Transacting Value Podcast - Instigating Self-worth
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Transacting Value Podcast

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What happens when intuition meets intensity in the ER? Jenn Johnson, an experienced ER nurse and author of the upcoming book "Nursing Intuition: How to Trust Your Gut, Save Your Sanity, and Survive Your Career," offers an inside look into a world where stress and humanity collide. Jenn opens up about the adrenaline-fueled reality of emergency nursing and the critical role of self-awareness in preserving personal sanity and identity. Discover her journey of balancing the drive to help others with the risk of losing oneself, and how she's reclaimed her sense of self-worth and purpose amidst the chaos.

The episode also highlights the remarkable bonds formed among professionals in high-stress fields like nursing, firefighting, law enforcement, and the military. We delve into the unique camaraderie these individuals share, fueled by a shared sense of duty despite facing the harshest facets of humanity. Jenn sheds light on the quiet courtesies passed between these professionals and the growing pressures they face from societal phenomena like doxing. This segment underscores the mutual understanding and support that persist among those who navigate life-and-death situations daily.

Wrapping up, we tackle the arduous journey of maintaining personal values and identity in demanding roles. Through Jenn's reflective narratives, we explore the foundational impact of her upbringing on her nursing practice. She shares heartfelt stories that illustrate the profound significance of empathy and active listening, not just as professional skills but as essential components of human connection. As we confront the aftermath of the COVID-19 pandemic, the conversation pivots to the importance of self-care and advocacy, urging healthcare workers to prioritize their well-being while continuing to serve others with compassion and resilience.

Jennifer Johnson is a wife, mother of two, and a Registered Nurse in Ontario, Canada. With a 16-year career spent in emergency rooms across both Northern and Southern Ontario, she has witnessed firsthand the emotional rollercoaster of heartbreak, drama, bullying, and life-or-death moments. Her experiences have only been intensified by the ongoing pandemic, during which she, like so many of her colleagues, has faced unprecedented challenges in the ER.

Jennifer’s debut novel, Nursing Intuition: How to Trust Your Gut, Save Your Sanity, and Survive Your Career, is her rallying cry to nurses everywhere who are struggling to maintain their love for the profession. Drawing from her own battles with burnout, depression, and hopelessness, she offers support, guidance, and hope to those who feel overwhelmed and lost. The book is a testament to the strength of nurses and serves as a reminder that it is possible to reignite passion for the field even in the most difficult times.

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An SDYT Media Production I Deviate from the Norm

All rights reserved. 2021

Chapters

00:00 - Nursing Intuition

12:44 - Connecting Over Shared Professions

18:48 - Rooted Values Impacting Nursing Practice

31:14 - Navigating Nursing and Military Identities

35:24 - Building Relationships in High-Stress Environments

38:26 - Self-Care and Nursing Advocacy

Transcript
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The views expressed in this podcast are solely those of the podcast host and guest and do not necessarily represent those of our distribution partners, supporting business relationships or supported audience.

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Welcome to Transacting Value, where we talk about practical applications for instigating self-worth when dealing with each other and even within ourselves, when we foster a podcast listening experience that lets you hear the power of a value system for managing burnout, establishing boundaries, fostering community and finding identity.

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My name is Josh Porthouse, I'm your host and we are redefining sovereignty of character.

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This is why values still hold value.

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This is Transacting Value.

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Getting a little bit more familiar with death than normally does taint your opinion on the world as a whole.

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But you know nobody's getting out of this alive, so it's the sooner you kind of come to terms with it, the sooner you really realize that there's a lot of magic in the world.

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Today on Transacting Value.

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What is it about?

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Frontline, community servant leadership that attracts people?

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Is it the chaos, is it the nerves, is it the complexity, Is it the stress or the adrenaline?

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And we'll find out In today's conversation.

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We're talking with ER nurse all the way in Canada, jen Johnson, about her experience in nursing and what happens when helping others may help you, and then also when maybe you lose yourself in the process, and how to recover your own identity, your own sense of self.

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Maybe what you can do from the beginning basic nursing orientation all the way through 16 years in the ER, but without further ado.

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Folks, I'm Josh Porthouse, I'm your host and this is Transacting Value.

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Jen, what's up?

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How you doing?

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I'm so good, Josh, thank you so much for having me.

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Absolutely.

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I really appreciate your time and you know I got to say too, not for nothing, but your commitment to nursing.

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I mean, that's COVID, let alone emergency room traumas, all the chaos that comes with that and then probably losing your own sanity and a fair amount of your hairline in the process.

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So I really appreciate what you've been willing to do, let alone what you've actually done.

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Thank you.

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It's one of those things where, when you finally look back, I actually I got a LinkedIn notification a few years back and uh, it said like oh, hannah boomhauer has got 12 years and at such and such place.

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And you're like hannah, I'm like we graduated together.

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How is she at 12 years already?

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And then I kind of went, oh my god, I'm 12 years in.

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Like I thought I had 10.

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Like where did the years go?

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yeah and then you throw you know covid and everything like that on top of it and the joys and absolute chaos of the ER.

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You know it's been an absolute wild ride and finally got to the point of we all joke that we've all got so many stories we should write the book.

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I finally decided to actually write the book.

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Yeah, I heard about that.

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So nursing intuition you're calling it right, that's the title.

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Yeah, so nursing intuition how to trust your gut, save your sanity and survive your career.

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It's a bit of a mouthful, but it's what it ended up being.

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Yeah, but I imagine that's what it ended up needing to be.

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I mean, the amount of what did you say earlier before we record the amount of grenades you've got to anticipate and be able to flex from and deal with and manage and obviously, patients and staff and bosses and HR and everything in between families, whatever.

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It's an ongoing circus, and so sometimes we kind of say to each other like, oh, I'm not in charge today, I'm not the charge nurse today, so not my monkey, not my circus.

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And then you're the chargers and you're like, oh, they're all my monkeys.

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Well, so let's.

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So let's do this.

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Let's set the stage here real quick For anybody who's new to the show and may not be able to see you, or, obviously, who hasn't read your book yet.

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You're pre-selling, as of this recording right.

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Yeah, pre-selling currently on Amazon.

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Okay, so on Amazon At present, then nobody's read it yet, so let's start here.

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Maybe a little about the author will consider this.

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Take a couple minutes.

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Yeah, who are you?

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Where are you from?

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What sort of things have shaped your perspective on the world?

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So I'm Jen Johnson.

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I'm from Hamilton, ontario.

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I've been nursing for over 16 years, primarily in the ER.

