WEBVTT 00:00:07.880 --> 00:00:10.759 You're in the bay. Once you get over to the bed, 00:00:10.919 --> 00:00:13.560 we'll give you the story. Everything's going 00:00:13.560 --> 00:00:17.339 to happen super fast. Welcome to the emergency 00:00:17.339 --> 00:00:30.699 room. Pulse check no pulse And her blood pressure 00:00:30.699 --> 00:00:46.770 is off Hey guys This right here is going to be 00:00:46.770 --> 00:00:51.429 a non educational episode It's just going to 00:00:51.429 --> 00:00:56.409 be me talking really about my very first level 00:00:56.409 --> 00:01:04.129 one trauma as an LVN or an LPN if you're in a 00:01:04.129 --> 00:01:08.829 state that does not recognize LVN and Just kind 00:01:08.829 --> 00:01:12.750 of the importance of your basic nursing skills 00:01:13.230 --> 00:01:18.810 So a lot of us, when we're in school, we discount 00:01:18.810 --> 00:01:23.390 the manual blood pressure or we discount, you 00:01:23.390 --> 00:01:29.390 know, I guess methods of attaining a temperature 00:01:29.390 --> 00:01:35.670 or assessing pupillary reflexes or a cap refill 00:01:35.670 --> 00:01:38.599 or anything like that, right? uh because like 00:01:38.599 --> 00:01:40.760 you're probably sitting there thinking to yourself 00:01:40.760 --> 00:01:43.920 oh i'll never use this a day in my life um when 00:01:43.920 --> 00:01:45.939 was the last time anyone's ever taken a manual 00:01:45.939 --> 00:01:49.680 blood pressure right and i can tell you right 00:01:49.680 --> 00:01:54.140 now that in the level one trauma center setting 00:01:54.140 --> 00:01:57.719 or in trauma settings period a manual blood pressure 00:01:57.719 --> 00:02:00.739 is usually taken before you hook them up to the 00:02:00.739 --> 00:02:04.659 monitor that right there is like number one right 00:02:04.799 --> 00:02:07.900 Um, so if you're going to be working in emergency 00:02:07.900 --> 00:02:11.419 medicine at any given point in your career as 00:02:11.419 --> 00:02:14.400 a new nurse or as a nurse period, knowing how 00:02:14.400 --> 00:02:18.439 to do a manual blood pressure will be of the 00:02:18.439 --> 00:02:22.599 utmost important, um, thing for you because let's 00:02:22.599 --> 00:02:27.900 just say that, um, you have you, you got a blood 00:02:27.900 --> 00:02:31.460 pressure off someone and it was like, let's say 00:02:31.460 --> 00:02:34.460 something stupid or something retarded. Right. 00:02:34.639 --> 00:02:37.080 You call the doc because you're looking, you 00:02:37.080 --> 00:02:39.900 know, for like rapid IV, push the beta wall. 00:02:41.319 --> 00:02:44.099 Like you're going to do that. If you do do that, 00:02:44.180 --> 00:02:46.699 let me know. I want to be there when you do it. 00:02:46.699 --> 00:02:50.340 But you're looking for some type of like anti 00:02:50.340 --> 00:02:52.659 hypertensive medication to give your patient 00:02:52.659 --> 00:02:54.460 that way you can get their blood pressure under 00:02:54.460 --> 00:02:58.099 control. Right. Because you can't really sustain, 00:02:58.099 --> 00:03:01.580 you know, life with the diastolic blood pressure 00:03:01.580 --> 00:03:04.340 of Snoop Dogg. Right. It's just something you 00:03:04.340 --> 00:03:06.800 can't do. So they're going to want to know, hey, 00:03:06.919 --> 00:03:09.000 did you get a did you get a manual? You know, 00:03:09.060 --> 00:03:11.620 is the is it the machine or is it, you know, 00:03:11.740 --> 00:03:14.500 is it them? And so you have to be able to go 00:03:14.500 --> 00:03:16.560 to them and be like, hey, like, this is the manual 00:03:16.560 --> 00:03:20.419 that I got, you know? And so like, that's also 00:03:20.419 --> 00:03:22.520 another thing. So even if you're working on the 00:03:22.520 --> 00:03:25.719 floor, you know, like you won't encounter many 00:03:25.719 --> 00:03:28.259 traumas that where you'll have to. get a blood 00:03:28.259 --> 00:03:31.199 pressure