 00:25:28,520 of debriefed and so I think debriefing yourself in the same 525 00:25:28,520 --> 00:25:31,480 way what I do well today. Who did I help today? 526 00:25:31,480 --> 00:25:34,640 Who did I connect with today? Anything I could have done 527 00:25:34,640 --> 00:25:37,840 differently today that would have made a better impact or 528 00:25:37,840 --> 00:25:41,400 connected more with people or made more sense or more been 529 00:25:41,400 --> 00:25:42,760 more clear, whatever The thing is. 530 00:25:43,160 --> 00:25:46,000 And then OK, like kind of giving yourself some like gratitude, 531 00:25:46,000 --> 00:25:48,000 like, OK, like great job Sarah, who does on this. 532 00:25:48,040 --> 00:25:50,320 You didn't get on this. So deeper thing yourself is just 533 00:25:50,320 --> 00:25:51,640 as important as deeper with the team. 534 00:25:51,920 --> 00:25:56,920 Yeah, and I think that each NP for their just daily interaction 535 00:25:56,920 --> 00:25:59,240 again, no matter what setting that they're in, this is 536 00:25:59,240 --> 00:26:01,960 applicable, right. So going through and I do this 537 00:26:01,960 --> 00:26:05,160 with my own self when I go to work, I think like, oh, you 538 00:26:05,160 --> 00:26:07,920 know, when you become a mom and you're busy, it's it's kind of 539 00:26:07,920 --> 00:26:09,920 hard to sit in silence. There's really not a lot of 540 00:26:09,920 --> 00:26:11,640 moments of silence. But like you said. 541 00:26:11,800 --> 00:26:15,360 Finding home. Finding those little pockets of 542 00:26:15,360 --> 00:26:17,640 time when you're just like, all right, I'm here. 543 00:26:17,840 --> 00:26:20,080 What went well today? What didn't go well? 544 00:26:20,080 --> 00:26:22,360 I talk a lot about that in one of the booklets that we created, 545 00:26:22,360 --> 00:26:29,160 because I think that being able to reflect on how you're growing 546 00:26:29,160 --> 00:26:31,920 or not growing or what areas that you need to get better at 547 00:26:31,920 --> 00:26:35,440 is tantamount to improving yourself over time. 548 00:26:35,880 --> 00:26:38,560 I just think that's so applicable to any MP listening 549 00:26:38,560 --> 00:26:41,280 today. And then how do you see, so you, 550 00:26:41,400 --> 00:26:45,120 you've interacted with rapid response nurse practitioners on 551 00:26:45,120 --> 00:26:47,000 the field live. And I know there's some that 552 00:26:47,000 --> 00:26:49,720 have come on your podcast that you just think are fabulous 553 00:26:49,720 --> 00:26:51,520 people. You've described them to me as 554 00:26:51,520 --> 00:26:56,280 just, they're just so capable and, and they impress you a lot 555 00:26:56,280 --> 00:26:58,600 whenever you describe some of them that you've met. 556 00:26:59,320 --> 00:27:03,360 So what would you give to a new NP that's thinking about 557 00:27:03,760 --> 00:27:06,920 becoming a rapid response nerf practitioner or being a part of 558 00:27:06,920 --> 00:27:09,600 those teams that you're saying, hey, listen, like this is just 559 00:27:09,600 --> 00:27:12,840 something that I've seen as a thread in each of them that 560 00:27:12,840 --> 00:27:16,600 distinguishes them as great or cut above all the other ones 561 00:27:16,600 --> 00:27:21,960 that I've interacted with. So I think that the transition 562 00:27:21,960 --> 00:27:25,760 from being a bedside nurse to ANP, I'm sure it's difficult. 563 00:27:25,760 --> 00:27:27,800 I haven't experienced a person, but I've watched so many of my 564 00:27:27,800 --> 00:27:30,560 colleagues go through it. I know one of my good friends 565 00:27:30,560 --> 00:27:33,760 right now, she just finished her DNP and she's starting next 566 00:27:33,760 --> 00:27:35,800 month as a nurse practitioner in the ICU. 567 00:27:36,280 --> 00:27:39,080 And during her clinical time, she said the big struggle, I 568 00:27:39,080 --> 00:27:42,000 think they kept having to like correct her on is she still used 569 00:27:42,000 --> 00:27:44,600 to jumping in and doing the thing, doing the test, let me 570 00:27:44,600 --> 00:27:46,240 help out and give the Med, let me get the patient on the 571 00:27:46,240 --> 00:27:47,760 monitor. Let me do because as nurses, 572 00:27:47,760 --> 00:27:51,360 that's what we do and her preserver's like no, come back 573 00:27:51,360 --> 00:27:53,720 over here to the computer. We need to review these labs and 574 00:27:53,720 --> 00:27:56,080 figure out what to order. We need to look at the X-ray and 575 00:27:56,080 --> 00:27:57,960 make sure that this is the right treatment for this patient. 