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I have taken a couple of side detours to recovery room and pediatrics, but for the most part it's been full on ER.

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This whole time I've worked ERs as small as just one nurse for the ER to trauma centers, to stroke centers, to pediatric emergencies or pediatric emergency centers.

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It's kind of been all over and it gives me half decent perspective on as crazy as everybody is.

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You know, just generally, the medicine's always the same.

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It's just a matter of you know what are the semi different policies, how much can I get away with and how are my docs?

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Are my docs really good or do I have to kind of give them some time to warm up to me and my insane kind of way of doing things and my insane kind of way of doing things, or are they pretty easygoing and we're good to go?

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But it's been, yeah, 16 years of trying to keep it together and you know, we come out of nursing school and you think I'm going to save the world.

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I'm going to be so awesome and you're all green and excited and shiny and then real world kind of slaps you in the face and you very quickly learn that sometimes you know being the one to help facilitate a comfortable palliative care, death is actually the win.

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You're not going to save everybody, and so getting a little bit more familiar with death than normally does taint your opinion on the world as a whole.

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But nobody's getting out of this alive.

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So the sooner you kind of come to terms with it, the sooner you really realize that there's a lot of magic in the world.

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Well, that's interesting.

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Do you think, in 16 years of, I would say, practicing, or longer than that, just exposure experience, whichever in any of these other applications pediatrics, trauma care, so on you know, whichever in any of these other applications pediatrics, trauma care, so on Do you think dealing with people, maybe unwittingly or even out of their control at some of their lower points, has helped you maybe realign with humanity when it's at its better points, like, is there any comparison, sort of inversely?

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It's all very person by person basis.

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You know if somebody is coming in and they're truly having an emergency, their family's right beside them, you know they've witnessed something horrific or something horrible has happened and it's completely out of the blue.

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It's these, you know, really bad car wrecks or assaults or something like this, where somebody's health has taken a major turn very, very quickly.

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It's those kind of moments where you can kind of try and help people get through that you're like, okay, like I did do something and you know I'm helping to kind of better things that way, versus the people who come to emerge and they feel as if they're having an emergency and as the emergency nurse I kind of know that they're probably not and having the skill set to try and kind of peel them off the ceiling a little bit, to be like okay, like yes, we'll do some blood work, we'll do some x-rays, we'll check some things out.

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But really I don't think this is nearly as bad as you think it is.

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We're going to just calm down, we're going to take some breaths, we're going to hang out and unfortunately the wait is usually, you know, four to six hours up here to see a doc.

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So it's going to be a long wait.

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We're just going to hang out.

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Welcome to canadian health care at its finest and I promise you we're going to be okay.

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Those who are the least sick are usually the most vocal and the most aggressive and the most physical to very quickly change a situation from just like, maybe a verbal altercation, to a full on like, about ready to take my head off, to calling me every name in the book and every language in the book.

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You know it's what's the?

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I'm 10 times more likely to be assaulted than a corrections officer as an ER nurse.

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Wow, I think is the general statistic.

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Wow, yeah.

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Well then, I guess, all things considered, you're doing pretty well, so congratulations so far.

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Thank you.

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I, thankfully, the only time that I've even come close to getting hit was there was a kid who actually was just having a seizure and 16, big, tall kid and I had residents on the legs.

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We were on the arms, I was trying to put in the IV but I was like kneeling and kind of down there and the one resident must have let the one leg go.

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It come flying over it, winged off my glasses and shot my glasses out of the room into the hallway.

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And I'm just impressed with myself that I didn't swear, because I swear like a sailor.

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You know the F word is a punctuation mark in my vocabulary, so you know not saying anything because it was a pediatric emergency.

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I was like, okay, I'm actually really impressed with myself that I didn't drop anything.

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And I was like, oh, my God, are you okay?

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I'm like I think I'm all right.

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No cuts, no bruises.

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He just caught the very side of my glasses.

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I was like that was close, not to say that there haven't been situations where people are getting aggressive and we've had to hold people down.

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And you know needles through jeans, you know police falling through our front door while trying to tase somebody.

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Wow, oh yeah, again, another great story.

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We were sitting around it was maybe midnight, one o'clock.

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We're finally starting to talk about breaks and like, okay, who wants to go and where are you going to go and how long are we going to?

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lay down for these hypothetical things that exist.

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Hypothetical breaks that exist more so on night shift than on day shift.

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And we were joking about like, oh, it's been a great night.

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We don't say the keyword.

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We don't.

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We never say the keyword because we're just so, we're very superstitious that way.

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And so somebody kind of like knock and bang on the door, and so it's a locked sliding door but it's the closest one to the actual exit, and all of a sudden somebody's prying this door open and somebody's falling in.

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This young guy falls in.

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We're like piss, because he broke the door.

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Well, then two cops fall on top of him and we're like, oh, where did the cops come from?

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And then two more cops fall on him.

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We're like what is going on right now?

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Like we're not usually this busy with the police, but like what is happening right now, and so they're trying to tase him.

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I'm like, oh my god, he's touching like the ancient way scale.

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That's all metal.

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I'm like, don't tease him.

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Oh, my god, don't tease him.

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And my doc like barely sticks his head out of the door because there were four patient rooms like right there that patients were in.

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My doc barely pokes his head.

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I was like I'll just get mad at van and held all and goes back to assessing the patient I imagine you gotta have, yeah, nerves of steel and some of that chaos it gets to be kind of commonplace.

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So you're just like, okay, you know, for the most part nobody's really gone badly hurt, yeah.

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So we just kind we'll just medicate you, and here we go and off to the races and figure out why in the world you're here and why are there four cops behind you.

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Alrighty, folks, stay tight and we'll be right back on Transacting Value.

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Today my bank made a big mistake, but I forgave them.

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My server spilled water on me, but I forgave him.

00:11:04.068 --> 00:11:06.788
My toddler drew lipstick on the wall.

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Was I ever mad?

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It got me thinking.

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I can forgive my bank and my server, but I'm upset with my own kid.

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I mean, what's most important here?

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So tonight the two of us are doing lipstick art On paper.

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Forgiveness is in you.

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Pass it on From PassItOncom we'll just medicate you.

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And here we go and off to the races and figure out why in the world you're here and why are there four cops behind you.

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Yeah, well, we've got a lot of guys too like my background, especially for anybody new to the show, but obviously, jen, in your case as well, my background's in the US military, the Marine Corps specifically, and the majority of my career has been in the infantry, and it made it very difficult for me to communicate with anybody One because I never actually had to develop communication skills.

