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141. 3 Lessons I Learned as a Flight Nurse · The Shift Podcast

0:00
Welcome to Frontline Static, we will get to hear interviews with
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some of my clients journeys of getting into flight and how they
0:05
utilize coaching to help them create success of getting hired
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with less confusion and more ease.
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Make your dream a reality of getting into flight.
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Listen in as you hear some of the stories of the people
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getting there and come join the flight prep group.
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Hey you guys, welcome to this week's podcast episode of
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Frontline Static episode 141. Three lessons I have learned as
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a flight nurse. I have had a lot of fun really
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just thinking about what are some of the simple lessons or
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simple things that I would like to talk about on the podcast
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episodes. I really have enjoyed learning
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social media and getting into social media as I've navigated
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becoming a flight and a life coach in the last four years.
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What's interesting about this, before I became a coach, I
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really didn't know very much about social media.
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I posted every once in a while on Facebook, but I really didn't
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know Instagram. So fun fact, when I became a
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life coach and I knew I wanted to start to use Instagram, I had
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my kids and my coworkers that helped me figure out how to do
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it. And I just love everybody who's
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been along with me on this journey and how much it's grown.
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And I really just accredit that to really putting thoughtfulness
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into everything that I say and authentically being myself.
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I don't even know what the Instagram algorithms are.
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I don't think about any of that stuff.
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I just really think about what do you guys want to hear and how
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can I put it out there in a way that feels authentic to myself?
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And one thing that I really like about Instagram is doing Reels.
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But I feel like sometimes I'm limited by what I can say and
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how much I can say. So I know that was like a long
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lead up into I've really enjoyed doing these podcast episodes
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because I'm thinking about how can I say this and not a time
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that's so limited and really speak to you a little bit longer
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with clarity and more. I guess like what is the word?
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I'm thinking of depth in these conversations and I feel like
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I'm just able to do that in my podcast episodes.
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So that being said, I want you guys to also be thinking about
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and preface this with when I'm listening to my coach, my life
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coach, it's usually when I'm on a walk or when I'm working out
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or when I'm driving in my car or when I'm getting ready in the
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morning. And so I want to offer for you
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guys to be thinking about these conversations and what I bring
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you and the topics on my podcast to be like.
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I'm getting ready with you. I'm having lunch with you, I'm
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working out with you, I'm going on a walk with you, Whatever
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helps you think about really being there with me because I
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want you to know as I'm recording these, as I'm thinking
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about the topics, I'm thinking about sitting right across the
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table from you. Oi wanted to just start with
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that this week. I thought it would just be fun.
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I get asked all the time, what was it like to be a flight nurse
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and what was your routine like? And I just thought it would be
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really fun to package up this episode and three things that I
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really learned as a flight nurse.
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I learned a lot of different things, but these are three
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things that I've thought about a lot as I've answered this
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question. So I thought it would be fun to
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just let you know three really my big takeaways from being a
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flight nurse. And, and I think I thought these
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things as I was flying in the seven years that I was flying,
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but it's become really evident and really clear for me as I've
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created distance. It's been 2 years since I've
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retired from flight nursing. Really, the lessons that I've
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learned. And so I narrowed it down to
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talking about 3 really big ones. And I wanted to just bring those
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to you this week and share those with you and give it to you in a
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way so that you can start thinking about how do you grow
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the belief, the capability and learn these lessons ahead of
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time for yourself. Because I think that if you can
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start to think about these lessons ahead of time, this is
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what's going to help you get into flight, and this is what's
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going to help you be successful as well.
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So let's start with #1 gosh, I talked about this on the flight
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prep Academy call that we had, the weekly call that we had
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today. And I talked about honestly like
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to be fully transparent, the big things and issues that I saw
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with people getting into flight that I included myself and also
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training new people is that ICU nurses who come into flight
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nursing. And I want to also start with,
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it doesn't matter if you come from ERICUI, always say pick the
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department that interests you the most and then grow in that
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department. Become the best ER inertia, the
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best ICU nurse of the specialty of whatever one you're more
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excited about. That's where your critical
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thinking skills are going to grow.
