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CPR In A Feed Store & Airport ft Nicole Kupchik

CPR In A Feed Store & Airport ft Nicole Kupchik

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Show Notes

Join Nicole and Critical Care Nurse Nicole Kupchick as they talk about situations where they performed CPR in a public place.

What You’ll Learn

  • When Nicole & Nicole performed CPR on strangers in a public place
  • The legalities of bystander and hands-only CPR
  • How to recognize someone in cardiac arrest
  • How to perform CPR

Our Guest

Nicole Kupchick has been a Critical Care nurse for 26 years and is also a Clinical Nurse Specialist. She has taught CPR, BLS & ACLS classes since 1998. She also owns Nicole Kupchik Consulting, Inc a training program for nurses looking to advance their skills.

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    Transcript

    Announcer: 0:01

    Welcome to the Backyard Bounty Podcast from HeritageAcresMarket.com, where we talk about all things backyard poultry, beekeeping, gardening, sustainable living, and more. And now here's your host, Nicole.

    Nicole: 0:17

    Good morning, everybody. Thank you for joining us for another episode of Backyard Bounty. I'm your host Nicole, and today I'm also joined by Nicole and Nicole Kupchik of Nicole Kupchik consulting and the Recess 10 podcast. And today we're going to talk about something a little bit different. And that is bystander CPR, and why everybody should feel safe and comfortable and ready to do it at a time to notice. So Nicole, thank you so much for joining me today.

    Nicole K: 0:43

    Well, thanks for having me. I'm super excited to chat about this topic.

    Nicole: 0:46

    Yeah, I've been following you on Instagram for a while now. And you have so many amazing educational videos. And so I thought I'd reach out to you to see if you could help me with this. I asked all of my big strong former firefighter, co workers to do a CPR episode with me and they were all too afraid to do it. So...

    Nicole K: 1:06

    Let's have some fun then. Team Nicole.

    Nicole: 1:11

    I love it. So it was kind of interesting, because when I reached out to you to see if you might be interested in doing this, you actually have bystander CPR story of your own as well.

