Hi, I am Justine.
 And I'm Sarah Lavonne. And We are so glad you're here.

We believe that your life has the potential
 to make a deep, meaningful impact on the world around you.

You as a nurse have the ability to add value
 to every single person and patient you touch.

We wanna inspire you with resources, education,
 and stories to support you to live your absolute best life,

both in and outside of work.

But don't expect perfection Over here.
 We're just here to have some conversations about anything,

birth, work, and life, trying to add some happy to your hour
 as we all grow together

By Nurses For Nurses.

This is Happy Hour with Bundle Birth Nurses.

And that's a wrap for season six, which again,
 I think we'll be on like season 35 when I'm
 finally like, yeah, we have a podcast.
 It's totally normal and in real, but it was a good season.

I feel like there was really great episodes.
 It went really fast. And I'd love to spend the episode
 to talk about like how would we do this last season
 of life in bundle birth and where we're going and,

and we titled this the one where Sarah messes up
 because one, we have an episode of the one
 where Justine messes up a little bit of friends ism there,

but Sarah had something happen to her a few weeks ago
 that did not feel good in her body and mind and experience
 and she'd love to talk about it
 and debrief it a little bit with all of us.

Would I love to talk about it.

I would love to talk about it.
 I'm choosing to love to talk about it.
 It is like painful to revisit, but we will get into it.

But before we do that, um, this last semester
 semester, I'm like, it's school.

That's so funny. You haven't
 even been in school in so long.

I know. It like feels like I'm in never ending school.
 In fact, I heard a TikTok this morning
 where the guy was like, you can get an MBA
 by building a business.
 And like it was like this whole new model where like,

you earn an MBA and I was like, wait a second.
 Totally interested. Can I get that
 Right? You have earned
 it, but you have to
 Like, you have to like build it from scratch.
 And I'm like, I'm not starting over.
 No, no chance. No, no, no.

So anyway, it has been a, uh, a season
 and in the be in the behind the scenes of everything,

what I think is so interesting is, um,
 so I've been doing these hospital trainings
 and that has been like being able
 to interact more in person obviously.

'cause I'm with a bunch of you. You know who you are.
 And so it's been so fun to like connect in person again.
 I think the last time that that happened really was move
 in 2023.

And so what I think is really interesting, at least to me
 and hopefully to you, but like that there's a, there's like
 constant movement, constant work, constant things happening.
 And like there's a whole team of people behind me
 and Justine and all of our educators
 and anybody that you see publicly that are like
 so incredibly invested in your success
 and in your futures and the future of birth.

And so there's a lot more
 that's happened than even you've heard on the podcast
 or even we've been able to share publicly.
 I will say that like social has become, we're in a season.
 I think both of us, me and
 Justine connected on this yesterday.
 We're like, we're both pretty burnt out with
 the idea of social media.
 Maybe you haven't seen or you've seen
 that like maybe there's been a little less
 activity on the Instagram.
 And that's entirely because we'd had a conversation
 and it was like, what I said to Justine was like,
 there's nothing worth your mental
 health and do what you can.

And so really trying to be aware of
 and honoring where we're at with all of that.
 And at the same time, like we got a whole team
 and I got a payroll to run and you know,
 and like we do believe in what we're doing
 and a way that we get it out is through social media.
 And we're so grateful for the impact that we've been able
 to have through social
 and obviously through all of our classes
 and all of our offerings and products and blah, blah blah.

So, you know, there's been a ton
 that has happened in bundle birth over the last quote
 unquote semester, I'll say like year.

Um, and since we launched the podcast back, um,
 we launched families.
 We have an OB pocket guide, we now have CEFM review course
 RNC is still going on prep course for that.
 Physiologic birth is still happening.

Um, we had nurses week in there.
 I went back to YouTube, which has been quite the process.
 I took a like almost three year hiatus,
 definitely three years from filming.
 And so we began filming again.
 So if you have YouTube ideas, please send us a dm.
 Send me personally a DM
 is probably the best way to get ahold of me.
 'cause that one I'm actually looking at.

Um, and just tell us like the YouTube videos
 that would be helpful if you don't know,
 I do have a YouTube channel that is mostly patient facing.
 So I know Justine uses it for sending, like,
 she'll send patients home and be like,
 it's round ligament pain.
 She specifically asked for that video.
 The, you'd be like, watch this video's the best. Right?
 And so we now have like a whole system going
 where we release a video a week
 and it's just one more way to give back
 and help build out the like, hopefully,
 hopefully meaning like it better be reliable information
 that's out there on social.
 As we know, misinformation has just become
 rampant on social.
 And so we're really just trying to do our part to be a part
 of it and part of the change and continuing to influence
 and impact where we can.