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But myself included and whoever I trained, it's just general in
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general ICU nurses that came into flight, they had a harder
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time with pre hospital triaging, a lot of chaos and things going
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on at once and thinking very quickly.
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And so that is kind of like, I think the weakness of an ICU
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nurse going into flight and then the weaknesses that I would tend
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to see of an ER nurse going into flight is they just didn't have
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a lot of knowledge of ventilators initiation,
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ventilator changes, and then advanced hemodynamics and
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different drips, inotropes and all the different drips that you
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use in advanced hemodynamics and monitoring.
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That being said, all of that is okay.
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I just wanted you guys to know that and recognize like going in
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either as an ER or ICU nurse, these are the areas you're going
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to be weaker in. So instead of like pushing up
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against them, just know this is the tendency of what I saw.
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And this isn't all the time, but this is in general what I saw
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and what I experienced for myself.
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And that that is not wrong. I don't want you to have any
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feelings of like, OK, flights not meant for me.
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Just know those are the weaknesses.
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Those are the things you're going to have to overcome.
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Those are the things you're going to have to spend more time
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with. And I knew that as I was
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precepting people. So I would kind of focus on
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helping them learn whatever area they were weaker in when it had
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to do with flight. OK, So that being said, I know
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that was a long intro into my number one.
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My number one lesson that I learned going in as a flight
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nurse is to embrace the chaos. And that is just really simply
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because I spent four years as an ICU nurse and then two years as
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a student nurse, intern and tech in the ICU.
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So the total of the six years, I really learned safety in having
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a controlled environment, having a big team, having my lines all
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perfectly labeled. I took pride in having a clean
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room and everything stocked the way that I wanted it.
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I wiped everything down before my shift and I left it like
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that. I took a lot of pride in that
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and that really served and helped me as an ICU nurse.
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But that was my biggest weakness I had to overcome when I got
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into flight. So, and I know lots of you guys
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who are ear nurses are laughing because you're like, Oh yeah,
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that's exactly how I see nurses are.
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But this was one of the first things that I learned from the
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flight nurse that was precepting me is Janessa.
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You got to learn to embrace the chaos, meaning that things,
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people, equipment, calls, teams, departments, they're not going
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to be wrapped up with a Pretty Little bow.
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Things are not going to go as planned.
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You don't have your whole team behind you that you can ask
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things of doctors and ancillary staff and all those things.
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You have to be willing to go into chaotic scenes and embrace
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them and trust yourself in them and learn to expect the
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unexpected. I even remember my first, and
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I've shared this before, but I'm shared again, My first IV that I
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got on my first scene call, I mean, I wasn't used to doing
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Ivs. We didn't do a lot in the ICU
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and when we did, we did a lot of ultrasound IV.
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So I was good at that, but just even doing a regular plain IVI
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remember getting it, letting it bleed excessively, not holding
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pressure quick enough, and then like making it nice and pretty
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as I was taping it up. And my preceptor when we got
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back was like, he's like, I will never see you do that again.
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You will put in the IV and you'll move on to the next day.
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And it was like I just had to learn to embrace the chaos and
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learn to grow the capability and belief in myself that I could be
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good at that. And I would say it didn't come
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over time, but it did. I mean, it didn't come quickly,
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but it was something that I knew I needed to tackle and I got
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really clear of at the beginning that I needed to be OK with.
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Things were not well planned out all the time that what I thought
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was going to be the way to get the patient there or the path
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that I was going to take sometimes didn't happen.
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Sometimes we would land at these rural ER beds and or ICU beds
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and it was like the physician needed our help or the team
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needed our help and we ended up intubating or we needed to
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intubate before we loaded them to the aircraft or weather
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started to come in. So then we needed to think of an
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alternate route, whether we were going by ground or whether we
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needed to take the fixed wing instead of the helicopter.