576 00:27:57,960 --> 00:28:01,120 Like take a step back. This is and it was so hard for 577 00:28:01,120 --> 00:28:03,480 her to transition from like no, but I want to help. 578 00:28:03,520 --> 00:28:06,720 I, I can help real quick, just like, and she said, but if she 579 00:28:06,720 --> 00:28:10,960 did those things, then she's failing the team by not getting 580 00:28:10,960 --> 00:28:13,440 to the bottom of the diagnostics, not treating the 581 00:28:13,440 --> 00:28:15,760 patient appropriately. So that was a hard transition. 582 00:28:15,760 --> 00:28:18,200 I mean, I'm sure she's figured out now, but that was like the 583 00:28:18,200 --> 00:28:22,440 constant thing that came up in her clinicals was like, no, I 584 00:28:22,440 --> 00:28:24,960 know you can do that. I know you're, you're so used to 585 00:28:24,960 --> 00:28:28,640 doing that, you're good at it. But right now your transition to 586 00:28:28,640 --> 00:28:32,040 a different role in healthcare. And so I think reminding my NP 587 00:28:32,040 --> 00:28:35,640 colleagues of like, I don't expect you to give the meds. 588 00:28:35,760 --> 00:28:39,080 I don't expect you to, you know, you don't have, you're not 589 00:28:39,080 --> 00:28:41,640 documented. Like you're what I need you to 590 00:28:41,640 --> 00:28:45,400 focus on is your expertise, which is diagnostics, assess the 591 00:28:45,400 --> 00:28:49,400 patient, do the diagnostics. I will cover the basic stuff, 592 00:28:49,400 --> 00:28:50,440 right? You don't have to remember. 593 00:28:50,440 --> 00:28:52,280 Oh, it's been 3 minutes, it's time for epinephrine. 594 00:28:52,600 --> 00:28:53,720 Oh, we need to pause and check a post. 595 00:28:53,720 --> 00:28:55,720 I got you on that. I've been doing ACLS for 20 596 00:28:55,720 --> 00:28:57,120 years, right? I will cover that. 597 00:28:57,920 --> 00:29:00,320 Get out that ultrasound, figure out what's wrong with the 598 00:29:00,320 --> 00:29:03,640 patient, review the labs, talk to the family, do what you got 599 00:29:03,640 --> 00:29:07,960 to do, use your intelligent MP brain to figure out what's wrong 600 00:29:07,960 --> 00:29:09,840 with the patient. And I will keep the recess 601 00:29:09,840 --> 00:29:11,680 going. And I think that's such a hard 602 00:29:11,680 --> 00:29:13,880 transition when you're used to being the one that's giving the 603 00:29:13,880 --> 00:29:16,160 meds and you're used to being the one that's scooting the 604 00:29:16,160 --> 00:29:18,480 patient up in bed. I mean, if you have time shirt, 605 00:29:18,480 --> 00:29:20,480 you can help with those things. That's I think that's great for 606 00:29:20,480 --> 00:29:22,840 morale, but I don't actually expect you to do those things. 607 00:29:22,840 --> 00:29:24,640 To me, that's not what makes you a good MP or not. 608 00:29:25,160 --> 00:29:28,280 I think it's your you do need to you do have to take some time to 609 00:29:28,280 --> 00:29:30,720 like transition your role towards first diagnostics. 610 00:29:31,120 --> 00:29:35,960 So I would say the the message to you is know that as a rapper 611 00:29:35,960 --> 00:29:39,840 sponsors, I am capable of managing this room of keeping 612 00:29:39,840 --> 00:29:44,000 the recess going. I want to give you space to 613 00:29:44,000 --> 00:29:46,960 focus on the diagnostics. So how however, I can help with 614 00:29:46,960 --> 00:29:48,880 that. If you need to do like some 615 00:29:48,880 --> 00:29:51,800 cognitive offloading, like, hey, make sure that we get X-ray 616 00:29:51,800 --> 00:29:54,560 coming. Make sure that you're using 617 00:29:54,560 --> 00:29:57,200 closely communication. So you you want to hear me say 618 00:29:57,200 --> 00:30:01,440 back, I'll call X-ray or if you say when you get an EKG, wait 619 00:30:01,440 --> 00:30:03,920 till someone says back, I'll call for the EKG. 620 00:30:04,160 --> 00:30:07,720 We need to get AI don't know an H&H and a lactate. 