139 - Tiffanie Rampley Pt 2: This Path Could Have Taken Me So Many Places

Continue with Washington State University’s Foundational Practice and Community-Based Care Department Chair and Spokane, Washington native Honored Guest Tiffanie Rampley as she waxes eloquent about her career including her reluctant journey into leadership, unexpectedly serving the chief of the Air Force Nurse Corps, how honesty is the best policy, her leadership learning lab, Air Command and Staff College, running the Air Force Nurse Transition Program, her transition to civilian life, starting Providence Holy Family’s Magnet Program, being the “Holy DON,” and more!

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Transcript

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Hello and welcome back to part two of the Congested Monday experience of the Feeding Our Young® podcast. We're managing through and for those that maybe for whatever reason skipped the first episode, don't go back. We are telling the incredible story of Dr. Tiffanie Rampley. And by we, I mean she is, because I wasn't there. so she has so far brought us some incredible just, I just love your story. Tiffanie, I can't even, I'm not even gonna try and wax eloquent about it because you're doing plenty of that yourself. ah But I just, so to open the second episode, I like to start off a little soft with a little soft question. Anything you wanna share about your fur babies and the like? I have a wonderful fur baby at the moment and his name is Finley and he is a Jack Russell Chihuahua mix. and I rescued him when I lived in Arizona. He was found wandering across the street. um But he is now 12, so I've had him since he was five months old. Yeah, and he's my little baby. But I didn't research dog breed, because I hadn't, I had had a couple of cats, but not a dog for a long time, because I worked so much all the time, and so we just never... could get a dog because I was always working 12 hours traveling all the time ah with the different jobs I had. And so when I finally settled down into a job that was a little bit more stable hours, I was like, we're getting a dog. So Finley has been wonderful, but I didn't, he was very cute and I didn't really research Jack Russell. dogs and I didn't realize how neurotic and how energetic they are. He has a lot of energy and when I first got him he needed two walks a day and went to doggy daycare and then he would find me. uh He's pretty good with one. He would love to, know, box a day. But yeah, now at age 12, but he's still pretty energetic. Oh, so cute, so cute. Well, speaking of energetic, my goodness, your story so far, man, you've had to have a lot of energy to, I feel like I've had to try and summon up enough energy just to keep up with your story so far leading through your deployment in 2008. So like I said, if you guys, for whatever reason, skipped that first episode and have just kind of jumped over here, go back and listen to it in its entirety. We just finished talking about her deployment. uh Just incredible, I mean, And I don't want to minimize anybody's feelings as far as you're going to have tough shifts, you're going to have tough patients, you're to have whatever roles you have. But my goodness, Tiffanie, you know what I mean? We complain about some of maybe the patients we've had to deal with, et cetera, et cetera. And yet there's entirely new layers when you talk about Tiffanie's deployment and the patients that she's taken care of. unless you had anything else you wanted to share about that, go ahead and let's pick up your story from that deployment time period in 2008. Okay. Yeah, so after I came back from Afghanistan, I came back to Fairchild Air Force Base, that's where I was deployed out of, and I was still working there as the flight commander. And my boss had sent me to a few leadership schools and said, you know, I think you're a future leader here in the Air Force. And I said, I just, you know, want to be like charge nurse or, you know, the nurse manager. Like that's kind of all I ever wanted to be. And I remember when I was, you know, charge nurse in the ICU, it was like, I finally made it. I am like, you know, a charge nurse. But in the military, as you make rank, you kind of rank yourself right out of the bedside. so my commander said, you know, I think I'm going to put you in for a special duty assignment um to the Air Force to Air Force headquarters in Washington, D.C. She's like, they're looking for someone to be an executive officer to the chief of the Air Force Nurse Corps. And I said, well, that's not me. mean, I don't have any experience in that way. why would they, you know, pick me? Don't they pick admin officers for that? She said no, she specifically wants a nurse. And so she said I'm going to put your name in, I need you to, you know, write this letter or whatever. And I thought that's great, you know, put me in, but there's no way that I'm going to be picked to go to, you know, work in Washington DC and, you know, work for a general who's the chief of the nurse corps. Then it then at that time, every two years is when critical care nurses were, we were deploying about every 18 to 24 months. And so my name popped