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So you just had to be ready for the unexpected and then also be
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confident and capable that even as things continue to roll out
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that you could achieve the end game, which was getting the
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patient from point A to point B safely and also treating them
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thinking critically if anything did go unexpected or wrong.
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So that was the first one was just a learning to embrace that
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things, things would change, calls would change, weather
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would come in. All the sudden maybe we're
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needing to be left somewhere because it is pilot change of
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shift and so the new pilot needs to come and get us.
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Or maybe all the sudden we have an issue with our aircraft and
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we need to jump into another aircraft and we need to move the
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things. So just being willing to go with
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whatever was coming our way and that we would figure it out.
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That was number 1, was just really learning to embrace the
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chaos. Number 21 of the lessons that I
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really learned was to really lean into being myself.
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And what that meant and what that looked like was all the
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ugly parts of me, all the messy parts of me being willing to be
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open and honest when I didn't know something, and being honest
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with myself of what I needed in every moment.
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And being willing to ask my partner and my team and dispatch
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and the departments and the patients what they needed.
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And this also meant honing in on what I was really, really good
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at and speaking up when I wasn't good at something.
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And this also means being open in the moments where there are
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conflicts, for example, like if something was going wrong with
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the staff and I'm starting to get really frustrated, like
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telling my partner, hey, I'm getting really frustrated.
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I'm going to need to take a moment, I'm going to need to
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walk away. Do you think that you can take
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over and handle the situation and being able to stay openly
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with myself, I'm coming to a point where I'm not being able
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to think clearly. Can you take over or also being
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able to recognize, you know, I know you guys already
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experienced this. We have a lot of things in our
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life going on as we're working. Sometimes we can
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compartmentalize those really well and sometimes we can't.
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So for example, something might be going on with my partner and
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their personal life and I'm starting to see it affect our
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call. And it's the willingness to be
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able to say, hey, are you okay? Like do we need to stop this
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call? Do we need to pause this call?
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Like what's going on? Just be honest with me.
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I mean, having those open and honest conversations with your
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team or whether it's maybe with the ground team or something
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that's going on. In another example of this is
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sometimes we would get to the team and like this actually
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happened a lot. We didn't, we had the policy of
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we wouldn't put the patient on the aircraft.
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If we thought that they were going to code, we would ground
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them into the nearest hospital because that's the best thing
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for the patient. So we weren't trying to code
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them in the helicopter with not very ideal circumstances where
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we could do the very best for them.
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So if we knew the patient was going to code, code, I really
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wouldn't bring them onto the helicopter unless it was a
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pediatric patient or unless I felt like we could bring them
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back. And so there was a lot of
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instances where we would get there and the patient was avidly
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coding and we didn't necessarily need to stay with that ground
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unit to to ground the rest of the way in.
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But I would always be like, hey, we're the higher level of care.
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Would you like our help? Can we help you in situations
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that weren't so black and white of if we could provide more care
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for them and, and just having that open conversation with
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them, usually they're like, yeah, we would like we would
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love the extra set of hands or, you know, whatever was
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happening. Or maybe we would roll up to a
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this actually happened one time that I'm thinking of.
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We rolled up to an ER and it was a roll that ER and the patient
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was coding and we knew we couldn't take them anymore to
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the next, to the next higher level of care hospital because
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they weren't going to make it. And so we just opted to stay in
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there and help them with the call and with the patient.
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And so it's really being able to ask openly what do you need and
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being open with what you need. And then also being honest with
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yourself in the moments where maybe it is becoming dicey and
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maybe you need extra resources and being able to say out loud
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what that is. And when I say being ugly and
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messy, like I think one of my biggest weaknesses is that
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sometimes I become reactionary or defensive.