you know but if you do get something 00:03:31.199 --> 00:03:35.080 that's like 250 over 130 you know like you're 00:03:35.080 --> 00:03:37.479 going to want to take that with a manual cuff 00:03:37.479 --> 00:03:41.379 just that way you can verify that this is legitimately 00:03:41.379 --> 00:03:45.460 this high which if you don't know that is pretty 00:03:45.460 --> 00:03:47.800 high. The highest blood pressure I think I've 00:03:47.800 --> 00:03:51.139 seen was recently and it was an art line and 00:03:51.139 --> 00:03:53.460 I think the highest the blood pressure got was 00:03:53.460 --> 00:04:00.439 like 330 or 350. over like 120, 150 or something 00:04:00.439 --> 00:04:02.780 like that. Naturally, they were unconscious, 00:04:03.620 --> 00:04:08.539 unknown downtime, but yeah. Anyways, so yeah, 00:04:08.620 --> 00:04:10.860 man, take your nursing skills very seriously 00:04:10.860 --> 00:04:13.000 because if you're going to be getting into emergency 00:04:13.000 --> 00:04:15.860 medicine, your basic nursing skills are going 00:04:15.860 --> 00:04:18.720 to be part of your primary survey, listening 00:04:18.720 --> 00:04:22.600 to lung sounds. That's like right off the rip, 00:04:22.819 --> 00:04:25.810 you know, like primary survey. right off the 00:04:25.810 --> 00:04:27.509 rip, you're going to be getting a lung sound. 00:04:27.689 --> 00:04:29.850 You're trying to find out, hey, there are atelectasis 00:04:29.850 --> 00:04:32.050 here, there are atelectasis there, you know, 00:04:32.189 --> 00:04:34.829 tracheal deviation, obstructive shock, whatever, 00:04:35.029 --> 00:04:37.230 you know, like all your basic nursing skills 00:04:37.230 --> 00:04:39.889 are going to come into play like immediately 00:04:39.889 --> 00:04:43.029 in emergency medicine. You're not going to be 00:04:43.029 --> 00:04:45.750 doing something special. Like you're not going 00:04:45.750 --> 00:04:48.009 to be the nurse that's inserting an auto line. 00:04:48.269 --> 00:04:51.250 you are not going to ever do that. You might 00:04:51.250 --> 00:04:53.370 be a nurse that's going to be doing an intubation 00:04:53.370 --> 00:04:56.290 and so knowing how to do a simple jaw thrust 00:04:56.290 --> 00:04:58.889 like they teach you in BLS that's going to be 00:04:58.889 --> 00:05:00.689 something you're going to need to know and you 00:05:00.689 --> 00:05:03.730 want to know how to do it well you know or if 00:05:03.730 --> 00:05:06.310 you're like oh we don't really need to know how 00:05:06.310 --> 00:05:09.189 to use a bag mask you know so let me just bullshit 00:05:09.189 --> 00:05:12.949 my way through you know BLS and when in reality 00:05:12.949 --> 00:05:16.250 like as soon as you tube someone after you pull 00:05:16.250 --> 00:05:18.129 out the bougie, what the first thing you're going 00:05:18.129 --> 00:05:19.949 to do, you're going to put the bag mask on and 00:05:19.949 --> 00:05:21.870 you're going to you're going to bag them for 00:05:21.870 --> 00:05:25.089 a while until RT can get the vent set up. So 00:05:25.089 --> 00:05:26.829 knowing your respirations and how to use the 00:05:26.829 --> 00:05:29.250 bag mask and how to seal it properly is going 00:05:29.250 --> 00:05:31.870 to be of the utmost importance as well. I'm saying 00:05:31.870 --> 00:05:35.610 this because like if you are a new nurse or if 00:05:35.610 --> 00:05:38.449 you're just going through RN school and you're 00:05:38.449 --> 00:05:41.730 like, oh, this is just. bullshit like I'll never 00:05:41.730 --> 00:05:45.970 use this or whatever I promise you if you in 00:05:45.970 --> 00:05:48.250 a lot of new nurses are like this they want to 00:05:48.250 --> 00:05:50.430 get into emergency medicine they want to get 00:05:50.430 --> 00:05:53.550 into the IQ for whatever reason you're going 00:05:53.550 --> 00:05:55.829 to need to know your basic nursing skills like 00:05:55.829 --> 00:05:59.009 