up again and they said, well, you're going back to Afghanistan and this time you're going to be doing prisoner transport, critical care, because with my critical care transport background, I'll be doing critical prisoner transport. And I thought, what? This is insane. But I thought, you know, I'm in the military and we do what we're assigned to do. And so they sent me New Jersey. I got training there on transport. I got my Humvee driver's license. did Humvee rollover training, did field training. I had to qualify on the M16 and I'd already qualified on the M9. Officers carry the M9, the 9 millimeter. But I had to because wherever we were going to be going I needed to learn how to or to qualify on the M16 as well. So I did that. While I was there I get a call from my commander and she says Air Force chief nurse, which is a two-star general, reviewed your application and you made the top five and she wants to interview you. And I said, but you know, I have orders to Afghanistan. And she said, yep, we told her that and she still wants to interview you and keep you in the pool. And I said, okay, that sounds great. And I still thought, well, I mean, still, she's still not going to pick me. So then they sent me back to Baltimore Shock Trauma. Cause you know, we all, go there again. So I didn't, was doing my two weeks, either three weeks at Baltimore Shock Trauma again, prior to deployment. Yep. Yes. They sent me again just to ramp up. So I'm in Baltimore and they said, the chief nurse wants to interview you tomorrow. This was a certain day. And they're sending you a car to, and she's to, you're going to drive down or yeah, you're going to drive the car down to the Pentagon and interview with her in person. And I said, what? And I said, well, and I only had fatigues with me or you're called BDUs, right? BDUs, I only had my camouflage uniform with me. Normally you would wear your dress blues. And I said, she realizes that, you know, I'm in combat training and I don't have my uniform with me. She said, no, she says, it's fine. You can wear that. So then I thought, I don't even know how to get to the Pentagon. Where do I park? What is going on? I drive down, I drive from Baltimore to Washington, D.C. and interview with her and I thought, you she's probably not going to choose me but what I get, this is an opportunity for me to sit in front of a two-star general who is the chief of the Air Force Nurse Corps over all nurses and medics in the whole Air Force. Like, I have her, you know, um as an audience where I can, you know, kind of tell her some of my feelings about the nurse corps too of like things. And I met and she was really great and we asked, you know, she asked me some questions and you what I felt about the nurse corps and I told her, I one of my things that I told her I just didn't feel like we had enough mentors assigned and you know, I don't know, just some things. But she was very gracious and I thought well that was nice, I'll never see her again. Said goodbye to our staff. And then a week later they called and said, she selected you. I know what I said. She can... They said she canceled your orders to Afghanistan and you're moving in three months to Washington, D.C. to be her aide. uh was like, what? So what I thought I was going to be gone six months in Afghanistan, I'm now. You know, moving to D.C. So I rented my house. They said it's a one-year tour and so it's a special duty assignment for one year. And so I rented my house out to a friend, my house on the South Hill, and my mom and I drove across country. She drove with me to Washington, D.C. and found a nice little apartment near Pentagon City. And it was just all like surreal. At first I thought, what am I doing here? This is... I talk about feeling like you're not prepared or this is really me coming here. ah So when you know the our first couple meetings together I asked her I said you know what what was it about me like what why did you pick me I don't really have any experience and she said you were the only one who was honest with me and she said you kind of told me some of your feelings about the nurse course she said everyone else She said, I felt told me what I wanted to hear. yep. And she said, I need someone. She said, you and I are going to be spending a lot of time together. We're going to go to meetings that are contentious and in the car on the way back. I'm probably going to share things with you that aren't going to, that I know can't go anywhere. I said, I need a trusted agent and someone who will tell me how it is. And she said, I felt like you were the only one who was genuine and honest with me. I kind of laughed and I said, well, I just felt like, you know, I would probably never see you again, so I might as well. So just like kind of give you an idea or whatever. So that started to me, completely career changing experience. So in that role, which I could also talk about for hours, but I will make it. kind of brief, but in that role, so my whole job was to be, they called it executive officer, but it's like an aide. She was a two-star general um over in the assistant surgeon general. So our office was in the surgeon general's office in the Pentagon. And