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I could just yell at people or whatever.

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We were all on the same, you know, rank structure aside, we were all on the same sort of playing field, like, all right, we have a common mission set, try to get things done or whichever, and so yelling at people was just common.

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But the amount of chaos in some cases a training exercise, in other cases not where there might be, you know, live gunfire or explosions or sounds on a speaker or everybody else yelling or whatever you know tanks, anything else it desensitizes you over time, I think on one hand positively, because then you can focus and you know you learn to tune out what's important and what's not over time.

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But on the other hand, it's very difficult to relate to people and to communicate about things, because then everything else seems, I don't know, too easy, too calm, almost too difficult to relate to because it's not chaos.

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Do you find that in all of this ER exposure that becomes a pretty similar thing too?

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We absolutely.

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It's a thing you know if you're going to a big function or a family function, if there's a nurse there, if there's fire, if there's EMS, if there's military, if there's police, we find each other.

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I don't know how we find each other, but we always find each other because nobody understands what people can be like, other than the few types of careers that get a real intimate view as to people at their worst.

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And so we always find each other and I can peg a firefighter.

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I don't know how, but I can peg a firefighter from a mile away.

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They'll come in and if they're not wearing, you know, firefighting gear or have a firefighter tattoo, it's just about a little bit of swagger.

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And you're just like you are too confident to be in the ER, like I think so.

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So you're just like no, like how many years into into fire?

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How'd you know?

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Like can peg you from well away yeah military is harder.

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Police same thing.

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Kind of had that swagger, but they're a little bit more reserved with it.

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Uh, they kind of keep it hidden in their back pockets, not until they sit down at triage.

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They open up their, their wallet to get their health card and, oh, look at that, you're a surgeon.

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Hey, I see the badge.

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And again, it's a professional courtesy that if we can try and get you in and out, if nobody else is super, super sick, we're gonna try and move you.

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We're obviously.

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It's just professional courtesy.

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It's the same reason why nurses flying down the highway or the freeway, the second we get pulled over, it's the only time we're actually going to wear a stethoscope.

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Oh my God, get the stethoscope.

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You know it's the only time anybody ever wants to be understood as being a nurse is they're being pulled over.

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Yeah, just coincidentally in.

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I don't know if it's everywhere, but I'm assuming it's pretty similarly an established vein of thought, right?

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Military people, veterans, whoever get pulled over, and now all of a sudden your license isn't on top anymore.

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It's your military id, or you know yeah, yeah, the hospital id is like right here.

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You're just like, oh, and we're handing it over with our driver's license.

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We're like here you go, sir you said two forms of id, right here you go, yeah two form.

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Yes, yes, you want a third.

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I've got a hospital badge and I've got this and I've got my stethoscope.

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We're good, right, like yeah, and once they figure out it's ER, they're like, oh okay.

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Like there seems to be another small level of distinction within and, again, I've only ever been an ER nurse, so I don't know if an ICU getting pulled over is any different, but it's an understanding, because we do see them, we do get to work with you guys and we do get to you see the same stuff and you're just like what was with guy and we, you know, convince and we chit chat yeah, well, that's an important distinction too, because I also don't want it to come across that people are trying to get away with things and inadvertently able to, like, I don't want to undermine, you know, societal underpinnings or whatever, but I think it really does make a big difference because there's a lot of, especially in the last three to four years.

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There's a lot of societal, maybe even distrust, but doxing doxing is the term I heard a couple years ago right nothing to do with well, maybe I don't even know what it really means something to do with indoctrinating, or or I don't know so if somebody is an influencer or has an opinion on the web that you really dislike, you know I'm going to find you.

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they will find, like, your home address, your where you go to shop, where, like, they'll find all the places that you go in real life and put it out there for people to be able to find you.

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It's a negative thing where they're trying to get people to come and harass you in person Because, again, if it's just all online, you can just shut off the iPad or the phone or whatever and you get off of it Versus this is like yeah, this is more we're gonna get in your face in real life.

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Okay, so then to that point, I think there's two aspects that are important to note, then, where, on one hand, it is no different than if you were to voice this in the town square 500 years ago and people can talk to you now.

00:16:36.350 --> 00:16:42.089
It's digitized and more widespread, but the impacts obviously can be similar, like what you just brought up.

00:16:42.089 --> 00:16:52.405
But I think what's unfortunate maybe about that phenomenon that seems to be happening over the last few years is that nobody volunteered for that.

00:16:52.405 --> 00:17:07.692
People understand and not to speak for everybody, but I'm pretty sure I'm close People that get into high stress positions like a nurse, a cop, a firefighter, the military, these types of civil servant positions or what I said earlier, frontline civil servant leaders.

00:17:07.692 --> 00:17:10.365
There's got to be a singular word for that, I'll figure it out later.

00:17:10.405 --> 00:17:29.424
But these of professions you know, yeah, service and duty oriented and honor and, and these types, if I want to help people isms, I think there's a certain understanding you have to have that people are going to give you a hard time, inadvertently or not, wittingly or otherwise, but you're not going to be everybody's friend.

00:17:29.424 --> 00:17:32.494
You didn't join that profession to be everybody's friend.

00:17:32.494 --> 00:17:50.032
Like you said earlier, you get into those situations where you have to, you know, work with a different level of people in a different scale of humanity, and so with that comes sort of the dregs at the bottom of the barrel of attitudes and bearing and demeanor intact and whatever.

00:17:50.032 --> 00:17:57.778
But it's different, I think, when it's intentionally hateful or spiteful or targeting you for trying to help.

00:17:57.778 --> 00:18:01.174
It's a whole different application of things.

00:18:02.866 --> 00:18:05.311
All right, folks sit tight, We'll be right back on Transacting Value.

00:18:07.205 --> 00:18:22.375
Join us for Transacting Value, where we discuss practical applications of personal values Every Monday at 9 am on our website, transactingvaluepodcastcom, Wednesdays at 5 pm and Sundays at noon on wreathsacrossamericaorg slash radio.

00:18:25.146 --> 00:18:35.673
But it's different, I think, when it's intentionally hateful or spiteful or targeting you for trying to help, it's a whole different application of things.

00:18:35.673 --> 00:18:36.194
You know what?

00:18:36.194 --> 00:18:36.836
Let me ask you this.

00:18:36.836 --> 00:18:40.655
So this is a segment of the show called Developing Character.

00:18:42.605 --> 00:18:47.644
This is two questions, and it's as vulnerable as you want to be For anybody who's unfamiliar with this segment.