621 00:30:08,320 --> 00:30:10,640 Make sure someone repeats back. That is being done because you 622 00:30:10,640 --> 00:30:12,560 can't. I mean, you can say it all you 623 00:30:12,560 --> 00:30:15,200 want into the abyss, but unless someone's actually doing the 624 00:30:15,200 --> 00:30:16,640 thing, it's not going to get done. 625 00:30:16,920 --> 00:30:20,520 So I making sure that closing the loop is happening, that's a 626 00:30:20,560 --> 00:30:23,120 really important skill set. But I don't expect you to be a 627 00:30:23,120 --> 00:30:24,560 bedside nurse. You've transitioned to a new 628 00:30:24,560 --> 00:30:27,680 role, you have a new expertise and I'm relying on you to do 629 00:30:27,680 --> 00:30:29,640 that well. And you just have to trust that 630 00:30:29,640 --> 00:30:30,920 I will manage the other stuff as well. 631 00:30:31,240 --> 00:30:34,520 Yeah, again, like I'm saying, it's so applicable to other 632 00:30:34,520 --> 00:30:36,880 settings. Even this week at work, I had a 633 00:30:36,880 --> 00:30:40,840 situation where the nurse had brought something to me. 634 00:30:41,040 --> 00:30:44,040 And again, like you said, it's my job to be able to assess 635 00:30:44,040 --> 00:30:46,640 what's going on, figure out if the more tests need to be 636 00:30:46,640 --> 00:30:49,000 ordered, like different things like that with the patient. 637 00:30:49,000 --> 00:30:51,520 And I had to reach, I reached out to a nurse and I said, could 638 00:30:51,520 --> 00:30:54,040 you get all this information, like, you know, whatever. 639 00:30:54,560 --> 00:30:58,320 And I waited for him to kind of follow back up and he never did. 640 00:30:58,640 --> 00:31:02,200 And kind of like what you're saying, you've got to go close 641 00:31:02,200 --> 00:31:03,240 the loop. That's my job. 642 00:31:03,240 --> 00:31:04,840 Like. And again, it's not an acute 643 00:31:04,840 --> 00:31:07,120 care thing. So I don't have the pressure of 644 00:31:07,120 --> 00:31:09,880 right then and there, but you bet your bottom dollar the next 645 00:31:09,880 --> 00:31:11,520 day I did. We call her. 646 00:31:11,520 --> 00:31:13,400 Did we follow up? Did we make sure that these 647 00:31:13,400 --> 00:31:15,160 things got done? And I was like, yeah, yeah, 648 00:31:15,160 --> 00:31:16,600 yeah. I'm like, is the documentation 649 00:31:16,600 --> 00:31:20,440 in the chart like following up with those things that's 650 00:31:20,440 --> 00:31:24,280 applicable in the acute care setting, in the outpatient 651 00:31:24,360 --> 00:31:30,840 chiller, not acute care setting? Because again, that's our new 652 00:31:30,840 --> 00:31:35,760 role and it's not my job to necessarily do that thing, but 653 00:31:35,760 --> 00:31:38,560 I'm still responsible for it. And so kind of like what you're 654 00:31:38,560 --> 00:31:41,640 saying, you've got to kind of get that team approach work on 655 00:31:41,640 --> 00:31:43,480 closing the loop. Did we do that? 656 00:31:43,480 --> 00:31:45,320 Yes, we did great. Did we do this? 657 00:31:45,320 --> 00:31:46,400 Did we follow up? Great. 658 00:31:46,560 --> 00:31:49,320 And so I can close that up. And you've got to do that in any 659 00:31:49,320 --> 00:31:51,880 setting as the NP. And then it's just interesting 660 00:31:51,880 --> 00:31:54,360 to hear that that is the transition glitch. 661 00:31:54,360 --> 00:31:58,400 That's the tough part for the for the nurse going to the NP is 662 00:31:58,400 --> 00:32:02,560 just you've got to step back from the bedside and you've got 663 00:32:02,560 --> 00:32:04,560 to get in their side of the computer and figure out what's 664 00:32:04,560 --> 00:32:06,000 going on. And and that's hard. 665 00:32:06,000 --> 00:32:08,320 That's really tough. And yeah, I think that's really 666 00:32:08,320 --> 00:32:10,840 great advice. Sarah, where do you see the 667 00:32:10,840 --> 00:32:15,080 future of rapid response going for the NP collab? 668 00:32:15,120 --> 00:32:18,840 Like, what is stuff that you say, you know, where does this 669 00:32:18,880 --> 00:32:22,480 go when you extrapolate? This is where I see the team 670 00:32:22,480 --> 00:32:25,080 moving. This is where the vision of what 671 00:32:25,080 --> 00:32:30,520 I have for the the most synchronous relationship between 672 00:32:30,520 --> 00:32:33,160 the nurse and the practitioner at the bedside. 