Um, the other thing that has been built out over the last,
 I keep wanting to say semester the last few months has I put
 together another class.

And this was the first time that I've had I,
 I'm gonna say I had the time, I like made the time
 'cause I mostly just did it in evenings
 and weekends for the last like four or five months.
 Um, and just added it into everything.
 But I put together an advanced physiologic birth class
 and if all, many of you, many, many
 of you have taken our physiologic birth class,
 if you haven't, um, it's time.
 This class is for sure the class
 that is not only our most popular,
 but to me our most foundational class that we offer,
 it's online four times a year.

And what's been really fun is all of the hospitals
 that have partnered with us over the last few years,
 and particularly it just continues to pick up
 where they are training their entire staffs
 through our rental process.
 So we'll drop in the comments down below.
 Um, we have like a submit your manager's info thing
 where you can like drop your manager's email
 and we'll reach out and just say, Hey, someone anonymously
 is requesting to bring bundle birth resources to your unit
 and they can unsubscribe super easily from there,
 but it does put them on our hospital list so
 that when we have hospital, um, like deals or promos
 or other like offerings that come out,
 they get notified of that.
 And so it's been really, really fun to see
 how many thousands of people have now been
 through physiologic birth through, whether it be our li
 or live class or we do a rental option, which you can, like,
 they can create their own event
 and you throw people in a room and as many as you want
 and you play the video and you go through the class
 and all that.
 So that's been really fun.
 But it's, it's been, gosh,
 five years since I first
 launched the first physiologic birth class.

Mm-hmm. Um, and really when I, I remember when I made
 that class, it was like, it was, it was,
 I like looked at Justine, I was like, this is the class.
 This is going to change things.
 If we can get this out there,
 like it will shift our practice
 and hopefully for the better forever.

Yay. And so yet it's, it's a, it's a pretty heavy class.
 Um, we get both feedback that like,
 it was way too short and way too long.
 It should have been in two days.
 It's so much information, not enough information.

Like we get all of that.
 Um, but I think the consensus is that like people are like,
 whoa, why aren't we taught this stuff?
 And like, this is revolutionary
 and for me it's only just the start.
 And so what we talk a lot about is
 that like physiologic birth should be like a two year ert,
 like a CLS or NRP or whatever
 because it is the foundation of our practice.

Um, and it's not, it's not enough in my opinion.
 I learn something every time I go.
 I know Justine learns something every time she goes.
 Um, and so, you know, I also, there it's not the end
 and it's just the beginning.
 And so mm-hmm.
 We had a large hospital system that has partnered
 with us over the last goodness, like year
 and a half to train 16 of their locations, labor
 and delivery units through physiologic birth, whether
 through the live classes or through the rental.
 And then they asked me to do a follow up in person class
 with them as like the next step.
 Um, and so I called this advanced physiologic birth
 and I'm getting to because this is
 where the one where I messed up.
 And so I put
 probably 150 hours into prepping for this class.

And like I I, I get on these like these,
 what do we call 'em like rabbit trails where like
 I like hear one thing in one random study.
 I'm like, wait, what about that and why is this there?
 And hold on, like, let me pull
 and I'll pull like 40 research articles
 and read them all for like literally one sentence
 that it turns out to be in the class.
 Which is like not the greatest use of time.
 And yet my philosophy as an educator is
 that if I'm gonna stand up in front of a group of people
 and pose as an, as your like expert,
 I better know every in and out, up
 and down all around to be able to answer
 whatever questions come your way.
 And so, you know,
 and mind you, I know that that's not
 how everybody functions, but me as an educator
 and somebody who's now done this for goodness, 14 years,
 educating the public
 and doing, you know, some sort of classes live, it is like,
 it is quite the skill and online is different than in person
 and there's lots of dynamics going on.
 And I don't ever wanna be at a place where like
 it's supposedly my area of expertise
 and I don't have an answer for you.
 Now, mind you, like there's also a layer of teachability
 and humility that comes with teaching where like,
 I'm not always gonna know everything,
 but I wanna know that I've, I've asked the questions
 that somebody might ask
 and I've done the research to be able to give you actual
 evidence-based, like solid answers to what we know.
 And if we don't know something, I'm gonna say we don't know
 that because I've actually looked into it.
 And so one of the benefits of coming to a class like ours is
 you're getting my 150 hours smooshed into four
 and summarized for you where you don't have to do that work.

 And so I think that's been a helpful framework for me
 as I think about going to classes
 or investing in classes myself—
 do I wanna do the work? No. I want it simplified for me,
 and if there's a way for me to learn it without having
 to read sixteen books and a hundred or two-hundred research articles,
 that's probably worth my time and money.
 So that's really the value that I wanna offer.