00:18:47.644 --> 00:19:16.020
I have a very strong belief, personally and professionally, that it's either going to be very difficult to build communication skills and relationships with people in any industry, let alone high stress oriented positions like what we're describing, if you don't first have an idea who you are as a person and through learning that you can gain some empathy, communication skills, any number of degrees of confidence, resilience, whatever.

00:19:16.020 --> 00:19:22.857
But I think a lot of that gets rooted into value systems, because it's really all you have at the end of the day.

00:19:22.857 --> 00:19:24.952
If you're not a nurse anymore, who are you?

00:19:24.952 --> 00:19:25.909
A mom, maybe?

00:19:25.949 --> 00:19:34.865
An author, probably, but then it's still a crutch of identities, one for the next, but like, but then you're it's still a crutch of identities, one for the next, but like.

00:19:34.865 --> 00:19:39.557
At your core, these are the things that ground your character, that then you can build from any degree of identities in the future.

00:19:39.557 --> 00:19:46.644
And so, anyway, my point is two questions as vulnerable as you want to be, as open as you want to be, totally up to you, but they started somewhere.

00:19:46.644 --> 00:19:51.990
So my first question is when you were growing up, what were some of the values that you were raised around.

00:19:51.990 --> 00:19:55.653
You think that contributed to all of these desires and passions for you.

00:19:56.273 --> 00:19:57.836
Yeah, hardworking for one.

00:19:57.836 --> 00:20:01.219
I actually recall my dad when I got my first job as a.

00:20:01.219 --> 00:20:05.224
I worked at a dry cleaners and he goes.

00:20:05.244 --> 00:20:26.535
well, just don't forget like your working also affects me, like your work then reflects on me also, and I'm like whoa, okay, because you cleaned his shirt right, no, so it was just like customer service and you know I would take their clients, yeah, so it's just like, oh, I'm just, uh, I'm just doing the things, but you know, end up, of course, getting fired from it because you know you're 15 and it's your first job.

00:20:26.535 --> 00:20:31.712
You don't really you never asked about how long to take for breaks or this or that or the other, so it's just.

00:20:31.712 --> 00:20:35.799
You know, I don't even know how long I lasted, but so there was hard working.

00:20:35.799 --> 00:20:41.135
Being early was always just one thing where my mom god bless her she worked.

00:20:41.135 --> 00:20:45.392
So she always picked us up late from whatever activity we were at, I was always the last one to go.

00:20:45.392 --> 00:20:47.441
So I'm like I'm always going to be early.

00:20:47.441 --> 00:20:49.086
It's non-stop going to be early.

00:20:49.105 --> 00:20:51.910
That's and a lot of my nursing thing.

00:20:51.910 --> 00:20:53.873
You know, in nursing you're not on time.

00:20:53.873 --> 00:20:56.696
Unless you're 10 minutes early, you're on time.

00:20:56.696 --> 00:21:00.089
You're 10 minutes late, yeah, because you have to get report, you have to kind of get moved in.

00:21:00.089 --> 00:21:04.594
You got to bring all your stuff and get, let night shift or day shift go, and so it's okay.

00:21:04.594 --> 00:21:07.278
So want to be early Caring for sure.

00:21:07.278 --> 00:21:24.320
My mom's a vet, so you know, as a kid growing up you're like, oh, mom's taking care of all the cats and dogs and it's so cute Not realizing that she probably puts down like two to six pets a week like has to deal with that.

00:21:24.320 --> 00:21:32.320
So you know, the whole empathetic, caring portion kind of cultivated that a little bit on my own and again, like nursing was never on my radar growing up, never, ever ever.

00:21:32.320 --> 00:21:36.569
This whole calling portion I'm not sold on.

00:21:36.569 --> 00:21:37.412
It's a career.

00:21:37.412 --> 00:21:40.919
It's a great career, but it's a career yeah but what?

00:21:41.948 --> 00:22:22.669
to distance myself because there's got to be more depth to it than a well, than a paycheck or just a career like, yeah, you don't do anything for that long in that kind of an industry, for just money yeah, when you do have those small wins because the big wins they are really hard to come by you know somebody's dead and you bring them back and you've done chest compressions and you know maybe they're walking out a couple months later and they have no deficits, like you get that maybe once or twice in a career, like, maybe, so it's the little wins, maybe so it's the little wins, it's being able to explain to family why maybe being a do not resuscitate is the best option for grandma, because you know she's full of cancer and she's not really responding and she's in a lot of pain.

00:22:22.669 --> 00:22:41.567
Like let me help you get over the fear of death, let me make you more comfortable in saying we're comfortable with this, let me help you sit down and hold her hand and kind of get over that fear of it being a very disturbing, taboo kind of thing.

00:22:41.567 --> 00:23:00.586
It's having those teeny tiny moments with a patient where my mouth shoots off before I realize what I'm saying, but yet I'm saying something that hits home so hard for them that we then end up having a discussion that they can't have with anybody else.

00:23:00.586 --> 00:23:06.246
And so another one was, you know, 16 year old, super drunk Friday night not a big deal.

00:23:06.246 --> 00:23:14.074
But the older brother comes in, he's giving him the gears better than I did, because I started out as Nurse Ratched and was kind of just oh, what are you doing?

00:23:14.074 --> 00:23:15.329
And not being super nice.

00:23:16.306 --> 00:23:21.093
And it wasn't until the kid kind of was sober enough to say like, oh, I've been drunker than this before, it's no big deal.

00:23:21.093 --> 00:23:22.529
I'm like whoa, what do you mean?

00:23:22.529 --> 00:23:23.453
Drunker than this before?

00:23:23.453 --> 00:23:26.307
You were like comatose dude, like what is happening.

00:23:26.307 --> 00:23:30.794
And he's like, oh, yeah, it's been you know what six or seven months.

00:23:30.794 --> 00:23:34.180
And before I realized what I was saying, I'm like well, what happened six or seven months ago?

00:23:34.180 --> 00:23:38.173
Oh, I watched my dad collapse in our kitchen and die.

00:23:38.173 --> 00:23:39.917
Oh, pardon me.

00:23:39.917 --> 00:23:44.575
Well, yeah, the only way I can actually sleep and not have nightmares is if I get drunk.

00:23:45.257 --> 00:23:45.396
Hmm.

00:23:46.865 --> 00:23:54.680
Oh, you're like, my whole assumption about this whole scenario is so wrong right now.