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I know early on in my flight career, it was like you could
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see on my face when I didn't agree with maybe what a
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physician was telling me or a physician was yelling at me
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openly in front of the teams. And I just remember my manager,
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base manager at the time being like, we got this complaint
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about your face when they were trying to give you a critique.
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And she's like, you know, sometimes maybe if you don't
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even agree, I just would like you to put a smile on your face.
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And it's like I learned a lot from my non verbal communication
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that I needed to be honest with myself.
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But then I, there's also instances where I just needed to
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be better. And that included like really
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taking in what they were saying in the moment and maybe talking
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about them afterwards. I, I, you know, just being
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honest with how I felt, but also taking in criticism.
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And so this also just really looks like following hunches
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when you are able to be yourself, get out of your head,
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you're able to really hone in on, hey, this doesn't feel right
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for me. I feel like maybe something's
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going to go wrong with the patient.
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This is where you can really kind of tap into your critical
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thinking. There were instances where I was
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like, we're trying to push this call too much.
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I no longer feel like this is safe.
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So we're just going to, we're just going to say no to
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accepting this call or we're going to say no and we're going
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to ground the call. We're going to ground the
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patient the rest of the way because I don't feel good about
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putting them on the aircraft for whatever reason.
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And so you have to be able, being yourself means you're able
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to tap into hunches or maybe times where it doesn't feel safe
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or maybe a time where your brain is telling you something's going
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to go wrong. You need to be able to
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acknowledge what that is and, and, and have a really good
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feeling of like, this is what a hunch feels like for me.
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This is what it's like for me to be myself.
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This is what I what it's like when I feel like things aren't
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going right. When you can learn to really be
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yourself, what you need, what you like, what you don't like,
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speaking up in those moments, learning to take criticism.
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That's when you create systematic processes for
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yourself. I really think that that's the
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result of critical thinking. I think my critical thinking
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skills are so good because I trust myself.
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And the more I've allowed myself to exercise those moments of
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critical thinking, that's when we as nurses and as medics and
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as as critical care staff, that's how we create systematic
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processes for ourselves. So what I mean by that is I
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knew. I knew as a flight nurse like
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what would really help me in instances if I had a really
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critical patient, instead of going back and remembering
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things, I put this big like 4 inch tape on my flight suit and
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then I would write down OK 10/20.
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Patient respiration started to go below 10 or whatever and then
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I would write down OK 10/21. This is 1.
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I gave RSI drugs and so having that tape process helped me
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become systematic and how I would then go back in my
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charting and, and put my charting in there and create a
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process for myself where it was easy, it was clear and it was
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concise. But it was only the willingness
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of me, kind of like experimenting, trying out
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critically, thinking what's going to work the best for me
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that I could create some of these processes.
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So I want to offer you guys the more open, honest you are with
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what you need, how you learn, how you do things, that's where
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you can tap into the critical thinking.
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That's where you can tap into the systematic processes.
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And then that's how you can walk yourself through recreating how
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you can do things in a timely manner.
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Another example of this is as a flight nurse, you're constantly
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having to go for through verbal case scenarios.
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Whether you're practicing them with your partner to get better
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at them or whether you are doing quarterly check offs with case
19:25
scenarios or annual check offs with case scenarios, you are
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constantly verbalizing case scenarios.
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Verbalizing case scenarios was different for me than actually
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being in the scenario. When I was actually doing the
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job, running the sinkholes, running the inner facility
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transports, I did really well. I feel like I do really well
19:44
under pressure, but there was like this something added thing
19:47
about doing it verbally with a mannequin in front of other
19:51
people and other people watching me that I always got tripped up
19:53
on. So because of that, I analyzed
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like what is it that I do really well in these instances?
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What is it that I don't? What do I kind of want to do?
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Do differently and through that, that's how I created a
20:04
systematic process to walk myself through any verbal case
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scenario. Now the systematic process is
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the process that I teach you inside the flight prep Academy.
