Hi, I'm Sarah Lavonne and I'm so glad you're here. Here at Bundle Birth, 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 person and patient you touch. We want to inspire you with the 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. Bye nurses for nurses. This is Happy Hour with Bundle Birth Nurses.

I have been to New Jersey twice in the last year and New Jersey has become super close to my heart to the point where now after what we're going to talk about today, I feel like I know New Jersey hospitals better than I know California hospitals, which is definitely saying something. And so I back in June, I was invited to the New Jersey Hospital Association to speak on I did two sessions. one was on physiologic birth stuff and then live colorfully, the creative art of nursing and talking about the importance of our job and where we're at in history and all of that. And so I got to speak there thanks to the invitation specifically from New Jersey Hospital Association and Liliana who is now here with us on this call. And so at that talk, I got to the end and Liliana hosted the day and she came up and was like, "No, no, no, don't go sit down. Just hang out here." here. So, I'm standing in front of the entire everyone in the audience and she comes up and says, "And we're going on the road, me and Sarah. Keep in mind I live in Los Angeles, y'all." Okay? And we are going to go visit every New Jersey hospital. First of all, I'm in front of everyone and I'm like smiling. Yes, I am. I guess I am because this is the first I'm hearing of it. But I am down for the adventure. And so, I was down. That was the first I heard of it. And then also this is a perfect representation of sort of the way that it goes with Lily whom you're gonna meet in just a second. I'll have her introduce herself. And I have been on the Lily adventure of my life. It has kept my life colorful. It has kept my life exciting and an adventure. Who likes a boring life? Definitely not me. And lucky for her, when I say flex and flow, I am like the queen of actual flex and flow. and if you give me something, I'm like, "Okay, sounds like a good story. Let's go." And so that's exactly where this started. And fast forward about what was it four or five weeks later, I was back in New Jersey ready for the New Jersey Road Show, which is exactly what we did. And so today in this podcast episode, I have Lily here. We are going to be at happy hour with you and review slash talk about our experience of visiting 24 of the 46

46 birthing hospitals in New Jersey and we are just started. We are halfway through. The goal was to go to all of them which was very ambitious but we did make it to all 24 and we have some reflections from that. So before we get into that Lily you want to jump on and just introduce yourself? Sure. Hi Sarah. Hi everybody. Nice to uh be able to have this reflection time. My name is Liliana Morales. I go by Lily. I work with the New Jersey Hospital Association and representing the New Jersey Perinatal Quality Collaborative. And so um Sarah, as you know, I'm very passionate about um doing work that's real and uh relevant to our teams. And so we did have a parinatal quality collaborative conference and in that invited you on the adventure um as a quality initiative uh and we called it the New Jersey paratal quality collaborative um puddle pulse check. I want to just rewind just a second because we met four or five years ago and I will never forget this call. Kendra, you're getting a shout out on the pod as well because her and Kendra whom at the time, what were you guys? You were what were your roles? At the time I was an administrative director of a woman's service line in New Jersey and Kendra was the director of labor and delivery and we had a situation on our hands, an opportunity, a gap identified uh for educational opportunity and we um Kendra had been following and heard of bundle birth etc. And so I trusted her guidance on it. We did did some research, did some poking and proddding, looking around and uh we had a call and we jumped on a call and we said, "Hey, we want to bring physiologic birth to our team and what would that look like?" So that was a fun call. That was She's like under understating the call. You sound so professional. They got on this call and they were like so cool and giggly. Mind you, I get this email that's like the the director of all of the service line blah blah blah. And I'm like, "All right, I'm on this formal thing." And they are so fun. They are so open. They were so excited. And then Lily went out and found a grant. And they were our very first purchase order that came in for bundle birth, which now we have over 100 hospital partners and we train hospitals, hospital systems, all of that. But I remember she said to me, she's like, "Do you fulfill purchase orders?" And I was like, "Oh, yeah, we do." And then I got off the call and was like, "What's a purchase order? What do I do? What does this mean?" We're googling. It was me and Ashley at the time. I had an assistant. And so we figured it out. And it was because of you that actually now we put sort of pushed into that process. And now we can sell to hospitals and fulfill that way as well. And so we go way back. I don't know how we stayed in contact, but over the years um she's brought me in for various things. I've done virtual stuff, inerson stuff, and really has just become such a bundle birth nurse herself. You didn't say that you are a labor and delivery nurse by background. So, like this is this is our jam. And so, she wrote me into the the road show um that we that we sort of planned on doing. Now, mind you, I was like, "Yeah, I'll come back." So, I planned my trip for 10 days and I get on a it was like what, two days before that you were like, "Yeah, we're going on the road show." And I was like, "Yes, we are. All right, let's do it." So, we're throwing things together and I like I'm like, "Let