so one, I had to learn the Pentagon, which is huge. I mean, the Pentagon is a city within itself. And so that was intimidating. And my rank at the time was, you know, a major and that rank is like the lowest rank in the medical line because there's just generals everywhere. So was very intimidating but I learned, the goal was to learn everything she needed and I learned everything down to I could order for her in a restaurant, I could order for her in a coffee shop, I knew where she wanted to sit on a plane, like everything about her entire life. I drove her to every appointment, we were attached. like at the hip for that first year. would testify to Congress for funding for the nurse corps and for healthcare in the US. That critical care or transport team I was on, she was funding for Congress for that. We went to the White House. I was able to have dinner in the um White House West Wing, which was pretty cool. So she, her career was pretty phenomenal as well. If you could ever get her on your podcast, maybe we can get her. She, she, and she would, she's really, really amazing. She was George Bush Senior's nurse, White House nurse. So she spent two years. So she knew a lot of people at the White House and she um has amazing stories from being, they used to him Papa Bush, but yeah, Bush Senior. gosh. nurse and traveled around with him Air Force One and everywhere. And so she was, I mean, phenomenal herself. So I learned so much from her. yeah, like going, able to go to Congress, able to see the workings of the White House was pretty eye opening where before I went, I had no idea how any of it worked. And I thought it was all. that no one understood. Because I remember I told her, know, I just don't think people in these leadership roles understand what the bedside nurse really needs or who's advocating. And she said, you're wrong. We are all advocating behind the scenes. They just don't know it. And I think that is true with our health care today. There's a lot of chief nurses, CNOs that are advocating. It's just really hard for, I think, sometimes that bedside nurse to know. what's going on. But until, I went to DC and the Pentagon, had no idea how much they were advocating for us. So that was pretty, it was encouraging and eye-opening. Now it was also extremely political and there was a lot of that going on. someone had told me once it was another aide, all the aides sat together in the back of the room whenever we'd go to events. We used to call it exec row because it was just all the aides and they had their, you know, all the bags of their general. And then we'd all talk about whose general was the highest maintenance and whose general stayed up at night, which was mine, stayed in the office till midnight every night. And like, which, and it was funny. And then whenever their general would stand up, they would run up and give their general something. And it was just a funny experience. But one of them said to me once, savor this because this is like a learning lab, a leadership learning lab. every single day. And I was like, that's so true. I would watch her in action and a lot of times she was the only female in the room or sometimes even the only one from the Air Force and some of the other services, you know, have very strong personalities. And I would see the way she would act and just strong she was, but also humble and gracious and kind. I, it was like, a learning lab every single day, being able to follow her around. We also traveled all over the world. And it was really, that's when I thought, okay, maybe leadership is something for me. Maybe there is something I can do. I can advocate. um I can do something from the leadership side. yeah, no. this was not something that has entered the stream of consciousness until this point. Right. I, at that point, never thought of myself as a leader. I mean, in the Air Force, you take all these leadership classes because you make rank. But it's just kind of like you take a leadership class and it doesn't mean like leadership or taking the leadership route wasn't... I wanted... Like she would ask me what I want to do and I kept telling her I would just want to go back and do something in critical care. And she would say, well, maybe you want to be a CNS or... critical care or acute care NP or something. And through that year, at the end of the year, I thought, no, I think it's leadership. Something's calling me to leadership. I this opportunity is too big for me to go back and not just do ICU, but like, how can I... There might be something I can do more. Maybe I can advocate from... sure. It affects more change. Right, right. And so after the first year was done, she said she was going to retire in a year and she said, you know, I really want you to stay one more year. She said, we normally do. She said, I'll leave it up to you. And I thought, there's no way. How do I? I can't tell a two star general. No, I'm not going to say what it was. No, that would be. She's like, you can decide. But she said, you know, I don't want to have to train a whole new. exec officer before I retire. And so she kept me for a second year. And that second year was great because by then I knew what I was doing, I