00:23:54.680 --> 00:23:57.313
And A, being able to acknowledge that.

00:23:57.313 --> 00:23:59.692
And then B turn on your heels.

00:23:59.692 --> 00:24:07.113
I went back to my doc and said, hey, like we need a social work consult, we need support systems for this kid, we need referrals, we need all the things.

00:24:07.113 --> 00:24:13.467
And I've never once before given out my home number, not once as an ER nurse.

00:24:13.467 --> 00:24:14.611
You don't even give out your last name.

00:24:14.611 --> 00:24:15.313
It's not happening.

00:24:15.313 --> 00:24:16.536
People would be too crazy.

00:24:16.536 --> 00:24:19.374
But I gave this kid my home number, my cell phone.

00:24:19.374 --> 00:24:24.470
I said whatever you need, I don't care what time of day, I don't care where you are.

00:24:24.470 --> 00:24:26.972
If you need me, call me, text me.

00:24:26.972 --> 00:24:30.630
Can't guarantee that I'll be up, but I'll be getting back to you as soon as I can.

00:24:30.630 --> 00:24:35.297
They've never used it, but that's something I felt that I needed to do.

00:24:35.297 --> 00:24:37.180
I needed to extend that bridge.

00:24:41.484 --> 00:24:43.924
Just, you know, the family was very obviously completely torn up about this because it was very sudden and very traumatic.

00:24:43.924 --> 00:24:47.253
And this is how this poor kid was coping.

00:24:47.253 --> 00:24:54.036
The family was loving and a very large family, but they didn't talk about things very siloed.

00:24:54.036 --> 00:24:55.968
You know just their culture.

00:24:55.968 --> 00:24:57.792
So I'm going okay.

00:24:57.792 --> 00:24:59.517
Well, now your brother knows about this.

00:24:59.517 --> 00:25:03.815
He can kind of take it back to the fam and and explain what's going on.

00:25:03.815 --> 00:25:06.606
And and here's this kid going like no, no, no, it's fine.

00:25:06.606 --> 00:25:12.954
Like if I need therapy, I'll, I'll afford it myself, I'll go, I'll work at my job, and if I need meds, I'll go and I'll work harder.

00:25:12.954 --> 00:25:14.997
I'm like dude, you're 16.

00:25:15.176 --> 00:25:19.307
Yeah, that's a lot to take on, it is not, it's so much to take on.

00:25:19.386 --> 00:25:25.077
So hoping that he got some help and at least followed up with it a little bit.

00:25:25.118 --> 00:25:31.336
But again, it's one of those things where I've done all, literally all that I could do and there's nothing more than I can.

00:25:31.336 --> 00:25:39.770
So you know, you put it out into the world and sometimes you have to be okay with not knowing the outcome and as an ER nurse, a lot of the time is you don't get to hear.

00:25:39.770 --> 00:25:48.969
It's the same with EMS or fire, where they bring somebody in and they have to walk away and they leave them with us and then we admit them and then they go up to ICU and then we don't know what happens from then on.

00:25:48.969 --> 00:26:04.450
Whenever we get good news about somebody who potentially comes back to the ER or sends a thank you letter or something, you take those home, you print those out, you put them in the book for those days that are just so dark you can't even fathom going on or continuing in the career.

00:26:04.450 --> 00:26:09.229
And those are the days you break out the letters and say no, no, no, I am making a difference.

00:26:09.229 --> 00:26:15.528
It's a very zigzag kind of way of making a difference but still making a difference.

00:26:17.112 --> 00:26:30.208
Yeah, the toll that it can take any of these types of situations that you were just describing is really underrated and obviously not talked about, let alone the residual impact.

00:26:30.208 --> 00:26:34.917
But I never actually considered the points you just brought up, I guess because I never had to.

00:26:34.917 --> 00:26:51.118
But a cop, a firefighter, whoever is the catalyst to get somebody in your door, a parent, a grandparent, whoever it is to get somebody in your door at the ER, may never see that person again and know, for the sake of closure, if nothing else did it work.

00:26:51.118 --> 00:26:52.002
Did we do a good job all the way up closure?

00:26:52.002 --> 00:26:52.585
If nothing else did it work?

00:26:52.585 --> 00:26:55.932
Did we do a good job all the way up until?

00:26:55.932 --> 00:27:01.133
Did we save somebody's life or did we make a difference, some sort of degree of fulfillment?

00:27:01.746 --> 00:27:22.535
And that's powerful too, because thank you is very simple, seriously simple, all the way up until a handshake, a thumbs up, a card, like you just mentioned, and it really can make a huge difference Now in what I'm going to consider raising humanity there in the ER.

00:27:22.535 --> 00:27:23.998
What about now?

00:27:23.998 --> 00:27:28.497
I mean 16 years later, let alone a few decades of life experience in total.

00:27:28.497 --> 00:27:34.128
What are some of your values now that I assume they've shifted and changed over time and become more individualized.

00:27:34.770 --> 00:27:35.051
Yeah.

00:27:35.051 --> 00:27:41.387
So now it's separating me from the nurse, now it's separating me from just being a mom.

00:27:41.387 --> 00:27:44.012
Now it's what makes me happy.

00:27:44.012 --> 00:28:00.628
You know, there's nothing like COVID and and having attorneys come forward to to volunteer to write all the frontline workers wills for free that you know they meant well, but you couldn't really help but take home the fact that you weren't expected to survive.

00:28:00.628 --> 00:28:05.608
You come very quickly to the realization that, oh, like, why am I doing this?

00:28:05.608 --> 00:28:10.145
Like what is happening and it's like you know, am I getting satisfaction out of the job?

00:28:10.145 --> 00:28:11.088
Absolutely.

00:28:11.128 --> 00:28:14.497
There's nothing better than turning somebody around.

00:28:14.497 --> 00:28:22.752
Maybe, maybe not saving a life, but turning something around, a symptom, a fever, getting somebody feeling better and turning.

00:28:22.752 --> 00:28:24.900
Actually, what's more satisfaction?

00:28:24.900 --> 00:28:43.606
Like more satisfaction is watching the bear of a human who you know is lost their mind to pain, drugs, alcohol, uh, grief turn around and you know, now they're comfortable, now they're feeling safe, now they have some expectations as to what's going on.

00:28:43.606 --> 00:28:56.429
To then come back to being human and to be kind of their more baseline self versus the extreme of themselves and come back and watching that difference is really interesting to see.

00:28:56.429 --> 00:29:00.636
Like, okay, you were absolutely insane on meth.