673 00:32:33,160 --> 00:32:36,480 What would you say? I think we have a good mix right 674 00:32:36,480 --> 00:32:39,360 now. My ideal rapid response to you 675 00:32:39,360 --> 00:32:43,440 would be a bedside nurse with critical care experience, a 676 00:32:43,440 --> 00:32:46,360 nurse practitioner with critical care experience, and a 677 00:32:46,360 --> 00:32:49,640 respiratory therapist. We could, we could change the 678 00:32:49,640 --> 00:32:51,600 world. There's those 3 disciplines 679 00:32:51,600 --> 00:32:54,440 showing up to emergencies. We that's literally all that you 680 00:32:54,440 --> 00:32:56,360 need. We could totally handle any 681 00:32:56,360 --> 00:32:58,320 emergency. I've asked her that at my 682 00:32:58,320 --> 00:33:00,520 hospital, unfortunately we're teaching hospital and they're 683 00:33:00,520 --> 00:33:03,760 like, no, the residents need practice and the first needs to 684 00:33:03,760 --> 00:33:06,080 do so. I was not granted my wish, but 685 00:33:06,080 --> 00:33:09,520 to me that would be ideal. So in my hospital, there is a 686 00:33:09,520 --> 00:33:12,720 nurse practitioner that works in the ICU and residents and they 687 00:33:12,720 --> 00:33:15,040 rotate every other emergency who responds. 688 00:33:15,400 --> 00:33:17,680 And so I get, I get to respond with residents and I get to 689 00:33:17,680 --> 00:33:21,160 respond with the MP. I'm sure you can imagine how the 690 00:33:21,160 --> 00:33:24,480 vibe is very different with my buddy, the MP that's been in 691 00:33:24,480 --> 00:33:27,600 critical care for 10 years shows up versus this resident. 692 00:33:27,800 --> 00:33:29,960 The residents are great, honestly, I love working with 693 00:33:29,960 --> 00:33:33,960 them, but they definitely are much more scared and timid and 694 00:33:34,160 --> 00:33:38,280 maybe not as familiar with emergencies as say the MP that's 695 00:33:38,280 --> 00:33:40,280 been doing this for a while. So that'd be my ideal. 696 00:33:40,560 --> 00:33:42,280 Where it's going, I don't know where it's going. 697 00:33:42,280 --> 00:33:45,040 I think that's going to be dependent on so many factors if 698 00:33:45,040 --> 00:33:47,480 the hospital, the teaching hospital, you know, finances, 699 00:33:47,480 --> 00:33:52,000 all those things. I will say though, it's been 700 00:33:52,000 --> 00:33:56,160 really cool to work with all these nurse practitioners that 701 00:33:56,160 --> 00:33:58,160 I've worked bedside with with the years. 702 00:33:58,160 --> 00:34:00,440 And now they're working on specialty teams. 703 00:34:00,800 --> 00:34:03,880 Like I have friends that work with oncology now they work on 704 00:34:03,880 --> 00:34:06,080 the neuro team, they work on the stroke team, they work in 705 00:34:06,080 --> 00:34:10,440 cardiology, they work in GI. And because they know me 706 00:34:10,440 --> 00:34:14,600 already, sometimes I'll actually get like almost like a consult 707 00:34:14,679 --> 00:34:16,560 from them. They'll call me like, Hey, Sarah 708 00:34:16,679 --> 00:34:19,560 was consulted for this patients GI bleeding. 709 00:34:19,560 --> 00:34:21,560 But let me tell you, there's a lot more going on than you 710 00:34:21,560 --> 00:34:24,239 probably should come lay eyes on this patient like I am. 711 00:34:24,440 --> 00:34:26,920 I do not feel good about them being on the Med search floor or 712 00:34:26,920 --> 00:34:29,000 they'll be like, hey, they called me and I there's a 713 00:34:29,000 --> 00:34:31,320 cardiology console, but I this patient's in septic shock. 714 00:34:31,320 --> 00:34:34,280 You may want to come look. And I think it's just a reminder 715 00:34:34,280 --> 00:34:36,880 that like, yes, they're focused on like their specialty. 716 00:34:36,880 --> 00:34:38,320 They're really good at that. Now they've been doing that for 717 00:34:38,320 --> 00:34:41,159 a while, but they still have Nurse Spidey senses. 718 00:34:41,159 --> 00:34:44,000 They still know like something's up with this patient. 