hey when I shine this pin light into your eyes 00:05:59.009 --> 00:06:02.790 do they respond you know like basic nursing skills 00:06:02.790 --> 00:06:05.649 so knowing stuff like that you know is going 00:06:05.649 --> 00:06:09.540 to be of the utmost importance and so Me being 00:06:09.540 --> 00:06:13.399 me, I didn't really know like how important this 00:06:13.399 --> 00:06:17.459 was. I was new to emergency medicine and naturally, 00:06:17.459 --> 00:06:21.100 you know, like I got into a level one trauma 00:06:21.100 --> 00:06:25.920 center as an LVN and I got cut free, got cut 00:06:25.920 --> 00:06:29.819 loose from my preceptor. I had my first swing 00:06:29.819 --> 00:06:31.899 shift because I worked the swing shift from 11 00:06:31.899 --> 00:06:34.980 to 11. and I'm working the swing shift and, um, 00:06:35.160 --> 00:06:37.600 it's nighttime. And if you don't know, man, like 00:06:37.600 --> 00:06:40.319 all this stupid shit happens at night. And so 00:06:40.319 --> 00:06:42.699 we get a level one activation, right? Level one 00:06:42.699 --> 00:06:46.060 trauma. It was probably bed three, you know, 00:06:46.240 --> 00:06:48.800 ETA five, you know, that was the, that was the 00:06:48.800 --> 00:06:53.959 page. And so typically OSHA requires you to, 00:06:53.959 --> 00:07:00.129 you know, have a gown, booties, bonnet, or bouffant, 00:07:00.269 --> 00:07:02.970 whatever they call it, and some type of eye protection, 00:07:03.689 --> 00:07:05.790 and naturally some gloves whenever you're going 00:07:05.790 --> 00:07:08.470 to be exposed to some type of body fluid. Me 00:07:08.470 --> 00:07:12.019 being me, I hung around. for a little bit, you 00:07:12.019 --> 00:07:14.360 know, watch some people enter these level ones, 00:07:14.519 --> 00:07:17.060 you know, some people were led, some people didn't. 00:07:17.079 --> 00:07:19.379 So I was just kind of watching and seeing kind 00:07:19.379 --> 00:07:22.279 of like what I could do. And then one night it 00:07:22.279 --> 00:07:25.100 came in that level one activation, 20 something 00:07:25.100 --> 00:07:27.899 year old dude got shot in the chest. I've been 00:07:27.899 --> 00:07:31.000 at this trauma center going on a year and some 00:07:31.000 --> 00:07:34.399 change now. And I have yet seen a clamshell thoracotomy. 00:07:34.459 --> 00:07:36.779 And that's like one of the things that I'm like 00:07:36.779 --> 00:07:40.300 dying to see. I mean, we can be morbid about 00:07:40.300 --> 00:07:43.240 it all you want because like the clamshell has 00:07:43.240 --> 00:07:46.620 like a less than a one percent chance of success. 00:07:46.939 --> 00:07:50.379 So I mean, sadly, someone someone's going to 00:07:50.379 --> 00:07:53.480 have to get it done. And I would just like to 00:07:53.480 --> 00:07:55.579 be there when they get it done, not just a normal 00:07:55.579 --> 00:07:58.019 thoracotomy, like a like a clamshell, like I 00:07:58.019 --> 00:08:00.579 want to see a clamshell. And so I was excited. 00:08:00.819 --> 00:08:04.540 So we had a chest, a gunshot wound to the chest. 00:08:04.730 --> 00:08:06.490 And so I was excited. So I was like, you know 00:08:06.490 --> 00:08:09.009 what, like if I'm going to get over my fear of 00:08:09.009 --> 00:08:10.970 being a level one traumas today is going to be 00:08:10.970 --> 00:08:13.829 the day I get in there. I get the monitor set 00:08:13.829 --> 00:08:16.829 up there. I'm getting ready. Surprisingly enough, 00:08:17.050 --> 00:08:19.550 no one was responding to this level one. And 00:08:19.550 --> 00:08:22.170 usually at my facility, we're the busiest level 00:08:22.170 --> 00:08:24.889 one trauma center in the United States. And that's 00:08:24.889 --> 00:08:26.990 by Google. And when usually when a level one 00:08:26.990 --> 00:08:31.350 trauma is being activated, like the room is packed 00:08:31.350 --> 00:08:34.220 full. I mean, you can Google