00:29:00.737 --> 00:29:43.191
Like, just, you were not a nice person, but now you've sobered up and now there's pleases, now there's thank yous, and and you're so sweet and you're like what just happened, like that was quite the 180 holy cow so finding satisfaction in the smaller things and then finding satisfaction in teaching, being able to support our new nurses coming out, being able to gently or more gently bring them into the life and the lifestyle and what it means to be a nurse, and especially in this day and age of technology and the expectations of professionalism and how you're supposed to be on 24-7, 365.

00:29:43.211 --> 00:29:43.872
Yeah.

00:29:44.513 --> 00:29:46.217
Nobody can live up to those expectations.

00:29:46.217 --> 00:29:47.185
So then it's just okay.

00:29:47.185 --> 00:29:49.690
Be mindful of what you're posting online.

00:29:49.690 --> 00:29:55.359
Be mindful of anybody who's, you know, got their phone at that right angle to tape you.

00:29:55.359 --> 00:30:26.858
You know, just be mindful that everybody has got not just a microphone but a camcorder in their back pocket and a lot of things can be taken out of context if you start, you know, recording at the right moment, the number of times where people try to bait you, to get you going, to say whatever they're going to say, to really try and dig into you and to know that that's what's going on, takes a lot of effort and experience.

00:30:27.545 --> 00:30:38.441
So to then introduce these, the newer nurses, to like not just nursing but then the ER because the ER is its own beast and say like, hey, so this is, you know, this is the treatment and street of mentality.

00:30:38.441 --> 00:30:43.857
We're trying to get you in and trying to get you out as fast as possible for everybody's sake.

00:30:43.857 --> 00:31:08.888
But when we can't, you know, here's what we're doing, here's all the different things that we're leaning into or talking about and all the things that they don't teach you in nursing school, because that learning curve is straight up once you get out and then all of a sudden, you've got your own license, like the responsibility of that, you're like I just I have to be careful of this thing like I don't know.

00:31:10.692 --> 00:31:13.240
All right, folks, sit tight and we'll be right back on Transacting Value.

00:31:14.891 --> 00:31:17.800
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00:31:17.800 --> 00:31:29.445
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00:31:29.445 --> 00:31:38.325
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00:31:38.325 --> 00:31:42.701
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00:31:46.211 --> 00:31:47.654
The responsibility of that.

00:31:47.654 --> 00:31:48.536
You're like I.

00:31:48.536 --> 00:31:53.016
Just I have to be careful of this thing Like I don't know.

00:31:53.510 --> 00:31:56.720
It's daunting and intimidating, it's ridiculous.

00:31:56.720 --> 00:31:58.355
Yeah, it's horrible.

00:31:58.355 --> 00:32:05.561
Yeah, it's a lot the same, at least in my experience, getting into our Department of Defense Very similar.

00:32:05.561 --> 00:32:08.499
You look at it, you see the commercials talk to the recruiters.

00:32:08.499 --> 00:32:11.675
Whatever it is something about it appeals to it and you're like this is going to be pretty sick.

00:32:11.675 --> 00:32:18.053
All right, I'm in sure, why not?

00:32:18.053 --> 00:32:18.173
Yeah.

00:32:18.173 --> 00:32:40.665
And then you go through all the basic training and you go through the courses similar in concept, right to your, your nursing school idea in parallel construct at least, and you get through and you make it into the whatever the fleet, the force, the whatever branch you decide to join, cops being the same firefighters to your first station you know, know same principle here You're like all right, I am totally classically trained to be a level zero beginner and then you can start.

00:32:42.990 --> 00:32:47.661
I guess really you've proven that you can handle the workload and that you're trainable.

00:32:47.661 --> 00:32:52.657
Now it's time to prove that you can learn and do something about it.

00:32:52.657 --> 00:32:54.682
And I think that's understated too.

00:32:54.682 --> 00:33:20.719
I don't know if it's paralleled in any primary schools or elementary schools or secondary university or whatever anywhere else in academia quite in the same light that it is in any of these other circumstances we were just talking about, Because I feel like otherwise you're fixing to get into, say, ninth through 12th grade or go to a university or a college or whatever for a more advanced, whatever course of study, and then you walk out and you're like I'm not sure I'm really qualified for anything at this point.

00:33:20.719 --> 00:33:22.423
I don't know what to do, You're still lost.

00:33:22.423 --> 00:33:24.450
But I think the identity is the grounding point there.

00:33:24.450 --> 00:33:35.739
I think the focus on some sort of principled, value system or way of living really does anchor and ground and make a huge difference Living really does anchor and ground and make a huge difference.

00:33:35.759 --> 00:33:43.464
The stereotypes alone, at least for nursing the stereotypes that you're not a good nurse unless you give all of yourself and leave nothing.

00:33:43.464 --> 00:33:44.250
Same thing in the middle.

00:33:44.250 --> 00:33:46.939
You're not a good nurse unless you absolutely do not ask for help.

00:33:46.939 --> 00:33:50.461
You're not a good nurse unless you kill yourself for your patients.

00:33:50.461 --> 00:34:00.803
You're not a good nurse unless you pick up every single shift that's offered to you, Dressing the part and smile on your face and being professional all the time.

00:34:00.803 --> 00:34:03.954
That's great until the public gets involved.

00:34:03.954 --> 00:34:15.778
And then things get real dicey at times Because there's nothing quite like coming up against, you know, a six foot five guy who's just screaming at you and you're just like do I want to go for it?

00:34:15.778 --> 00:34:22.494
And really you know, gloves off gangster style, or am I going to lean into this whole feminine BS?

00:34:22.494 --> 00:34:25.119
Just be like, sir, I'm so sorry.

00:34:25.119 --> 00:34:29.034
You know, some days you're just like try me.

00:34:29.454 --> 00:34:29.896
Right, right.

00:34:29.896 --> 00:34:57.014
Well, that's the other thing I think the public also needs to realize when it comes to medical staff, especially in a stressful environment like the er you know a very particular place to make people not be able to breathe very quickly or not be able to walk very abruptly, you know like the people don't understand that the nurses have the decision for the size of the things that are entered into the human body on just about all counts.

00:34:57.474 --> 00:35:09.443
So IV sizes, catheter sizes, how much lubrication we use, if the lubrication has got lidocaine so it's numbing or not, the ET tube, all sorts.

00:35:09.443 --> 00:35:16.443
There's a lot of different sizes to a lot of different things, and you catch more flies with honey than with vinegar.