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So if you're in the Flight Prep Academy, I teach you this
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process that I created for myself, and this will just help
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you verbalize and walk through whatever it is, whether it's a
20:27
pediatric infant, trauma, cardiac, whatever it is, it
20:30
helps you hit everything that you need to hit in a verbal case
20:33
scenario. And so this is a just another
20:35
example of like, really me allowing myself to ask myself,
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what do I need? Where do I trip myself up that I
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created this systematic process and really helped myself tap
20:45
into my critical thinking. So that was #2 #3 is learning to
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have your own back and your team's back no matter what.
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And I think one of the things that I value a lot is loyalty.
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And so I think that this comes natural to me and being really
21:07
loyal to people and having other people's back.
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But flight really showcases areas where you're weak and
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whatever you think you're weaker in, it's going to be magnified
21:20
once you get into flight. And an area that I was kind of
21:22
weakened was learning to quiet the negative self talk and have
21:28
my own back. What I mean by this and what
21:30
this looked like was early on in my flight career when things
21:34
didn't go well or there was a bad patient outcome, I would
21:37
ruminate over the call over and over and over again.
21:41
So much so that I would get so sucked into it that it would be
21:44
hard for me to go back and I would pull back on my next
21:47
shift. And I know you guys have similar
21:49
thoughts and feelings of calls or shifts where this happens and
21:53
you spend a lot of time with it. And so #3 is really important
21:58
because learning to have your own back means you're learning
22:01
to trust yourself in the moments.
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You're trusting yourself, you're trusting your decisions.
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And one thought that really helped me do this was I'm making
22:09
the right decision in this moment with the set of
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circumstances that I have. And my team's making the right
22:16
decisions with what I thought was right at the moment.
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And that really thought, that thought helped me a lot because
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it helped me get to that subset of things that was going on.
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I made the very best decision and my team made the very best
22:30
decision in that moment and that really helped quiet a lot of the
22:34
noise for me. It helped me have my own back a
22:38
lot. When we had to talk through
22:39
calls that maybe didn't go well or we had to like just run
22:43
through what happened with the patient.
22:45
If they had a poor outcome or if they coded every patient that
22:49
coded you were you. You really had to go when you
22:51
had to talk about it later on with education or with the
22:55
directors or with the teams and kind of not in a like punitive
22:59
way, but just to review that, what you went through in your
23:02
thoughts on it all. And it's really important that
23:07
whoever makes a mistake, whether it's you, whether it's your
23:10
partner, whether it's your pilot or whether whoever it is, it's
23:16
really important to take responsibility in that.
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And so that's what I mean by having your own back is really
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being able to trust yourself with the quick decisions that
23:26
you're making and then go back on them and and tell yourself
23:31
like that you made the best decision that you could in the
23:34
moment. And that with each call and with
23:39
each decision, you are taking responsibility for that.
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And it flight. And what I really learned after
23:51
running, I think probably over 1000 calls is being able to look
23:59
back on calls and say, hey, this is where I messed up.
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This is where I could have been better.
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But then also being able to say, hey, I made the best decision
24:08
that I could, or we made the best decision that we could.
24:12
And really learning to not point fingers.
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You're a team in everything. And that means taking
24:19
responsibility for mistakes maybe that were made and also
24:26
trusting yourself for the decisions that you made at the
24:28
time. So I want to go through these
24:32
three things again. Number one is embracing the
24:36
chaos. Number 2 is being yourself,
24:39
ugly, messy, being willing to be open and honest #3 is learning
24:44
to have your own back and your team's back no matter what, and
24:47
learning to trust yourself. And what I want to offer you
24:50
with these three things and these lessons that I learned is
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I want to offer for you to start putting these into action now,
24:57
these three things, embracing the chaos, being yourself,
25:00
having your own back and your team's back.
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If you practice this in your shifts now as critical care
25:07
nurses or as medics, you will step into that flight position
25:12
very confidently and into that interview.
25:15
You can practice being that flight nurse now.