me grab some position guides. Let me grab some like random I brought a pelvis. You never know when you need a pelvis." And so, we did we did we did use it as a as an accessory and a talking point. It was at one point I think it was a like on our bracelet. Yeah. We were doing the things with it. Yeah. Just walking around with the pelvis. It works. And so I show up late Sunday night and at 4:00 a.m. hardcore East Coast time, which by the way, that's East Coast time. I was coming from LA time. Um, we're in the car and we're off to the races. And at the last minute, we threw in Ivan, who brought some video support um to sort of document the process so that we could talk about it later. But again, like we literally in the car like, "All right, so we're going and we're going to go say thank you and and celebrate them and see their unit, but like what else? What are we doing?" So, shout out to Ivan Martin Media, uh, for being down for this, you know, pulse check, subtle pulse check. Um, I think what we had in mind was, and we talk about it in practice, you always have to check the patient, right? We have all this science and all these tools, but we really have to like ground ourselves in the work of being patient centered. And so with quality improvement, same thing with our teams. We have to check our teams, the teams that are providing that care, that frontline team. So getting in the car and meeting them where they are when they're there was the idea behind the 4:00 a.m. trying to meet night shift and dayshift. And that was that was the real um it wasn't a challenge because I'm a night shift nurse. When I was bedside, I was night shift all through. So, I knew that that was a big piece of the team that I wanted to make sure we got to, which is why we ended up doing the 4 a.m. because we were able to meet with both night shift and dayshift on those days. And that was pretty magical. You get to get that you get to get that full um that full report. Yeah. And I think it was it was interesting for me to sort of like figure out my place because to me I'm I'm like the foreigner coming into your state being like, "Hey, I'm here too, you know, and and while our Bundle Birth Nurses community is literally everywhere, which y'all came out of the woodworks, y'all." And that was also very fun. uh we got permission for me to post about it which I'm always very very very cautious about our hospital partners and about confidentiality and obviously like when there's patients involved like we have to be very careful about what we post on social. So, I got permission to document some of it along the way and share reflections. And so, those of you that followed along, maybe I'll create a highlight in on the Bundle Birth Nurses Instagram account to like pull back some of those highlights because what ended up being so fun for me was being able to not only observe for myself and see the different types of units cuz many of us, we only work in, unless you traveled for years and years and years, you only work in one, two, maybe three units in your whole career. And so within a week, I got to see 24 different environments and observe the nurses there and see the work that they're doing and also observe how many of the creative projects that they have done on their own accord as a part of their QI projects or just part of unit council or just out of like the kindness of their hearts. And so for me to be able to get to go and see this, I think I I I don't know that I fully understood how meaningful or how cool or what an incredible opportunity that was to come in as the outsider and just observe and then lay eyes as well on so many of our bundle birth nurses. Um, and that really again that was like that was a surprise because what happened was I posted I was going to New Jersey. I'm visiting hospitals and then my DMs were just completely blowing up with New Jersey nurses being like, "Wait, are you coming to me? Are you coming to me?" And we hit every I believe every hospital that was in my DMs. Um, so and by the way, this is my plug for the future. So, if you're listening to this and you work in a New Jersey hospital and we have not visited your hospital, send me a DM and let me know because we are coming back and we're going to finish the tour at some point this year hopefully um to go see the rest of the units and so let me know along the way. We always talk about innovation and we always talk about being uh again bringing uh you know evidence-based practice all the innovation. I don't think we were prepared for what innovation looked like. No, I don't know why we're surprised because most of it was nursing le. It was so impactful and yeah, we're still digesting what we saw and how we saw it, but like this is happening as we're talking. This is literally this is real life, not just birth, but also the the things that we're going to discuss about how they just take matters into their own hands and and drive their own quality initiatives, their science behind it all. And it's just it was so empowering. It was so impactful. It's good stuff and it and it really like we every time we got in the car after every site, we'd like talk about the site and like, oh my gosh. And then just praise the nurses. And to me, it is just a greater representation of what's happening in this country. And as much as we hear so much of the negative news and the negative talk and the like the burnout rates and like I can't do anything or the staffing or like all the things that we complain about, at the same time there are so many of you out there doing these quality initiatives. Whether you know it's a quality initiative or not, I will say that like that terminology is new newish for me. Um when I was in in the hospital, I like never ever talked that way. But basically like you're improving practice and you're coming up with creative ways to improve practice, to improve patient care, to improve safety, to