00:35:16.443 --> 00:35:23.916
Nobody's going to want to go the extra mile for you if you're berating the crap out of them, we're just going to want to get you the heck out.

00:35:24.110 --> 00:35:26.735
Yeah, well, that's the difference, right, like we had a patrol.

00:35:26.735 --> 00:35:28.454
This was a while ago.

00:35:28.454 --> 00:35:31.731
I was in Afghanistan, we were on a patrol and it was the same sort of idea.

00:35:31.731 --> 00:35:32.811
We were on a patrol and it was the same sort of idea.

00:35:32.811 --> 00:35:37.416
All the kids were in the bazaar and there were people around, so we weren't really focused on any sort of a threat.

00:35:37.416 --> 00:35:41.400
If anything, we were more complacent to it and complicit to the moment than anything else.

00:35:41.400 --> 00:35:48.045
But we walked through it and out to wherever we had to go into the village and then turn around and walk back through the bazaar on the way back.

00:35:48.045 --> 00:35:55.418
There was this kid there I remember him distinctly, name was haroon and he was standing there and he watched us come out and he watched us come back.

00:35:56.001 --> 00:36:10.114
We went out two or three times a week on foot on these patrols and after a few weeks I waved and he waved and after a few days of that into the next week, eventually a couple of us.

00:36:10.114 --> 00:36:16.248
He worked at his father's rug shop in the bazaar, which I'm pretty sure the entire area since it's been turned over it doesn't exist anymore.

00:36:16.248 --> 00:36:18.000
But he worked at his father's rug shop in the bazaar, which I'm pretty sure the entire area.

00:36:18.000 --> 00:36:18.755
Since it's been turned over it doesn't exist anymore.

00:36:18.755 --> 00:36:22.628
But he worked in his father's rug shop just the two of them and he was just there because where else are you going to go?

00:36:22.628 --> 00:36:24.532
There's no school, there's you know, uh.

00:36:24.532 --> 00:36:27.235
And he was early teens, maybe mid teens at the time.

00:36:27.235 --> 00:36:33.001
But yeah, after a week of that and waving as we went in and out, eventually he and I were having lunch.

00:36:33.001 --> 00:36:37.547
Eventually he and I spoke enough of each other's languages to actually talk and do something.

00:36:37.547 --> 00:36:41.134
And then I started working out with him whenever we weren't on patrol.

00:36:41.775 --> 00:36:56.362
You build a relationship and I think to your point, there's a very real degree, on one hand, where you can conduct your life and lead through fear and threats and whatever intimidation tactics apply, especially when your stress level is elevated.

00:36:56.362 --> 00:37:08.860
It's very easy to do and slip into that Mr Hyde type persona, but on the other hand, the more stressed we get, the harder it is to stay focused and make rational decisions.

00:37:08.860 --> 00:37:33.106
Where it's not necessarily I'm paraphrasing it's not necessarily, and I'm paraphrasing it's not necessarily the fact that the I don't know nasopharyngeal tube can be bigger or longer or whatever, as much as it is like, I have now developed more empathy for this person and I'll go out of my way to ensure they're more comfortable, not necessarily out of my way to make them less comfortable.

00:37:33.106 --> 00:37:36.032
Same thing with this kid, harun.

00:37:36.052 --> 00:37:52.836
You know like after a while it was a lot easier to recognize some degree of humanity in this kid and help, and so it was easier for me to remember, as whatever busy, stressful levels applied to go out of my way to help him than it was to ignore him because he blended into the background and it really does make a huge difference.

00:37:52.836 --> 00:38:07.061
But I to ask you this, for the sake of time, jen, of all of these experiences and all of this stuff that you've been through the scenarios at the hospital, your personal life, just growing up as a human what has it all actually done for your sense of self and your self-worth?

00:38:07.061 --> 00:38:10.840
As you talked a lot about other people, but you're still you.

00:38:11.309 --> 00:38:16.422
Which is typical, which is very typical of the you know the nurse brain kind of thing.

00:38:16.422 --> 00:38:19.269
Your last care is always yourself.

00:38:19.269 --> 00:38:25.282
So it's been well since COVID and hitting rock bottom, burning out, coming back the whole bit.

00:38:25.282 --> 00:38:35.400
It's been that my experience matters and getting out of my head where if I'm thinking about myself or worrying about myself or my comfort, that's selfish.

00:38:35.400 --> 00:38:47.070
No, it's not, it's basic human decency that you know, if I was treating my patient the way that I treat myself, I would be horrified.

00:38:47.331 --> 00:38:53.155
You're like, oh my God, you're doing nothing personal, you're barely getting out of bed, you're not really eating, you know.

00:38:53.155 --> 00:38:58.681
You're barely peeing, because you know we run around like maniacs, so we usually only pee once every 12 hours or so.

00:38:58.681 --> 00:39:02.903
Yeah, sure, which really is going to come back to haunt me in my elder years.

00:39:02.903 --> 00:39:04.545
And so it's now.

00:39:04.545 --> 00:39:18.112
It's no, I'm going to push for my breaks, I'm going to push for working part time right now.

00:39:18.112 --> 00:39:31.757
I'm going to push for telling my stories that ended up, born out of all the trauma with COVID, and getting these stories out so that people, not just nurses but other people know not just what we've went through but what we continue to go through and that, yes, the ER has been portrayed as a very kind of sexy and and ooh the adrenaline.

00:39:31.757 --> 00:39:39.054
It's not that 99% of the time, it's a lot of the same thing over and over and just kind of going through the motions.

00:39:39.054 --> 00:39:59.152
But it's the people that make it hard, because dealing with people and their emotions and the suffering that you're seeing and the inequalities that come walking through the door and you're like, how you know, how does this person over here get everything handed to them and everything's just fine and dandy, and they've, you know, perfect health, whatever.

00:39:59.152 --> 00:40:09.510
And here's this other person who's had to work for every minute of their life and have just got, you know, hardship after hardship after hardship thrown at them Like how is that fair?

00:40:09.510 --> 00:40:19.177
And it's coming to terms with like, well, everybody's got their own journeys and you know I can't change anything except for what I can do in the moment.

00:40:19.177 --> 00:40:46.177
So same thing with myself, you know, looking back, treating my body like a rave very forcefully, think about water and eating on a semi-regular basis and making sleep a priority and not worrying about the thought process of oh, sleeping in and am I lazy or am I doing enough for all the things that run through your head, especially as a mom?

00:40:46.177 --> 00:40:48.911
But it's just like no, now it's.