knew what was going on, I knew how to get around DC. I drove her everywhere. And it was then I could just kind of learn and decide what to do next. And so she asked me what I wanted to do when that year was over. And I asked her, I said, if you were me, what would you do? what would you, you what you know, everything about the Air Force and the career that she'd had, said, what would you do next? And she said, you really should go to, it's called Air Command and Staff College, which is the people who are going to be the future leaders in the Air Force. And she said, you could go be a... critical care CNS anytime, you could go be an NP anytime if that's what you want to do, but this opportunity will never come up again. This is one of those things she said, I'll put your name in for it and we'll see if you get selected. But there's around 400 students that go to this school and they select three nurses out of 400. So she said, I'll put your name in, but make sure that's what you want to do. She said, but that's what I would do. because you will never, like she said, just won't. This is that one window of time you'll never get this opportunity. And so I said. for those that are not math-inclined, we're talking less than 1 % chance. So just less than 1 % is what you're staring down the barrel. Yeah, so it was crazy. So I said, okay, that's what I'll do. So I went to Montgomery, Alabama for a year. They call it War College or the Air Force Air Command and Staff College. And yes, there were three nurses. And talk about another year that I could talk about for a couple hours being the only nurse. So there's people from the Air Force Army, Navy, Coast Guard, and There we had a lot of international officers. think there was a hundred international officers there. There was a pilot from Afghanistan, Egypt, Poland, Norway, Spain, Mexico, like multiple countries too, that were part of this group. And so you had to get a, I had a top secret security clearance already. We had lots of top secret meetings and it was all war planning. And what was, for me, it was interesting because we played these big war games, was way, I had to spend a lot of extra time studying because it wasn't just part of my, it's like I'm a nurse. I was gonna say, many of the people who are in there here maybe have a leg up on you in that regards. Yeah. pilots and operations officers that are doing more of this in their day-to-day jobs. And I would be like, we're going to, we need to bomb this village or this. And I was like, no, no. I was like, no, like humanitarian, like we need to do like humanitarian aide first or something. So it was just a very, they appreciated my mindset and my experience and learning what nursing does. And then I learned a lot about, know, the operations side. so it was another year that was like, wow, what it was really m life changing. So after that year, uh see, I told you that this career has been really sometimes I look back at it and think, wow, how did I do all that? As I say, you feel like, I mean, I almost experienced like an out of body. Like this was me. This is what I did. Like I just keep going, Tiffanie. This is amazing. I know there's days where I'm like, wow, how did all that happen? So then after that, um put in what I wanted to do is run the Air Force Nurse Transition Program. And it was fairly new. And they had one that was funded through the Arizona National Guard and John McCain, Senator John McCain, the late Senator John McCain's office had funded this big military partnership. with Scottsdale Health in Scottsdale, Arizona. And so I got the job to be the director of the Air Force Nurse Transition Program, which was where I then fell in love with new grads and nursing students. Not that I didn't before, we always loved them, but they were Air Force, either ROTC or new commissioned officers. that were brand new to the Air Force nursing. So I got them right as soon as they graduated from nursing school, they came straight to me in Scottsdale and we trained them for three months on Air Force nursing policies, nursing in general. We had them work with a preceptor. We did a lot of simulation. We wrote a lot of simulations and got them prepared to go out and be Air Force. nurses and then they stayed, the Force started, like we see in the civilian hospitals too, a one-year residency. So they started with me for what we call the NTP, the Nurse Transition Program, for three months and then next seven months they went to whatever base they were getting stationed at but we met once a month and went through, you know, different touch points. But I got on full-time for three full months which was phenomenal. Yeah. So I did that for three years and then because I spent so much time listed for five and then 20 as an officer, I was hitting my 25 year mark. And I thought, what do I do now? And so I called the general and said, because she was my mentor, still is, and I said, okay. I think I'm done with the Air Force." And she was like, no, no, you are my future me. And I said, I'm just kind of hitting 25 years and I'm kind of done and just kind of getting tired of the politics of it. I don't know. said, I just kind of need something different. said, I