improve all the things. And so that was really fun. So let's get into it. Let's talk about some of the things that we saw. And I will say that like I I have to just call out like the the number of physiologic birth stories, the Leavonne circuit successes, seeing our position guide or especially Leavonne circuit. Leavon circuit is everywhere. And people were like, "Oh my god, you're the Leavon lady." And I was like, "Oh yeah, literally everywhere." Yeah, that was surprising to me. And I know like we've we I I see the orders come in and stuff, but especially as a small business, you know, we're not some huge corporation like we literally are in an office in LA and we do a lot with a very very small and mighty team. And so every single order that comes in, literally I see. And and so to now see them working on units, nurses using it, patients getting impacted, saving the C-sections, and the stories of that and the you know the stories of people coming to physiologic birth and loving it andor wanting physiologic birth across the board was just like really encouraging to me. And so across that, there was a lot going on related to NTSV C-section reduction. And so the first one that like I'm sure you're thinking of right now is the magical vaginal wall. OMG, we died. Yeah. That was literally magical. It stopped us in our steps. Yeah. So this one the the one hospital team that we visited had this amazing teamwork, this team environment. The welcome was un unreal. Like the fact that we were a just team welcome and then they were eager to show us this wall. I mean, you can describe it, Sarah. Yeah. So, we walked in and walked by their nurses station and they all they had on the wall was this magical vaginal wall, which the name alone is so good. And then they had stars where when you did something to to quote unquote save the patient from a C-section. So, it was like, what intervention, what tool worked that you believe worked to help align and get the baby out vaginally that would have otherwise been a C-section. So, there's a lot of different position changes on there. Um, that was the big ones that nurses wanted to celebrate, but it's one way to recognize your staff and recognize your successes and from a leadership standpoint, reinforce the behavior that you want to see with your nurses. It's all like social influencer theory. Um, and so to see these like stars of the different things that took place and like the magical vaginal nurses and the catchiness of that was just like so incredibly fun. In my advanced physiologic birth class, um, I call out and talk about like what behavior do you want to reward and what can you socially as nurses lead on your unit to reward again like whatever behavior that is. Another example, I know there's a hospital here in Los Angeles that does the NTSV Queen wall where they have a Polaroid camera and then they have a crown and the nurse that quote unquote saves the patient because we're always giving credit where credit's due, which is the patient. But at the nurses station with just us, we all know that a lot of the things that we do and having those tools to encourage the vaginal birth like feels really good. And you know that like there are things that we do that that quote unquote save that patient from a C-section. And so while like we're giving all the credit to the patient behind the scenes for for them to be recognized, wear the crown, get on the queen wall, put up your magical vaginal star, that that's such an easy quote unquote intervention for the unit to encourage uh the success of the vaginal births um as we all continue to work towards decreasing our NTSV C-section rates. Another thing that was noted on one of the units and it was another innovative idea was encouraging one another like the there was like that cart where they can oh yeah reward each other the the you know um purchase some encouraging with with um fake money but purchase like snap rewards for each other and just like if they're having a rough shift or a rough time it's that morale boosting and the creativity behind that. I know you I know we we loved exploring that part because it wasn't just food. It was actually some real good feelgood like buttons and stickers and Yeah. And what they did was that you could contribute your own money to purchase the fake money, right? And then you also got fake money that you could give another nurse when they supported you in a birth or they went above and beyond and you saw it or whatever. And then they could purchase a snack or like a little they had these um wasn't it like a you pull off the lidocaine popper like almost like a bottle cap opener but like for nursing supplies or whatever. Like there was some really fun stuff in there. Some really good tools. Yeah. And all the proceeds the proceeds went to some charity I believe. Um the proceeds actually went to like a sunshine fund so that when a staff member was going through some sort of an emergency of some sort or some sort of family situation, they would dip into that sunshine kind of fund and send either flowers or a warm meal or an encourage. So it it was all about the morale boosting. That's basically what talk about like I I always talk about like the feedback box that I did that was by version of morale boosting. I don't think it worked that well. I think it was more annoying for people, but I did it and it was my attempt. This is such a better attempt at that. But also again, all nurseled and you can imagine coming onto that unit. I didn't work there, but I was like, I want to work there. Yeah. You wanted to contribute to it. And I they actually said that that some patients have seen it and they they want to contribute. you know, sometimes they want to buy food for the staff or and they will never accept in terms of like the monetary, but they were like, we we put the snacks on there and so whatever they want to bring, lotions, it was a great idea. I