719 00:34:44,080 --> 00:34:47,719 This is out of my realm as the consulting provider, but like, 720 00:34:47,719 --> 00:34:49,360 I'm gonna need somebody to address this. 721 00:34:49,360 --> 00:34:53,199 Sarah, can you? I get those calls, I kid you 722 00:34:53,199 --> 00:34:57,000 not, two or three times a week from my NP friends who are now 723 00:34:57,000 --> 00:34:59,680 working in specialties that are finding these patients from 724 00:34:59,680 --> 00:35:03,160 consulting services that need a little bit more TLCA, little bit 725 00:35:03,160 --> 00:35:05,080 more tweaking, a little bit more advocacy. 726 00:35:05,400 --> 00:35:08,680 So I'm happy to come alongside those nurses and support the 727 00:35:08,680 --> 00:35:09,560 patients that they're caring for. 728 00:35:09,560 --> 00:35:12,280 And if it's not in a way that you know, is specific to their 729 00:35:12,280 --> 00:35:15,160 practice or their specialty, now, yeah, we're here for that 730 00:35:15,160 --> 00:35:17,680 too, so. You're so incredible, Sarah. 731 00:35:17,680 --> 00:35:20,000 You really are just hearing you talk and hearing how your 732 00:35:20,000 --> 00:35:23,000 perspective on things is just, again, like I said, that's why I 733 00:35:23,000 --> 00:35:25,920 like you, like try to shake me and I always call you like, hey, 734 00:35:25,920 --> 00:35:27,200 where are you, Sarah? I haven't seen you. 735 00:35:27,200 --> 00:35:28,760 What are you doing? I just don't look through that. 736 00:35:28,760 --> 00:35:32,360 And you're always like, I just, I just think you're so 737 00:35:32,360 --> 00:35:34,000 inspirational. You're so cool. 738 00:35:34,000 --> 00:35:37,480 You've just got such a great way of putting things and just 739 00:35:37,560 --> 00:35:40,560 putting it in such a way that everyone can understand it, 740 00:35:40,560 --> 00:35:42,560 Everyone can grasp what you're trying to say. 741 00:35:42,560 --> 00:35:45,840 It's so nice, dear. You talk and I do agree with 742 00:35:45,840 --> 00:35:49,400 you, I think that nurse practitioners at the bedside and 743 00:35:49,400 --> 00:35:52,920 that stable role, I just think it's so important. 744 00:35:52,920 --> 00:35:57,400 I think that there's so much education backing for the 745 00:35:57,400 --> 00:36:00,720 resident that sometimes I get a little frustrated as the MP 746 00:36:00,720 --> 00:36:04,520 because I'm like, I'm going to be here for six years, seven 747 00:36:04,520 --> 00:36:07,040 years. He's going to go in two or 748 00:36:07,040 --> 00:36:08,400 three. Like they'll be gone. 749 00:36:08,400 --> 00:36:11,160 And by the time you finally get them to where they are, you 750 00:36:11,160 --> 00:36:14,760 know, that calm MD at the, at the bedside, they're gone. 751 00:36:14,800 --> 00:36:18,680 You know, and that nurse practitioner that sometimes I 752 00:36:18,680 --> 00:36:21,680 feel like the, the cosmic culture doesn't really want to 753 00:36:21,680 --> 00:36:25,680 invest in maybe or, you know, the, the institution doesn't 754 00:36:25,680 --> 00:36:28,200 really see is important. It's like, no, if you invest in 755 00:36:28,200 --> 00:36:33,320 this NP and you let her grow, she can run the clinic or what, 756 00:36:33,320 --> 00:36:36,560 run the office or what, or run the floor, whatever it is, 757 00:36:36,760 --> 00:36:38,720 because she's had that continuity. 758 00:36:38,720 --> 00:36:42,560 She knows what to expect. And so I think NPS kind of need 759 00:36:42,560 --> 00:36:44,400 to hear like, you're super valuable. 760 00:36:44,400 --> 00:36:48,120 The nurses see that you're valuable, The other staff, that 761 00:36:48,280 --> 00:36:52,240 consistency that we are, I think goes a little undervalued 762 00:36:52,240 --> 00:36:54,320 because it's just expected to be there. 763 00:36:54,320 --> 00:36:56,640 And we don't think that we're that valuable because there's so 764 00:36:56,640 --> 00:36:59,440 much energy put on. We have to get this person ready 765 00:36:59,440 --> 00:37:01,080 to go out. And it's like, yeah, but I've 766 00:37:01,080 --> 00:37:03,280 been here. So I think that's kind of an 767 00:37:03,280 --> 00:37:08,040 interesting maybe topic or thing to kind of consider for the 768 00:37:08,040 --> 00:37:11,680 future of what MPs are needing maybe to advocate a little 769 00:37:11,680 --> 00:37:13,440 strongly. Like, OK, yeah, I understand he 770 00:37:13,440 --> 00:37:16,040 needs the education. So do I like we both do both 0 771 00:37:16,480 --> 00:37:18,720 This has been so much fun chatting with you. 772 00:37:18,720 --> 00:37:22,120 I've had an absolute blast. Please tell me where people can 773 00:37:22,120 --> 00:37:24,880 find you. And yeah, tell me all your 774 00:37:24,880 --> 00:37:26,720 things. I've sure. 775 00:37:26,840 --> 00:37:30,040 Yeah, so I ought to have a podcast called Rapid Response 776 00:37:30,040 --> 00:37:31,840 or, and you can get it on any podcast player. 