said, I applied for a PhD. to get my PhD. I still money left for school and the Air Force kept saying, you know, do you want another degree? And I was like, I don't know, like what more can I get? And they said, well, what about a PhD? I mean, that's kind of the next step. So I applied at University of Arizona. So I told the general, here's my plan. I'm going to finish my PhD. I'm going to retire through 25 years and I'm going to... either work with new graduates or go back or go into academia. And she said, you know, that is a very wise choice. And she gave me her blessing that, yep, you can move on as long as you have a plan and you're not just leaving the military because you're tired of the military. But I had this plan. So I did my first year and a half of my Ph.D. still active duty. So I was doing Ph.D. full time and I don't know what I was thinking either. Yeah. And so, I had still been renting my house out here in Spokane and I thought, why don't I just move back to Spokane and see what's going on, finish my PhD, work part time, kind of chill out, not do much and finish this PhD and take a little breather. So I moved back to Spokane, moved right back into my house. My old craftsman house on the South Hill and worked as a critical care educator at Sacred Heart on Two South for a little bit there and the Holy Family. Just part time. After a year of that, the director of education came to me and said, you know, you have so much experience and leadership experience and, you know, we think you could be a future leader here at Providence and we really want to get Magnet. and you worked in a magnet facility, which was the hospital in Arizona, would you start our magnet program? Now I could talk about magnet also for another hour, but I will touch on it. I'm so passionate. And my students know, cause I talk about magnet all the time and the work I did at Holy Family. So I spent a bunch of time at Holy Family and I said, Holy Family can get magnet. And so that's what I did for a year. And then they said, well, we really need a director of nursing here at Holy Family. We think you would be a great director. And so I became the director of nursing and I stayed the Magnet program director as well. I did both jobs for two and a half years and got Holy Family Magnet and so proud of that. So proud to be the first Magnet Hospital in Spokane, only the fourth Magnet Hospital in the whole state of Washington, which is huge. um And just love Holy Family, my students know. Love all of Providence, really. Providence has been, was so supportive of all of that Magnet journey. But Holy Family, definitely. They used to call me the Holy DON, because I was the director of nursing. So that's my nickname there. So if you ever walk around Holy Family and ask who the Holy DON is, that was me. If I need to address you that way moving forward, please by all means let me know. uh and try to still mentor. I mentored the new Magnet person there, Angie, who's done phenomenal, but love, love, love Magnet and huge advocate and proponent of nursing excellence, which is what Magnet stands for. So then they were really looking for a director for the BSN program. here at WSU and I know the Dean well, cause she was on my committee at University of Arizona for my PhD. And I thought, you know, I've spent six years at Providence, moving into academia would be great. So I started teaching at WSU part-time four years ago and then two years ago took this role as the program director and have loved. I was a little worried that I don't have a huge academia background. I have a huge hospital leadership background, but it has been a great transition and I have been loving every minute of it. I love our faculty. I love our students. I love nothing more than supporting our students through this journey. And yeah, I feel like I'm exactly where I'm supposed to be at this moment. And I just, and that statement right there is fulfilling enough by itself. But after hearing your entire journey, super encapsulated of course, but you know what I mean? But hearing that journey and you now saying even right now today, this is where I'm supposed to be. Like that's huge, that's huge. There's so many people, myself included at various points in my life that felt like I cannot wait to get to that point where I can say, yes, I do actually feel, it's not a matter of feeling comfortable in the clothes that you're wearing or the shoes that you're wearing as the case may be, but the fact that you are like, no, this is, you feel like you've stepped into maybe that role that you're supposed to be doing in life at this time, right? Does that make sense? Am I making sense or am I congestedly rambling off this weird crazy train? It makes sense to me because sometimes I look back and I think, man, this path could have taken me. So many places. And there's some days where I'm like, one, it brought me right back home, which is so interesting. But I had all these experiences, but I was like, all that helps really inform who I am today, you know, and the, like the leadership roles that I've had since. And I think sometimes the message that I'll give students or people asking for mentorship and career