think another another um what I really appreciated too was some of the circuits that they had for the patients, the walking um circuits that the labor walks that they had, the visuals and not just the labor walks on the unit, which they're like stations for them to continue to move, but like the prompts that they had on each and the way they went above and beyond to put certain visuals and prompts at certain stations and words of encouragement. Mhm. My favorite on one of the labor walks that we saw that we saw a few labor walks. And basically what that is, if you don't know, is that they have around the unit, they have basically like little stops along the way where when you're walking a patient or they're in labor and they're in the hallways walking that they can like stop at the different things and they have some things that they could do. There was an affirmation or there was like a stretch or something to support their labor progress. But on one of the stations was this visualization wall. I will never forget it. It stopped me in my tracks. I wish I could post it, but it has like patient names on it and like identifiers, but basically it was what affirmation or what word do you need to hear for yourself? What's your visualization for the patients to write? And so they had whiteboard markers there and it was amazing. In fact, let me pull up the picture that I have of it and I'll read some of the things that were on there without the the names of the patient, but there was like all different languages represented. Um, if you think about it, Sarah, it's not just about them identifying that one word, but us being as outsiders or just family members walking by and seeing that intention set for the unit and the level of thoughtfulness it takes to to get there. It sets the tone for the culture of the unit too and it it not only empowers the patient but again from the outsider we're looking in it's like wow they really are taking it to the next level that human connection I mean what more connection do we get human wise than birth and being able to ground the unit in that it was power it was actually it was very powerful visual I think that um what I also really appreciated is that the team genuinely Lee was excited to usher us through their unit and share their innovation. We didn't have to ask. We actually went there and just for clarification, the huddle pulse check was intended to be a six-minute huddle because that is part of like high reliability, right? A six-minute huddle of just hi, here we are. This is what we do. How can we, you know, support XYZ, thank you, feedback, info? Everything that happened before and after the huddle post check was truly organic, powerful, and it was like somebody welcoming you into their home. We never went beyond where we weren't welcomed. That we never we didn't go into any active patient rooms or anything of that sort because that's not what we're there for. We're there for the team. But they were so proud to escort us and show us along the way and just say this is what we do every day. This is how we do. And so that wall was part of that and like this is our home, you know, and like this is this is the ownership that they had taken over their space and over their initiatives and the whiteboard walls and the bulletin boards of the different initiatives that they were doing was just like so incredibly cool. Amazing. So on this wall I found the picture some of the things that were written. Your brother can't wait to meet you. Stay positive. You got this. God's timing is perfect. My body was made for this. A bunch of different languages. Our legend ends. Yours begins. Can't wait to meet you. You can do it. Come soon, baby. Your sister is waiting for you. God is with us. My dear baby is coming soon. We got this. Can't wait. Baby girl, we can't wait to meet you. It's just like with all these sweet names, it's like them leaving their legacy, you know? And then also for them to be able to like the patience to be able to walk and like see these notes that also encourage them that they're not alone is so cool. I'm stronger than I think I am. I can't wait to hold you. What about my needs? I'm listening to my needs. With each contraction, I am one step closer to meeting my baby. I think one of the most impressionable things in addition to that was we actually encountered a team that did have doula part of doula part of their multi-disiplinary care team and I saw how on staff that um part of that teamwork wasn't just what was being done in the patient room at bedside but it was with each other. um they actually had like an empowered tower like a cart of just like encouragement for not just the patient but also for each other which led to our discovery or they showed us of their zen. Yeah. um to restore themselves. And I mean, we could talk a little bit more about that, but I think that back to setting the tone and the culture of like understanding that our birth workers, that our frontline teams are human, too, and need that. Um that intention, that environment set for them. And then seeing like how the team spoke so fondly of the doula and what they've done for themselves as well as the patients. And then un then getting to speak to that doula to say like how did you incorporate happens to also be a birth educator. uh for the same area. Um and it just became very apparent that this is part of their culture of how they support one another through uh the birth, not just the patients, but encouraging and tapping each other out, bring each other water in between, like being able to say, "Hey, did you have a cup of water?" Like, "Are you okay?" in between long pushes, etc. So, it was the teamwork dynamic there was real cool. you could tell um the different sort of team cultures on the unit and they all had their own sort of culture, personality. If you've worked any different number of places, you know that that's true. And so to be