00:40:49.452 --> 00:41:00.701
If you want to call this my villain era, sure do do that, because if me taking care of myself and me finally worrying about my own happiness is me being a villain, call me Cruella.

00:41:00.701 --> 00:41:01.623
I'm here for it.

00:41:01.623 --> 00:41:14.643
Might as well just go for it, because you know, the sooner you get to the no f's given kind of era where everything happens, you just have to deal with it and go on.

00:41:14.643 --> 00:41:22.065
It's a beautiful place to have no to low expectations, because then you have no to low disappointment.

00:41:22.065 --> 00:41:26.277
So everything turns out being phenomenal, right.

00:41:26.277 --> 00:41:38.521
If you've got no expectations about how the day is going to go, you get to do something fun or see something cool or help somebody out a day, whereas otherwise you have been like, oh, nothing really happened and it was just such a busy day.

00:41:38.521 --> 00:41:40.170
Well, change your perspective.

00:41:40.170 --> 00:41:49.759
Step into somebody's shoes who doesn't get to see this and think about how it absolutely blow their minds as to some of the things that we see and do.

00:41:49.759 --> 00:41:52.773
And I can ask people just about any question.

00:41:52.813 --> 00:42:24.646
They'll probably answer it, yeah well, and all of that also gets tempered with a certain degree of discernment and inquiry and dignity, like you talked about, and and respect and sort of a conscious involvement in your own life, let alone just in other people's, and that balance is absolutely terrifying when, especially, you make a career out of neglecting yourself and self-sabotaging, because you know the general excuse is well, it's in the name of the public good or for somebody else or whatever.

00:42:24.646 --> 00:42:38.556
In the military it's the same thing all the time where you make a career out of the team and the eye doesn't necessarily fit into that, and then when the team's not there, who's left and the identity changes.

00:42:38.556 --> 00:42:39.137
That's tough.

00:42:39.137 --> 00:42:40.061
That's tough.

00:42:40.061 --> 00:42:52.518
But in the last minute or so that I've got with you, jen, if people want to track down your book, to follow along with the progress the stories learn, maybe book you to speak any number of things.

00:42:52.518 --> 00:42:53.280
Where do people go?

00:42:53.280 --> 00:42:53.760
How do we do it?

00:43:01.469 --> 00:43:02.652
Yeah, so you can find me at rxforgrowthcom rxforgrowthcom.

00:43:02.652 --> 00:43:04.235
You can find all of my books and journals on Amazon.

00:43:04.235 --> 00:43:05.980
If you search Jennifer A Johnson RN.

00:43:05.980 --> 00:43:11.217
You can find me on TikTok and Instagram at ernursejen J-E-N-N.

00:43:11.217 --> 00:43:13.342
And you'd find me on LinkedIn.

00:43:13.342 --> 00:43:14.384
Jennifer Johnson, b-s-c-n-n-n.

00:43:14.384 --> 00:43:15.507
And you'd find me on linkedin.

00:43:15.507 --> 00:43:16.228
Jennifer johnson, bscn rn.

00:43:16.228 --> 00:43:19.074
There's just so many, jennifer johnson, so I had to do the bscn it's.

00:43:19.074 --> 00:43:20.880
It's makes you feel horrible.

00:43:20.880 --> 00:43:21.842
The rns laugh.

00:43:21.842 --> 00:43:26.320
We're like, oh, bscrn, but it's just too many jennifer johnson's.

00:43:26.320 --> 00:43:27.242
I should have kept my main name.

00:43:27.242 --> 00:43:32.639
Yeah, if you need a hand, if you need a vent, by all come on down.

00:43:32.639 --> 00:43:36.344
I may not know military, but I mean I know people.

00:43:36.909 --> 00:43:38.757
Exactly I was going to say I think you do.

00:43:38.757 --> 00:43:43.757
I think you know more about the same perspective than you might give yourself credit for.

00:43:43.757 --> 00:43:46.771
Plus, everybody's body is very similar, so you'll figure it out.

00:43:47.271 --> 00:43:49.338
Yeah, it's just, we're all here.

00:43:49.338 --> 00:43:54.641
Be nice to each other, be kind, because we're all dealing with the exact same crap, just different variations.

00:43:54.641 --> 00:43:57.679
Yep, that's kind, because we're all dealing with the exact same crap, just different variations yep, that's it.

00:43:57.719 --> 00:44:01.833
We're all uh growing through life separately together we're all linked.

00:44:02.034 --> 00:44:03.637
If you think we're not linked, we're all linked.

00:44:03.637 --> 00:44:05.822
Six degrees of separation.

00:44:05.822 --> 00:44:08.213
And now with social media, forget about it.

00:44:08.534 --> 00:44:11.802
And 23andme yeah, absolutely, jen.

00:44:11.802 --> 00:44:13.690
Again, I appreciate the opportunity.

00:44:13.690 --> 00:44:26.483
I appreciate the conversation, the, the topics, the depth, your vulnerability, your insight, and not for nothing, but the amount of parallels that we apparently discovered throughout this conversation as well was pretty sweet opportunity and experience for me.

00:44:26.483 --> 00:44:28.125
So, yeah, I really appreciate it.

00:44:28.125 --> 00:44:28.726
Thanks for your time.

00:44:29.365 --> 00:44:34.492
Absolutely Anytime anytime, all right.

00:44:34.492 --> 00:44:36.201
Well, yeah, I remember you said that, but all right, we'll catch up with you again later.

00:44:36.201 --> 00:44:40.056
And to everybody who tuned into the conversation guys, I appreciate your time and your interest and your support, obviously for our show.

00:44:40.056 --> 00:44:45.579
For anybody who's unfamiliar, depending on the platform, you're streaming this conversation on click see more.

00:44:45.579 --> 00:44:49.795
Click show more and there's a dropdown for the conversation in those show notes.

00:44:49.795 --> 00:45:01.065
In that description you'll see links to Jen's website and social as well, so you'll be able to track her down and obviously her book if you want it for pre-sale or actual purchase once it comes out and it's fully published.

00:45:01.065 --> 00:45:07.219
Please help yourselves, but the links they're on our website and for this conversation we'll redirect you there as well.

00:45:07.219 --> 00:45:14.239
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00:45:14.239 --> 00:45:18.798
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00:45:18.798 --> 00:45:21.559
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00:45:21.559 --> 00:45:28.275
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00:45:28.275 --> 00:45:30.657
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00:45:30.657 --> 00:45:33.251
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00:45:33.411 --> 00:45:34.652
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