I’d put at least a hundred-fifty hours into this class—
 every weekend, every evening, four months.
 It was my baby, and Physiologic Birth is my baby,
 and I was so excited to teach it.

The class itself was framed through a case-study lens.
 I gave a quick intro, then: “Let’s meet Jada.”
 I handed out an SBAR, then said, “What do you wanna do?”
 It became a choose-your-own-adventure vibe,
 tracing Tuesday style—trying to get her to a vaginal birth,
 practicing things in the bed, doing hands-on,
 and addressing other big issues that play into physiologic birth:
 high-risk cases, LENI pushing, larger bodies, continuous labor support,
 inductions, IVF—little one-offs I think are important.

Originally the hospital wanted two hours—what can I do in two hours?
 It’s me, I talk a lot, I’ve got lots to say.
 We pushed it to four, thank God. I knew I had four hours.

I went into the first class so confident.
 I knew I had more content than I could cover,
 but with a case study I could jump around:
 “Does she have a birth plan?” “Why yes, she does.” —next slide.
 I warned them, “We’ll get as far as we get.” I had two case studies ready.
 You never know how long things take or where people will take it.

My very first case study: the block is the psyche.
 Second block: the baby’s OP—much more positions-focused.
 Here’s my rant. Yes, I messed up, and we’ll get to the juicy part.
 I had a red-face moment with my team the next day.

There was a clock on the wall—a regular hospital clock, not digital.
 I checked it: “Break here, wrap here.” My team knew the schedule.
 We even bought a pregnant belly so one of my staff could be the patient
 for the second case study.

I start talking, glance at the clock: “We’re good, making great time.”
 So I take my sweet time. We hit break at what I thought was nine-thirty
 (we started at seven-thirty). It was actually ten-thirty.
 I’m barely halfway through, and we’ve done zero hands-on positions.
 The hospital specifically wanted positions.

On break the regional director says, kindly but stressed,
 “I really want them to have hands-on.”
 I’m confused: “Yeah, that’s the whole next case study.”
 She looks hesitant. Internally I think, She doesn’t think it’s going well,
 but I still believe we’re on schedule.

We come back. I launch into weight-bias. I look at the clock—
 the hour hand is before the eleven, so in my mind it’s ten-ten.
 We end at eleven-thirty. Next glance, the hand’s past eleven.
 I say out loud, “What? That looks weird.”
 Check my phone: 11:11. Oh my God.
 I ask, “Is it 11:11?” They nod.
 In front of everyone I’m like, “I am so sorry.
 I swore it was 10:10.” Internally: meltdown.
 No way to recover—twenty minutes left. Wrap-up time.
 Positions? Gone. Leading-change section? Gone.
 I failed to deliver what I was paid to deliver.

I apologize three or four times while my brain spins:
 How do I salvage value in twenty minutes?
 I ask, “What are your biggest position challenges?”
 Crickets. We’re all a bit stunned.
 So I pull up my squat slide: “Everybody up, let’s do a squat.”
 First time they stand all morning, and I am dying inside.

Afterward the educators are kind—“We’ll figure it out”—
 but I know: not what they asked for. It was a disaster.
 I buy a digital clock that will sit front and center forever.

Later, talking with the director, I sense another tension:
 They’re dealing with very high-BMI patients, lots of MA, hypertension.
 They want a formula to make the job easier.
 Positions feel like the formula.

My rant: positions are elementary.
 How we treat patients—the psyche, empathy, bedside time—
 matters so much more than whether we flip them to flying cowgirl.
 But the system isn’t ready to hear that.

So yes, I failed. But the failure forced me to rethink.
 I humbled myself, restructured the second training entirely:
 more basic, hands-on first, then sneak the psyche in.
 I brought the digital clock. I ended three minutes over, by design.
 Reviews were wildly positive. People’s take-away:
 “It’s more than positions.” Victory.

We’ll be back for Season Seven in the fall—September or October.
 We want you in it, so there’s a link in the show notes:
 send us an audio voicemail with topics, scenarios, questions.
 Keep it casual—talk to us like friends.
 You can record, delete, re-record; as many as you want.
 If you want it anonymous, it stays anonymous.
 We’ll play the clip and respond on Season Seven—if enough arrive.
 Otherwise we’ll keep rolling as usual, but we’d love the interaction.
 Thank you, Heidi, for the idea.

Justine: “My goat podcast does that.”
 Sarah (momentarily confused): “Wait, are we doing a goat podcast?”
 Justine laughs—she’s talking about her actual goats and deliveries;
 maybe that’s Season Eight.

Stay tuned.