able to observe that and then also see those differences and also similarities across the board was so cool. That doula at one point when we were leaving was like massaging the nurse at the nurses station in her shoulders. the the zen was they wanted to show us and they took us over and it basically was like an empty small room that they weren't using for anything and the doctors pulled their money and bought this like massage chair. They put up lights and essential oils and it was dark and there was a starlight projector and it was like this place that nurses could go when they need a break and they would cover each other. So go take 10 minutes. be you pushed for 3 hours like go in the zen den and you know take like close your eyes for a second and we'll we'll cover your patients or while you're on break um they could go don't sleep while you're on the clock but while you're off the clock um go in the zen and have your moment of reprieve but it's like it's such a simple thing that I'm like how many of us have like a random closet like large closet sitting around that's really just collecting dust that you could turn into like a zen full place which again just so creative. Yeah. I think one thing that I don't know if we could capture is the commitment and seeing the teams like come to the desk, come with their questions, come with their thoughts, look at each other talk it through. Um the innovation of the commitment, even the residents, the physicians, having everybody just just watching it just from afar. And also like we know it because we're labor and delivery nurses, so we know that exists, but just being able to be reminded of like they are doing all the things possible and going to the patient's bedside and including them in the conversation um and verbalizing that and how they do and having um seeing teams say, "Okay, let's go in and talk with the patient." and seeing them go in together and have that real time commitment to me. I mean, I don't know, Sarah, I just I I I every time we left the hospital, I was like, that was amazing. No expectations. Again, she check huddle and leaving refreshed with their innovation, their commitment. And I think it was so different because I wasn't the one in scrubs. In fact, we were in like business attire, you know, which we'll we could talk about that too of how that felt and like my of epiphany after sight too of being like, "Oh my god, I'm one of those people that like they're assuming are the business people coming in and I'm like, "No, no, no. We're just here to say hi and like encourage you and all of that." And so, but to be on the other side and then sort of as that outsider, I think if you're in it, it could easily feel like what you're talking about as the commitment or those QI projects or, you know, like I'm we're we're encouraging each other, we're grabbing water for each other, that those things can feel very routine, very mundane, and very much not even recognized. And yet, we get to come in as as outsider eyes looking to encourage and support and just observe and learn for ourselves. And as the outsider, that's what we saw across the board. And even on those busy units, you know, there were a few units where we barely saw a person. I to I remember taking a photo by a board. Like there was somebody in my DMs that actually one of the nurses was the only nurse at the nurses station who had a very hard case that day that she shared with us. And then but she went in and was like, "The girl that's been in your DMs is in the O. She just started a C-section. Let me see if I can go cover her." And so she like went in to C-section, sent this girl out so she could come say hi, take a photo, you know, very briefly, but even then, like that unit was slammed when we got there. And so we're not going to take you away from your patient care, do your thing. But at the same time, the commitment to being at the patient's bedside and saying like you're not the priority, which we weren't. We weren't supposed to be the priority. You know that like a lot of that is just it's like well that's being a nurse. And yet we recognize that as outsiders to say like no, you're doing such a good job and again this job is hard and it's exhausting and there are those days which may feel like every day where it's just you're slammed and yet as you're slammed you're actually doing the work and that is like as your outsiders seeing that is like is encouraging to us to see you actually doing it. And and it again it feels like blah but it is the thing. you're doing the thing and to continue to do this end of things so that we can continue to support them and bring them what they need, what they actually want. I think one thing that was apparent was that a lot of the leadership were bedside nurses and um the tenure varied, but there was a lot of what was noted as the leaders wanted to hear how they perceived help, how they perceived what educational support looked like, how they perceived um what they were proud of. They they actually stood back, which Sarah, you could you can correct me if I'm wrong, but they stood back and they let them usher us through. Um I did not have leaders that I felt like were stepping in and showing us the unit. They let them have the ownership of the unit. So typically was a charge nurse or a staff nurse, somebody who wanted to share like, oh, this is what we're doing and how we do. And again, that was not the intent of of the puddle pulse check. It was for us to say like, hey, are you okay? How can we support? And we got so many wonderful so much wonderful feedback, but the open arms and the welcome to their home was something that I don't know if you and I were necessarily prepared for, but it was so it was so enlightening, invigorating, all things. So, we got we got work to do. We did end on the BRB because we will be right back. We will be going back with the tools that they need and continue to support