777 00:37:32,760 --> 00:37:34,480 It's just for rapid response nurses. 778 00:37:34,480 --> 00:37:37,240 Though. Really the goal is I want to 779 00:37:37,240 --> 00:37:40,760 share every kind of a birds that you can think of when I share 780 00:37:40,760 --> 00:37:43,600 the form of a story. So like, here's how I here's how 781 00:37:43,600 --> 00:37:45,640 I found the patient. Here's what we knew in the 782 00:37:45,640 --> 00:37:47,840 beginning, here's what we discovered kind of like 783 00:37:47,840 --> 00:37:50,600 unfolding the story. And I think from the case study 784 00:37:50,880 --> 00:37:53,720 is the easiest way to break down the pathophysiology, the 785 00:37:53,720 --> 00:37:57,720 pharmacology, the nurse's role, even like the N PS role in 786 00:37:57,720 --> 00:37:58,960 managing this particular emergency. 787 00:37:58,960 --> 00:38:02,720 So if you want to hear literally 130 different stories, case 788 00:38:02,720 --> 00:38:06,080 studies and how to respond to them, that is my podcast. 789 00:38:06,080 --> 00:38:09,320 And I, I, I love telling stories. 790 00:38:09,320 --> 00:38:11,560 I love teaching complex concepts. 791 00:38:11,840 --> 00:38:14,560 There's probably a podcast on whatever crazy person you can 792 00:38:14,560 --> 00:38:16,240 imagine that you might encounter in your workplace. 793 00:38:16,240 --> 00:38:18,960 So I hope that that serves the nursing community, whether 794 00:38:19,000 --> 00:38:22,040 bedside nurses or in peas. There's also like promises to 795 00:38:22,040 --> 00:38:25,000 listen to my podcast and physicians and like, yes, a lot 796 00:38:25,000 --> 00:38:27,080 of the residents in my hospital, they're like, oh, Sarah, that 797 00:38:27,080 --> 00:38:29,080 last episode you did on serotonin syndrome. 798 00:38:29,080 --> 00:38:31,400 That was so good. Like they I'm honored that the 799 00:38:31,400 --> 00:38:32,920 residents also saw my podcast too. 800 00:38:32,920 --> 00:38:35,400 But yeah, it's there just for healthcare professionals that 801 00:38:35,400 --> 00:38:38,320 want to feel more confident responding to emergencies. 802 00:38:38,760 --> 00:38:41,520 And then if you are a visual person, I have an Instagram. 803 00:38:41,600 --> 00:38:44,440 I'm the rapid sponsor on Instagram, not because I'm the 804 00:38:44,440 --> 00:38:47,920 only one, but because whoever claimed rapid sponsor and before 805 00:38:47,920 --> 00:38:50,160 me and I couldn't have just plain property sponsor. 806 00:38:50,160 --> 00:38:52,240 And so I'm the the rapid response already. 807 00:38:53,160 --> 00:38:55,280 Title is appropriate. I think the title is 808 00:38:55,280 --> 00:38:57,120 appropriate. The Rapid. 809 00:38:57,120 --> 00:38:59,200 I love it. And what were you going to say? 810 00:38:59,200 --> 00:39:01,120 I cut you off. I think that's it. 811 00:39:01,400 --> 00:39:04,000 There's a podcast. I mean I'm I'm on Facebook, I'm 812 00:39:04,000 --> 00:39:06,640 on TikTok but I I never actually post anything there. 813 00:39:06,760 --> 00:39:09,000 I think the last thing I post on TikTok was like 3 years ago. 814 00:39:09,000 --> 00:39:11,800 But if you really want to find that TikTok you can find me 815 00:39:11,800 --> 00:39:13,160 there. Instagram is where I'm most 816 00:39:13,160 --> 00:39:15,000 active for sure. I actually listened to your 817 00:39:15,000 --> 00:39:18,240 podcast for that exact reason that the residents do because 818 00:39:18,240 --> 00:39:21,120 I'm in the outpatient set. I never see any of this stuff. 