advice, said, a lot of times, you know, see who's been reaching out to you or things that have been happening because usually you'll get picked for these things not even knowing that's the path you're supposed to be on, right? I adjusted to. um Yeah, so it's like I didn't really, none of the, except for critical care, and then deciding to do labor and delivery because it was need and I wanted the assignment to California and my ticket to California. But other than that, every job really since then was stuff that was sort of picked for me or pushed. But people, like I have that commander that really pushed me and said, no, I see something in you that you don't see in yourself. And sometimes that... Yeah, we have to look when someone comes up to you and says, I think you'd be really good at this or that, or you're doing really good at something. Sometimes these jobs find their way to you and you don't even know why or how. Well, and the other thing I think to take away with that too, nursing student or nurse who's, you know what I mean, who gets those prompts from others in that regard. It'd be one thing if I said that to a practicum student I had early on in my career. But you know what I mean, and having had a few practicum students. But then as you have more students, or in your case, you have more staff, or whatever the case may be, if someone comes to you and says, you know, I really see this in you. And this is someone who has advanced well in their career, whatever the case may be. And I'm not saying that of me necessarily. I'm just saying like, if someone has this wide perspective and has seen numerous students over X number of years, or has worked with numerous staff over X number of years, and they say, see something in you, they're not blowing smoke up your rear. You know what mean? That is something that you stood out for whatever reason that that may be, right? Yeah, absolutely. you know, that's what I think the one thing I did too, and you're probably already going to ask them that what I tell nursing students, but ah and some faculty too is, and I told people this in the Air Force all the time, they say, well, I really want to do this or anyone in the Air Force and in all nursing, really, there's a million opportunities. There are so many things you could do. And like, well, I really want to do this or that. bloom where you're planted. I mean, we hear it all the time, but it's so true. If you do a really good job in the job you're doing, like I remember when I left labor and delivery, I said, you know, the nurses were like, I don't understand. Like he seems like you loved it. I said, I gave it my all because I'm going to do the best job I can wherever I am. Even if it's not the exact job I enjoy right now, I'm still going to give it a hundred percent. because that's, you know, a part of who I am, but that's, you my duty as a nurse, as a professional is that I'm going to work as hard as I can in the job I am now. I said, and if you do that, people will notice and then you will be able to apply for those jobs that you want. But if you have a negative attitude and you don't want to do it and you just want to get out of there or whatever, or if you go to a new job and if you're a nursing student and you, you know, start in MedSurg, which is what I highly recommend all our students. I kind of missed out. sort of wish I did a year or two of MedSurg first, because it was such a learning curve for me, but bloom where you are in MedSurg or in the ER, wherever you are. And then in two years, you can see where that next step is going to be. Mm-hmm. Mm-hmm. And you talk about giving that 100%. That's something I preach to my students all the time. Giving that 100 % in where you're at. And yes, like you said, it'll open the door to other opportunities as people see you doing the work and putting forth the effort that maybe others are not. But internally, even if you're like, oh man, I have no desire to go anywhere else. I don't want to do anything else. Okay, great. And you're not saying you're more valuable if you go other places and advance ranks and do all the things. But internally, if you give your 100%, then you can look back on those days during that period of time or whatever and go, no, you know what, I am proud of the work I did. I am proud of the people I took care of. I'm proud of the people I poured into because I didn't, you know what I mean, for lack of better term, half-ass it. I didn't, you know what mean, I gave it my all while I was there. And that feeling in and of itself, let alone the Bennys that come alongside that. That feeling is something that is worth chasing. I cannot stress that enough. Yeah, and you're, to me too, I thought one, the patients deserve that. They deserve everything. um They deserve you to be there 100 % for them. And your coworkers deserve that. You need to be that team member no matter where you're working at the time. So Tiffanie, cannot thank you enough for taking your time this morning, this now turning almost into afternoon, ah just sharing your incredible journey. I wish I had a bucket of popcorn here with me, ah not because it's purely entertaining, but because it's enriching. Just talking to