level one trauma 00:08:34.220 --> 00:08:37.340 on Google and like you'll see how packed the 00:08:37.340 --> 00:08:40.100 rooms are because the residents need to get hands 00:08:40.100 --> 00:08:42.940 on experience. And so everyone's trying to get 00:08:42.940 --> 00:08:45.620 a look. Everyone's trying to take a turn. You 00:08:45.620 --> 00:08:48.019 know, so the room gets packed like relatively 00:08:48.019 --> 00:08:51.019 fast. I'm in there. I got the monitor set up. 00:08:51.259 --> 00:08:53.600 No one's in there. So I'm like, oh, shit, we 00:08:53.600 --> 00:08:55.720 need someone to get the manual because that's 00:08:55.720 --> 00:08:58.620 part of the primary survey. And so I'm fresh 00:08:58.620 --> 00:09:03.210 out of TNCC. You know, like I am an LVN. So I 00:09:03.210 --> 00:09:06.850 hold a letter of completion when it comes to 00:09:06.850 --> 00:09:09.950 TNCC. I got fresh out of TNCC and I'm like, OK, 00:09:10.070 --> 00:09:12.289 let's do this. Like, I'm super excited to do 00:09:12.289 --> 00:09:14.309 this. All right. This is going to be this is 00:09:14.309 --> 00:09:16.309 it. You know, this is what I've been wanting 00:09:16.309 --> 00:09:20.809 to do. Homeboy rolls in gunshot wound to the 00:09:20.809 --> 00:09:24.570 right side of his chest, kind of like in the 00:09:24.570 --> 00:09:27.389 axillary area. And they weren't going to do a 00:09:27.389 --> 00:09:29.870 clam shell. I was kind of bummed. I wanted to 00:09:29.870 --> 00:09:32.649 be part of the team. So I wanted to take a bite 00:09:32.649 --> 00:09:35.629 and see what I can do with it. Put my ears in, 00:09:35.629 --> 00:09:37.970 you know, the stethoscope. I cranked that bitch 00:09:37.970 --> 00:09:42.029 all the way up to like 300 and homeboy is sweating. 00:09:42.909 --> 00:09:47.230 He's throwing up. He's showing signs of decompensated 00:09:47.230 --> 00:09:50.350 shock. And so like we're like racing at this 00:09:50.350 --> 00:09:52.669 point, right? and I can't hear the blood pressure. 00:09:52.830 --> 00:09:55.909 I sit there and I like turn around and I look 00:09:55.909 --> 00:09:57.490 at the nurse that's behind me and I'm like yo 00:09:57.490 --> 00:09:59.590 man I can't hear this I can't hear the blood 00:09:59.590 --> 00:10:02.090 pressure and they didn't acknowledge me or they 00:10:02.090 --> 00:10:03.950 didn't respond to me because they were too busy 00:10:03.950 --> 00:10:06.850 setting up the massive transfuser or they were 00:10:06.850 --> 00:10:09.210 doing something else and so I try again right 00:10:09.210 --> 00:10:11.769 and I turn back around I say yo man I can't really 00:10:11.769 --> 00:10:14.269 hear this and they were still messing around 00:10:14.269 --> 00:10:17.309 with the with the massive transfuser we have 00:10:17.309 --> 00:10:20.330 the brand Belmont so if you hear me say Belmont 00:10:20.440 --> 00:10:23.100 They're not endorsed. They're not endorsing the 00:10:23.100 --> 00:10:25.360 episode. It's just our particular equipment. 00:10:25.559 --> 00:10:27.340 They were messing around with the Belmont still. 00:10:27.440 --> 00:10:30.240 I tried again for the third time. And by this 00:10:30.240 --> 00:10:32.639 time, the trauma surgeon is like, hey, what's 00:10:32.639 --> 00:10:36.259 our manual? And I didn't hear it. And so I looked 00:10:36.259 --> 00:10:37.539 at the nurse behind me and said, hey, do you 00:10:37.539 --> 00:10:39.779 want to try? And they were like still messing 00:10:39.779 --> 00:10:41.860 around with this fucking Belmont. you know, because 00:10:41.860 --> 00:10:43.799 if you know anything about the Belmont or any 00:10:43.799 --> 00:10:46.580 type of massive transfuser, they they malfunction 00:10:46.580 --> 00:10:49.980 regularly. And if you get the smallest air bubble, 00:10:50.000 --> 00:10:53.059 they're not going to they're not going to work 00:10:53.059 --> 00:10:56.259 rightfully. So and