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You can practice it on every shift that you go in and you can
25:21
become that flight nurse ahead of time.
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This is what will give you the confidence sitting in this
25:26
interview. This is what but will give you
25:28
the confidence after you get your offer.
25:30
On the flight Prep Academy call today, we talked about someone
25:34
who just received an offer last week and he talked about he took
25:39
all the lessons and things and the self concept and self
25:42
identity of what a flight nurse was and what he wanted it what
25:46
he thought it looked like. He took that into every shift
25:49
that he went to as an ER nurse and as he practiced being that
25:53
flight nurse and who he thought that flight nurse was, with
25:57
confidence, he grew into that person so that when he sat in
26:01
that interview a couple weeks ago, he already believed it
26:06
about himself. And when you believe it, they
26:08
will believe it too. And this is how you grow the
26:10
belief by practicing these things today.
26:13
Also what we talked about is stepping into the belief and
26:16
self concept, really starting to identify with who that flight
26:22
nurse is, what that flight nurse looks like for you, and really
26:26
starting to shape and mold that for yourself is how you will
26:30
grow your confidence. Now I know you guys have pre
26:34
misconceptions of what you think of flight nurses.
26:37
I know and I've heard from you guys cuz I thought this too.
26:39
Flight nurse I, I put on pedestals and it was like they
26:42
knew everything and they were confident and they never had
26:44
doubt and that just simply isn't true.
26:47
What I want you guys to think about with these three lessons
26:50
that I've learned is how can I apply these to my shifts now?
26:54
And then also, who do I think the confident flight nurses and
26:59
what are the qualities that I want to have as that flight
27:04
nurse? And then go out and practice
27:06
those for yourself. These are things that you can
27:09
grow now and what how you can maybe put these into practice
27:13
now is I hear a lot of you guys, well, I have a colleague or a
27:16
preceptor I don't like and it's affecting me and how my
27:20
confidence and how I'm showing up.
27:22
But really, when you can practice having this belief and
27:26
growing into the self concept of being that flight nurse, now it
27:30
does not matter who you're working with, who's precepting
27:34
you, what patient you have, what's going on in your unit,
27:39
who your manager is, what's the education level of education
27:42
you're getting. Because you always got you.
27:46
You know how to show up in the chaos, you know how to be
27:50
yourself, and you know to have your own back no matter what.
27:54
And I promise you, if you can take on these three things, then
27:58
your circumstances of what's happening in your unit will not
28:02
have power over you. Because I really believed as a
28:07
flight nurse that I could work with any partner, any pilot in
28:13
any aircraft, anywhere all over the United States and still show
28:18
up confidently because I trusted myself.
28:20
And when you trust yourself, you know how to trust your team.
28:24
You know how to make really good decisions and you know how to
28:26
trust like every possible different outcome that or
28:31
intervention that you can do for your patient.
28:34
And then when you can trust yourself, you have power over
28:38
whatever circumstances that you have and you have power to show
28:42
up confidently no matter what. I hope that this podcast episode
28:48
resonated with you. I hope you got something about
28:51
stepping into the belief, stepping into yourself concept.
28:54
And I want you to know this is the work that we're doing inside
28:58
the flight Prep Academy. This is the community flight
29:01
companies are picking from. And I want you to know it's
29:03
possible for you to be next. Come join us inside.
29:06
We'll get your plan mapped out and we'll get you growing and
29:08
growing this self concept and this belief.
29:11
That's it for this week, you guys.
29:12
I'll see you next week. Bye.
29:13
If anything in this episode sparked your interest into
29:16
getting into flight, come join my flight flight group.
29:18
We are an entire community that meets together on a weekly basis
29:22
with an ongoing group chat. And if you are already flying
29:24
and you are currently a flight nurse or flight medic, you can
29:27
join my all flight clinician group as well.
29:29
You can click on the link to join in the show notes or you
29:31
can DM me on Instagram. I hope to see all of you guys
29:33
inside.