you makes me wanna do more with ah the time that I have left in my nursing career and employed, gainfully employed wherever than I have already. and I cannot thank you enough for that. So uh as we do, we're gonna wrap up with our traditional closing questions. And you chose three words to describe nursing school. What were those words again, and why did you pick? The three words were rigorous, enlightening, and powerful. And rigorous because I think that nursing school, obviously it requires a lot of rigor, but our students sometimes come in and they don't realize how much um rigor they really need to put into it. And it really requires someone with grit and determination to really make it through nursing school. And then enlightening, because I think it's enlightening not only professionally, but personally to see how much I just look at these students when they're going through school and I see them from their first semester to graduation and that growth and enlightenment that's happened within themselves, knowing they can do it they make it through each semester. then um the last one is powerful. And I think it's that realization that we have the power within ourselves to accomplish this goal. But then also, along with enlightening, that these students and then also nurses who are already out there are making a big difference and the power they have to make change, the power they have to change someone's life, to affect someone's life, and the power that nurses have to really impact health outcomes. is huge. And I think sometimes nursing students are just starting to see that in nursing school. And then when they graduate, it's like, wow, it's an extremely powerful profession. Mm-hmm. Oh, no better way to explain that. That is incredible. With that, we normally have one last closing question. And as I've warned you, you have two. The first of which, of course, is, and if you've already touched on it, that's fine, embellish on it more, unless it's a different concept altogether. But if you had one piece of advice that you want nursing students to walk away from, having listened to both of your episodes, what is that one piece of advice? I think one piece is just to be humble. Just be humble. I look at the nursing students who come in, and some come in, and I know they're scared. It is scary. really challenging school. And don't be too cool for school. Be humble. Soak it all in. I think that's probably my best advice. good advice and then with that because of the position that you have held and will hold, one last piece of advice that you would give to nurse educators that you would want them to take away with having heard your two episodes. I think just continue to advocate for professionalism within the nursing profession and really lead by example because the students, whether they're a nursing school student or they're a new grad in the nurse residency program or nurse transition program or even if they're educators who are teaching seasoned nurses, those students are looking at you to lead. They're looking for you as examples and a lot of them will follow what you're portraying. So I always say if we want, as a profession, if we want to be treated as professionals then we need to look and act the part. We need to dress professionally, act professionally, and lead by example. And I think our educators do a really good job with that. But sometimes I think we forget that those students are watching our every move and listening to everything we're saying. So to be good examples. And I guess I didn't warn you for this either, but I'm gonna split it off into a third question. ah This question I'm asking of the Holy DON, and it's the last question. ah But uh if you had any advice for bedside nurses in particular, what would that piece of advice be? And I loved those bedside nurses, I still love the bedside nurses at Providence that I worked with every day. We did a lot of evidence-based practice projects together. I would say stay informed and get involved in the profession. So the things that I would always tell them when I did my magnet rounds or Holy DON rounds at um Holy Family was one, it's your professional responsibility to stay informed. belong to your professional organization, read their, if they put out a magazine every month or a podcast or website, know what's going on out there in the healthcare world and stay informed. um Because that will help you to really make a big impact. One on outcomes with your patients, because you're staying up to date on what's going on in the profession. But also then you can advocate to leadership of what you need at the bedside. So I used to tell them, stay informed, get certified, become part of your professional organization. If you're in labor delivery, become part of A1, ER, Emergency Nurses Association, really get involved. Yeah. Oh, Tiffanie, Dr. Tiffanie Rampley, oh Holy DON ah Thank you so much again. I cannot thank you enough for just sharing your story and for uh imparting some very serious wisdom today on this congestion-filled Monday. I hope you have a wonderful rest of your day, my friend. Thank you, Eric. Thank you for having me and thank you for all you're doing to feed our young.