them. And we know because again, as labor and delivery nurses, we've done this um that what they do is impactful. They just need to be reminded that they're just they're so awesome and they hold the innovation in their hands. They're doing it. Yeah. They're delivering the hope that we need. Well, and for those of you listening, I'm like, if you're listening to first of all us, second of all, a podcast on birth, you are those nurses. And so whether you have someone visiting your units or not, I was like, now I have the the goal of visiting every hospital in the US. Can you imagine? I'd have to write a book or something like I'd have to like really have some serious takeaways. Um, but for those of you that are like you're all doing the work whether you have us visit your unit or not. And so I hope that one, those of you that maybe were visited and you're like, "Oh my god, they're talking about me." And for those that weren't, that you hear from this that there are like we are we there are people that are paying attention, that see the hard work that you're doing, that are passionate about encouraging you and celebrating your successes, not always telling you what to do more. and that the people in leadership positions and and obviously not everyone that's the case across the board, but there are people who you may not know, you may have never seen before that are fighting for your benefit. And that's what I've learned through Lily. I can only I can speak to that for you. I don't know everyone in the entire world, but that was why I was so excited to partner with you because like I only want to be a part of the ones who are centering the staff and who realize that when staff when leadership when everybody that's touching the patient is cared for and encouraged and feels good about their job and feels like they they have the resources that they need that the patient benefits that then everyone benefits and the units that you know I'm thinking about the one in Pennsylvania. I'll that we did we did a little smidgen of a road road trip outside of the state. That was my my errand that I lugged Lily on to go see a unit that did a QI project on our physiologic birth class and were able to decrease their C-section rate systemwide by 20 percentage points by the way, which is so fun. So, more on that later. But as we were, you know, even thinking about that one, the morale, the feel, the vibe was amazing. It's inspiring. It's changing the way we actually look at things. The world is really loud and full of a lot of noises. And we're committed to elevating the good work that's being done and continuing to empower them because sometimes if you don't know, you can't do better. And sometimes we tend to just say, "Hey, that's wrong. That's wrong. That's wrong." But we don't necessarily have the solution. In this case, we have the solution. We know physiologic work works. And we know that empowering teams work. We know that through high reliability organizations, having that trust culture, being able to speak up, being able to say, "Hey, I'm not really sure. Let's talk about this. How can we do this better? How can we support this patient? Let's have this bedside huddle." Doing that and having that environment is where teams thrive. Patients arrive, outcomes are better, those numbers change, and it is truly the most impactful and magical place on earth where souls multiply. Labor and delivery. It It's where it works. But you got to create that culture. And I'm here for it. I'm here to elevate it. Yep. And it starts with leadership, but it also starts with nurses rather than like necessarily nurses always blaming leadership or leadership saying, "Well, nurses," you know, it's like everybody has to take ownership of their own role. And the reality is, and what we saw over and over again was that nurses have so much power. They have so much influence. And it just it literally just would take one nurse going, I'm passionate about this. I'm going to create comfort carts for my unit, the empower tower. you know, I'm going to put together a labor walk and work with my with my leadership and with my teams to create these labor walks, the different programs, the baby bucks, the zen den, the magical vaginal walls, the nitrous oxide that so many of the units had or even just bringing like unique artwork into a unit or decorating for a holiday, you know, like the the cute paper plate flowers that were all over the wall that were like adorable, you know? It's like that kind of stuff. it it compounds over time to bring value to the unit culture. So, I just feel like I didn't know what I was getting into for sure, but I walked away going, "Wow, what an honor and a privilege more than anything to get to just observe and celebrate each other. And we need so much more of that with each other. And we need so much more of that from leadership top down." And I may be biased, Sarah, but nobody comes through more colorly than New Jersey. So, grateful for you joining us on that and being able to continue to meet teams. Looking forward to learning more and serving more. Thank you. Thanks for spending your time with us during this episode of Happy Hour with Bundle Birth Nurses. If you like what you heard, it helps us both if you subscribe, rate, leave a raving review, and share this episode with a friend. If you want more from us, head to bundlebirthnurses.com, subscribe to our email list, or follow us on Instagram. Now it's your turn to take what you learned today, apply it to your life, and go celebrate each other. When you walk on your unit, at the next time that you do, look around and identify all of the creative, innovative things that your nurses are doing. And even if it's just how they care for the patient, acknowledge it, recognize it in each other, and tell each other those encouraging words because we get to create the unit culture and the morale on our units. We'll see you next time.