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.
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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.
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It's digitized and more widespread, but the impacts obviously can be similar, like what you just brought up.
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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.
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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.
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There's got to be a singular word for that, I'll figure it out later.
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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.
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You didn't join that profession to be everybody's friend.
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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.
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But it's different, I think, when it's intentionally hateful or spiteful or targeting you for trying to help.
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It's a whole different application of things.
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All right, folks sit tight, We'll be right back on Transacting Value.
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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.
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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.
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You know what?
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Let me ask you this.
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So this is a segment of the show called Developing Character.
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This is two questions, and it's as vulnerable as you want to be For anybody who's unfamiliar with this segment.
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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.
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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.
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If you're not a nurse anymore, who are you?
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A mom, maybe?
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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.
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At your core, these are the things that ground your character, that then you can build from any degree of identities in the future.
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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.
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So my first question is when you were growing up, what were some of the values that you were raised around.
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You think that contributed to all of these desires and passions for you.
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Yeah, hardworking for one.
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I actually recall my dad when I got my first job as a.
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I worked at a dry cleaners and he goes.
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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.
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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.
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You know, I don't even know how long I lasted, but so there was hard working.
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Being early was always just one thing where my mom god bless her she worked.
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So she always picked us up late from whatever activity we were at, I was always the last one to go.
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So I'm like I'm always going to be early.
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It's non-stop going to be early.
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That's and a lot of my nursing thing.
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You know, in nursing you're not on time.
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Unless you're 10 minutes early, you're on time.
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You're 10 minutes late, yeah, because you have to get report, you have to kind of get moved in.
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You got to bring all your stuff and get, let night shift or day shift go, and so it's okay.
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So want to be early Caring for sure.
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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.
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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.
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This whole calling portion I'm not sold on.
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It's a career.
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It's a great career, but it's a career yeah but what?
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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.
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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.
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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.
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And so another one was, you know, 16 year old, super drunk Friday night not a big deal.
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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?
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And not being super nice.
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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.
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I'm like whoa, what do you mean?
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Drunker than this before?
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You were like comatose dude, like what is happening.
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And he's like, oh, yeah, it's been you know what six or seven months.
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And before I realized what I was saying, I'm like well, what happened six or seven months ago?
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Oh, I watched my dad collapse in our kitchen and die.
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Oh, pardon me.
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Well, yeah, the only way I can actually sleep and not have nightmares is if I get drunk.
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Hmm.
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Oh, you're like, my whole assumption about this whole scenario is so wrong right now.
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And A, being able to acknowledge that.
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And then B turn on your heels.
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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.