so, like I said, hey, I can't 00:10:56.259 --> 00:10:58.059 get it. They I guess he didn't hear me. So he 00:10:58.059 --> 00:10:59.480 called out again. I was like, hey, I can't get 00:10:59.480 --> 00:11:01.759 it. They acknowledged it. We put the monitor 00:11:01.759 --> 00:11:04.179 back on and his blood pressure was like like 00:11:04.179 --> 00:11:07.299 50 over 30, 50 over 20, something stupid low. 00:11:07.360 --> 00:11:09.240 And so we're like, oh, shit, we really need to 00:11:09.240 --> 00:11:12.500 get this blood in. And so they get the blood 00:11:12.500 --> 00:11:16.360 going. And this was like right at my shift change. 00:11:16.419 --> 00:11:18.620 Like for me, it was right at the end of shift. 00:11:18.659 --> 00:11:23.059 And so we get the guy to the scanner and then 00:11:23.059 --> 00:11:26.200 the charge nurse pulls me out to the side. you 00:11:26.200 --> 00:11:28.419 know, a little bit later, right before I'm getting 00:11:28.419 --> 00:11:30.500 ready to clock out. And he was like, hey, that 00:11:30.500 --> 00:11:32.720 patient was really young. Maybe I need to talk 00:11:32.720 --> 00:11:35.159 to management with getting you more exposure 00:11:35.159 --> 00:11:37.740 to level one traumas. But if you can't hear the 00:11:37.740 --> 00:11:39.580 blood pressure, you need to let someone know 00:11:39.580 --> 00:11:42.460 because you held up, you know, the whole process 00:11:42.460 --> 00:11:44.940 and we almost lost that guy, you know, blaming 00:11:44.940 --> 00:11:48.879 me for this kid that got shot and almost died. 00:11:49.019 --> 00:11:51.259 And so I took it in stride, man. Like I looked 00:11:51.259 --> 00:11:53.120 at him and I said, you know what, ma 'am, thank 00:11:53.120 --> 00:11:55.169 you for the criticism. Thank you for pointing 00:11:55.169 --> 00:11:58.789 that out to me. I know now and I will be better. 00:11:59.190 --> 00:12:02.870 And so before I left for my shift, before I clocked 00:12:02.870 --> 00:12:07.009 out, I got online and I bought one of those echo 00:12:07.009 --> 00:12:09.730 core attachments that you can put onto your stethoscope 00:12:09.730 --> 00:12:12.429 to amplify the sounds in your stethoscope. You 00:12:12.429 --> 00:12:14.509 know, like I was like, this will never happen 00:12:14.509 --> 00:12:16.789 again. This is never going to happen to me again. 00:12:16.909 --> 00:12:19.909 I get the new stethoscope. You know, I have I 00:12:19.909 --> 00:12:22.759 rotated out of trauma quite a bit. Back then 00:12:22.759 --> 00:12:25.899 I had this new stethoscope and so I wanted to 00:12:25.899 --> 00:12:27.659 do all the blood pressures You know in these 00:12:27.659 --> 00:12:30.840 level one traumas and I will say this man Like 00:12:30.840 --> 00:12:33.240 if you if you find yourself in those situations 00:12:33.240 --> 00:12:37.220 where you are Scared, you know or something like 00:12:37.220 --> 00:12:40.320 that, you know, at least you're not an LVN In 00:12:40.320 --> 00:12:43.179 a level one trauma scared to get a blood pressure 00:12:43.259 --> 00:12:47.620 And so my only critique with that is the attachment 00:12:47.620 --> 00:12:49.899 works a little too well. Found out really quickly, 00:12:50.179 --> 00:12:52.860 like in later level one traumas, it picks up 00:12:52.860 --> 00:12:55.500 and amplifies every sound. It's not just heart 00:12:55.500 --> 00:12:57.919 sounds. When you're in level one traumas, like 00:12:57.919 --> 00:13:00.519 everyone's moving, everyone's moving something 00:13:00.519 --> 00:13:03.080 like someone's getting a primary survey done. 00:13:03.799 --> 00:13:06.679 Someone's cutting off clothes. Someone's starting 00:13:06.679 --> 00:13:10.549 an IV. someone's grabbing x -rays, someone's 00:13:10.549 --> 00:13:13.389 trying to turn on someone's, you know, someone's 00:13:13.389 --> 00:13:15.389 always doing something, right? Someone's grabbing 00:13:15.389 --> 00:13:18.929 labs. And so it's hectic and it's loud. And so 00:13:18.929 --> 00:13:21.669 I thought like legitimately this stethoscope 00:13:21.669 --> 00:13:24.210 would be good. And it turned out it's a little 00:13:24.210 --> 00:13:27.129 too good. So if you find yourself wanting to 00:13:27.129 --> 00:13:30.159 get one of these high powered stethoscopes i'm 00:13:30.159 --> 00:13:33.440 not saying don't get them because the echo core 00:13:33.440 --> 00:13:36.379 series whether it be the echo core itself or 00:13:36.379 --> 00:13:39.100 the echo core 500 which is the one that gives 00:13:39.100 --> 00:13:41.720 you the three lead ekg they have their place 00:13:41.720 --> 00:13:44.259 in medicine i think they're great tools but they 00:13:44.259 --> 00:13:48.179 are not good for level one traumas or in a trauma 00:13:48.179 --> 00:13:51.600 setting or an emergency room type setting where 00:13:51.600 --> 00:13:54.279 the patient is actively trying to die on you. 00:13:54.379 --> 00:13:56.820 Because when that shit starts happening, like 00:13:56.820 --> 00:13:59.019 everyone's trying to get a turn. Everyone's trying 00:13:59.019 --> 00:14:01.519 to get in and trying to save someone. Stick to 00:14:01.519 --> 00:14:04.820 your regular stethoscope. I promise you that 00:14:04.820 --> 00:14:06.899 like you'll get the blood pressure. And if you 00:14:06.899 --> 00:14:09.460 don't get the blood pressure there, it's probably 00:14:09.460 --> 00:14:11.700 because the fucking blood pressure is that soft. 00:14:11.899 --> 00:14:14.320 You know, it's going to be 50 over 20. You know, 00:14:14.360 --> 00:14:16.620 so you're knocking on death's door quite literally. 00:14:16.799 --> 00:14:18.659 And when I tell you, man, like this kid was off 00:14:18.659 --> 00:14:22.120 in a bad way, just like sweating profusely, bleeding 00:14:22.120 --> 00:14:24.600 profusely. We couldn't get the blood in fast 00:14:24.600 --> 00:14:27.000 enough. You know, and I like stuck a chest tube 00:14:27.000 --> 00:14:30.379 in. It was a ride. And then I will tell you this. 00:14:30.480 --> 00:14:32.600 I'm like, if you are a new nurse and you're thinking 00:14:32.600 --> 00:14:34.919 about getting into emergency medicine, like you'll 00:14:34.919 --> 00:14:36.779 know really quick if it's for you or if it's 00:14:36.779 --> 00:14:39.679 not. And I promise you, if you're going to be 00:14:39.679 --> 00:14:42.879 timid and you're going to be weak about it. Not 00:14:42.879 --> 00:14:44.860 weak, but if you're gonna be timid, it's probably 00:14:44.860 --> 00:14:47.580 not gonna be the right fit for you. Because us 00:14:47.580 --> 00:14:50.360 ER nurses, man, if we see you fucking up, we're 00:14:50.360 --> 00:14:52.460 gonna let you know, hey, you're fucking up. And 00:14:52.460 --> 00:14:54.100 you have to be able to take that criticism and 00:14:54.100 --> 00:14:55.940 you have to be able to take it in stride and 00:14:55.940 --> 00:14:58.919 keep moving. Don't take it hard or anything like 00:14:58.919 --> 00:15:00.679 that. Like, yo, we're trying to literally do 00:15:00.679 --> 00:15:03.519 what's best for you, the new nurse, and then 00:15:03.519 --> 00:15:06.179 be the patient that is dying in front of you. 00:15:06.220 --> 00:15:09.799 It might come out. a certain way, but it's legitimately 00:15:09.799 --> 00:15:12.080 trying to just be like, hey, we're looking out 00:15:12.080 --> 00:15:15.440 for you and them. So get it together. So that 00:15:15.440 --> 00:15:17.860 right there was the episode, man, I was just 00:15:17.860 --> 00:15:19.980 trying to let you guys know how important your 00:15:19.980 --> 00:15:24.080 basic nursing skills are. And a little bit of 00:15:24.080 --> 00:15:26.860 story time with my first level one trauma. A 00:15:26.860 --> 00:15:29.600 lot of fun, a lot, a lot of fun. But yeah, thank 00:15:29.600 --> 00:15:30.460 you guys for listening.