819 00:39:21,200 --> 00:39:25,480 And so I like to listen to your podcast because I'm like, Oh my 820 00:39:25,480 --> 00:39:28,720 gosh, like I didn't even know this was something that I mean, 821 00:39:28,720 --> 00:39:32,160 one of the ones I listened to, I love your story on the Foley 822 00:39:32,160 --> 00:39:34,920 that got kicked. And the guy was having there was 823 00:39:34,920 --> 00:39:40,200 something refreshed my memory. So he had a Foley got kinked and 824 00:39:40,200 --> 00:39:42,400 he started developing some syndrome and I can't remember 825 00:39:42,400 --> 00:39:44,240 what it was. Oh something with his blood 826 00:39:44,240 --> 00:39:47,440 pressure went down and. Well, dude, now I can't think of 827 00:39:47,440 --> 00:39:47,920 it. Hold on. 828 00:39:49,040 --> 00:39:51,720 It's where patients who are paraplegics and they have. 829 00:39:52,120 --> 00:39:53,280 Yes. No, I. 830 00:39:53,680 --> 00:39:56,080 Can't remember what it was, but it was so just. 831 00:39:56,120 --> 00:40:00,280 Took me a second. I listened to that episode. 832 00:40:00,280 --> 00:40:02,480 I loved it. And so again, even though I 833 00:40:02,480 --> 00:40:05,520 can't remember the term, I do remember just being like, you 834 00:40:05,520 --> 00:40:08,800 were like, I just repositioned the catheter and like he started 835 00:40:08,800 --> 00:40:10,200 feeling a little bit better. And I was like. 836 00:40:11,120 --> 00:40:14,320 But right now, like like just you're genius and when you're in 837 00:40:14,320 --> 00:40:17,120 flow and you're doing your job is just so cool and then you 838 00:40:17,120 --> 00:40:18,520 share it. I just love it. 839 00:40:18,760 --> 00:40:21,880 So we do rapid response. We do rapid fire questions, not 840 00:40:21,880 --> 00:40:24,040 rapid response questions, but we'll call them rapid response 841 00:40:24,040 --> 00:40:25,000 questions today because. Sure. 842 00:40:25,000 --> 00:40:26,280 All right. I love Rapid. 843 00:40:26,320 --> 00:40:29,120 Let's do it. So what is your favorite 844 00:40:29,120 --> 00:40:32,880 beverage? Boba tea hands out. 845 00:40:33,040 --> 00:40:35,160 Nervous about you? I love boba tea. 846 00:40:35,280 --> 00:40:37,760 Oh my God, makes you so happy. It's such a fun drink. 847 00:40:39,400 --> 00:40:40,360 Noted. OK. 848 00:40:40,520 --> 00:40:42,280 And then what's your favorite season? 849 00:40:43,280 --> 00:40:45,480 Fall. I feel like I was going to guess 850 00:40:45,480 --> 00:40:47,720 all for you because I know you're just like, you're in me. 851 00:40:47,720 --> 00:40:51,600 You're like, I don't know. Cozy man, I love cozy of fall. 852 00:40:52,840 --> 00:40:55,640 All right. And then my last question is 853 00:40:55,640 --> 00:41:00,280 because this is the Success NP podcast, I want to know what it 854 00:41:00,440 --> 00:41:04,000 is for Sarah to feel like she's met the definition of success 855 00:41:04,000 --> 00:41:05,480 for her life. What does that look like? 856 00:41:05,480 --> 00:41:09,120 And I know this isn't a rapid response question, but it is one 857 00:41:09,120 --> 00:41:12,520 that I feel like in in the vein of what you were talking about 858 00:41:12,520 --> 00:41:14,200 earlier, like I just like to go deep. 859 00:41:14,200 --> 00:41:16,360 And that's one of the things I like about you too, Sarah. 860 00:41:16,360 --> 00:41:20,160 It's just that your depth of thought and your depth of 861 00:41:20,800 --> 00:41:24,320 reflection, I think is emblematic of a lot of things 862 00:41:24,320 --> 00:41:25,880 that you and I mutually agree on. 863 00:41:26,200 --> 00:41:29,800 But I wanted to hear your perspective on this because I'm 864 00:41:29,800 --> 00:41:32,560 like, if that's what we're chasing, if we're all chasing 865 00:41:32,560 --> 00:41:37,000 success that looks individual. And what is that for Sarah? 866 00:41:38,280 --> 00:41:41,120 I think it's hard to say is like one thing, but generally 867 00:41:41,120 --> 00:41:45,880 speaking, I would say if I get to a point where I feel like the 868 00:41:45,880 --> 00:41:49,600 way I spend my time and the way I spend my money, the way I 869 00:41:49,600 --> 00:41:53,800 spend my thoughts is in alignment with my values, that 870 00:41:53,800 --> 00:41:58,000 is success. So for example, if I value my 871 00:41:58,000 --> 00:42:02,520 family, but I'm working my butt off and never get to see them, 872 00:42:02,520 --> 00:42:04,280 well, that's not really in line with my values. 873 00:42:04,400 --> 00:42:08,960 You know, if I value serving others, but I spend all my time 874 00:42:09,240 --> 00:42:11,200 serving myself and focusing myself, that's not really in 875 00:42:11,200 --> 00:42:14,280 alignment with my values. So if I can get my life to a 876 00:42:14,280 --> 00:42:18,880 point where the things that I value is reflected and how I'm 877 00:42:18,880 --> 00:42:21,840 spending my time and my money, my resources, my brain space, I 878 00:42:21,840 --> 00:42:24,960 would say that is success has nothing to do with finances, has 879 00:42:24,960 --> 00:42:27,080 nothing to do with things that I own. 880 00:42:27,160 --> 00:42:31,440 All that stuff is, you know, pales in comparison to what I 881 00:42:31,440 --> 00:42:35,960 value in life, which for me is time with people making an 882 00:42:35,960 --> 00:42:39,560 impact on their lives, showing people love, like sharing 883 00:42:39,560 --> 00:42:44,080 compassion. I want my, my purchases, my, my 884 00:42:44,080 --> 00:42:47,560 thoughts base, my the last of my time to be in alignment with 885 00:42:47,840 --> 00:42:50,800 with that I could go, I could go a lot deeper than that, but 886 00:42:50,800 --> 00:42:53,880 that's like the over over that. So when I'm looking at my 887 00:42:53,880 --> 00:42:56,520 finances, when I'm looking at my calendar, when I'm looking at 888 00:42:56,880 --> 00:42:59,200 how I'm spending my life, I just want to, I want to make sure 889 00:42:59,200 --> 00:43:01,720 that I'm tweaking it to actually line up with things that are 890 00:43:01,720 --> 00:43:03,760 important to me. Yeah, that's deep. 891 00:43:03,880 --> 00:43:05,560 That's deep. That's like, I know that's 892 00:43:05,560 --> 00:43:06,960 superficial for you, but that was deep. 893 00:43:07,000 --> 00:43:12,280 And thank you for sharing that because I I echo everything that 894 00:43:12,280 --> 00:43:14,520 you just say. I agree with you 100%. 895 00:43:14,600 --> 00:43:16,760 Yeah, it was beautifully said. Beautifully said. 896 00:43:17,400 --> 00:43:18,680 All right. Well, guys, thanks for coming to 897 00:43:18,680 --> 00:43:22,120 hang out with us at the Success and P podcast and catch you next 898 00:43:22,120 --> 00:43:23,080 time. All right. 899 00:43:23,440 --> 00:43:26,200 Adios. Adios Thanks for tuning into 900 00:43:26,200 --> 00:43:28,040 another episode of Success and P. 901 00:43:28,120 --> 00:43:31,200 We hope today's discussion has shed some light on the diverse 902 00:43:31,240 --> 00:43:34,240 career options or taught you how to improve your clinical 903 00:43:34,240 --> 00:43:35,840 practice as a nurse practitioner. 904 00:43:36,200 --> 00:43:38,680 Remember, whether you're considering a specialization, 905 00:43:38,800 --> 00:43:41,720 pursuing advanced certifications, or exploring non 906 00:43:41,720 --> 00:43:44,520 traditional roles, there's a wealth of opportunities out 907 00:43:44,520 --> 00:43:47,400 there waiting for you. Be sure to subscribe to the show 908 00:43:47,400 --> 00:43:50,120 so you don't miss an episode and leave us a five star review. 909 00:43:50,320 --> 00:43:53,720 It helps the podcast grow. The Success and Peace Podcast is 910 00:43:53,720 --> 00:43:58,160 on the World Wide Web, YouTube, Instagram, Facebook and X, so 911 00:43:58,160 --> 00:44:01,040 subscribe to our newsletter for updates on new podcast episodes 912 00:44:01,040 --> 00:44:03,520 and other information to help you on your own NP journey. 913 00:44:03,960 --> 00:44:07,360 You can always message us at successandpeacepodcast@gmail.com 914 00:44:07,840 --> 00:44:11,000 with any NP podcast episodes or topics you'd like us to discuss. 915 00:44:11,200 --> 00:44:14,680 Until next time, take care, stay curious, and keep advancing your 916 00:44:14,680 --> 00:44:17,760 careers as a nurse practitioner. And just a friendly reminder, 917 00:44:17,920 --> 00:44:20,640 the information on this podcast is for educational purposes 918 00:44:20,640 --> 00:44:22,360 only. The information should not be 919 00:44:22,360 --> 00:44:24,960 used in substitute for professional care by a medical 920 00:44:24,960 --> 00:44:27,080 provider. The information on this podcast 921 00:44:27,080 --> 00:44:30,080 does not represent medical or professional advice or services. 922 00:44:30,200 --> 00:44:30,960 Bye for now.