    Nicole K: 1:23

    Yeah, you know, it's interesting, I actually have now done bystander CPR three times in my lifetime. And each time I will say, because I'm a critical care nurse. So just for those of you listening, my background, is that I'm a critical care nurse and, and have taught BLS and CPR and advanced cardiac life support classes for years. But I will tell you each time that I have had to do CPR outside of the hospital, it's scary even for me, and I think it's just scary because you there's so much kind of self doubt that comes when you come upon a person who's just laying there and you're like, are they dead? I think they dead? They might be dead, you know, do they have a pulse? So you know, then you're like, where do I check for this but, you know, and so like, all these things go through your head, but um, yeah, so my most recent bystander CPR scenario was in April, and it was just fascinating. I was, I travel a lot. So I own a consulting company. And I travel all over the country, and I was flying in and got my flight was late, got to the airport, like 10:30 at night baggage was late. It was just one of those nights where you're like, Oh, my gosh, it's 11:30. And I got to get up early in the morning too, right, got my baggage, I was kind of grumpy and went to the Uber and Lyft waiting area in Seattle at SeaTac. And I was just walking up to the Uber line. And it's, it's always such a it's such a mess in Seattle, the way they have this lift area. It's kind of a it's just so disorganized. Anyways, that's coming up walking up, and I hear somebody yell, is there a doctor in here? And you know, and I'm like, a total smart, but all the time, right? And I'm in my head, I'm in my head. I'm thinking better yet. There's a nurse, you know, just just joking, right? You know, but anyway, but it wasn't it wasn't a joke. They were being serious. And so I looked over and I see this woman laying on the ground, I'm like, Holy Moses. So and I see a lot of people standing around, but not many people doing anything. And so I looked over, and I could see, she was doing this very, very irregular breathing. And it's what we often call agonal, or gasping, respirations. And, and I just yell because there was like a cement barrier between me and where she was. And I just yelled, I said, check out pulse. And then I'm, like, get ready to do CPR. And anyway, figure out how to get over to her. And she definitely did not have a pulse. And so me and two other women took turns for 10 minutes doing CPR on her and and it was one of those really interesting things because this this was in Seattle, right in Seattle has the best outcomes in the world for out of hospital cardiac arrest. And one of the reasons is because people get bystander CPR and, and this woman definitely like she fell into that category of getting bystanders who barely she got it pretty quickly. But what was really fascinating to me is, so it was me and two other women. And I asked, I said, is anyone else here know CPR? Because we're in a parking garage, right? Sure. And I was thinking in my head, this could be like, five minutes, or this could be 15 minutes, like, we don't know, because it's gonna be hard to find us. And so anyway, I yelled out, does anyone know CPR, not a single person stepped forward. And I was really just, I was really surprised by that. So I pointed to different people. I said, you go get an aed, and then I print to another one, you go get an aed, and I wasn't like being so blunt, to be rude. But if you don't like point to somebody and say, you know, please go do something. Like it's one of those cases where like, everyone runs or no one runs, right. And so anyway, so two different people random, go get an AED and then the police 911 obviously, 911 was called right away. So we did CPR on her. And it was so just so you know, for those of you listening, even me as a health care provider, like I was questioning myself, I'm like, "Oh my gosh, what if she's not really dead?" You know, I can't, we're doing CPR. Like, in my head, I was doing, you know, doing all this questioning, but she was. And I think if you've ever come upon a situation where you're questioning yourself, it's normal. And I want anyone out there to know that it's normal, it's just such a scary thing to you know, be in a place that's outside of a healthcare setting, to have to give provide health care. So anyway, so the three of us took turns, and then at minute was like, seven and a half minutes in an aed shows up and, and I one other guy was doing CPR. So I put the pads on this woman. And you know, it's so funny. There were so many people standing around watching it. I was shocked. I don't know why it should be. But I was shocked that they were videoing us. Oh, goodness, like, like, are you kidding me? And so anyway, so I just said to the security, I'm like, can you get some barriers up or do something or just make a human wall so we can give this woman some privacy right away? So I was able to get her aed pads on without exposure without exposing her because we have done this a few times. Right? So I you know, I'm pretty comfortable, where the pads go. So I was able to just kind of tuck them under her shirt and get the aed pads on. And then when we took a break, and the aed said, you know, it says analyzing now, stand, clear, Shock advised. I was like Holy Moses like this is surreal. Like she's really in cardiac You know, it's like all those things that go through your head. And so we got back on the chest while the aed was charging up. And then it gave her a shock. And then we got right back on the chest. And so I did the last round of CPR, and got right back on her chest did two minutes. And I had my iPhone right there. So we were doing like a countdown, you know, like on the stopwatch on the clock, you know, app on the iPhone. And at the end of that two minutes, we got our pulse back. So yeah, and it was really weird because it was like the EMS showed up right at that moment. And how they found us is beyond me. But it was pretty awesome that they were able to find us. But EMS showed up right away. And then like I reported off to EMS. And it was just really weird because they just hooked up to a monitor and she was breathing on her own had a pulse on her own. And so I gave them a report. And it was really weird. Then my Uber showed up and I was like, Well, I guess I should just go right, you know, like, what else do you do? Right? And so anyway, I'm like, Okay, well, I guess if I'm not needed, I'll just go. But it's like a really weird thing to like, do CPR on somebody for 10 minutes, you know, between the three of us. And then like just get a cab in a car and leave. You know, it's such a weird thing. But anyway, a couple days later, I called the EMS service that services SeaTac. And they couldn't tell me a lot because of HIPAA laws and everything like that. But they said that she regained consciousness after we left, and which was pretty amazing. And so I guess the message I would want for everybody out there to know is that first of all, if you know if you've been trained to do CPR, do it. You know, if you ever come upon somebody who doesn't have a pause, I would say know how to check a pulse, and that you can practice on yourself, you know, I think that would be a big thing is just know how to check a pulse. Another big thing I would want people there to know is that there's this breathing that people do or can do when their heart stops. And it's what's called agonal breathing. Now, a lot of 911 operators will actually instead of saying, you know asking, Is there absence of breathing? Or do you see breathing? What they'll ask is, is there abnormal breathing, and abnormal breathing is something you will see when your heart stops often. And so just kind of know, just because somebody is kind of doing irregular breathing doesn't mean they have a pulse. And I think that's one of the biggest things that needs to really get stressed in BLS classes now is this whole idea of agonal are gasping breathing. And then you know, the other thing I would just say is, you know, if you compound a person who doesn't have a pulse, you don't have to do mouth to mouth, I'll be super honest. And that woman we did not do mouth to mouth, we made sure her airway was open, but we didn't have a barrier. And we did. So we didn't do mouth to mouth, we did chest compressions only. And we were able to get her back and she woke up after 10 minutes. So you know, of getting CPR. So I would say as much as you can, you know, take away a lot of those fears of doing CPR. There are there are some data demonstrating that even if a patient has a pulse and you do CPR, you're not necessarily going to cause harm. And I think that's one of the biggest fears of people is you know, what, if I hurt them? Well, what's going to hurt them more is if they don't have a pulse, and you don't do CPR, right, that's gonna harm them so much more. Right? And so, you know, I just think it's, I now you know, I just think it's time for people to really learn how to do CPR. A lot of high schools now require it as part of graduation. Most High schoolers in most states have to go through some sort of a CPR or BLS class and it was really funny. So the weekend after I did CPR, that woman, I went with my girlfriends, we did like a getaway to Sonoma in California, you know, the wine region and we were we, we got an Airbnb, then we were out at the pool. And I brought my blow up mannequins and I made everyone because all my a lot of my friends aren't nurses are in healthcare, and I made them I'll do CPR on the mannequins because it was like, Okay, guys, we while this is fresh, we're all gonna learn, you know. So yes, I think you know, it's just, it's, it's one of those things, I think it's a public health issue that people don't know how to do bystander CPR, it is definitely one of the things that makes a difference.

    Nicole: 10:40

    Yeah, no, I absolutely agree with you. And I think those are some really valid points. I know that on my side of the world being so obviously, you're in hospital because you're a nurse and my life has always been pre-hospital, being a firefighter paramedic, and I would see on almost every cardiac arrest that we would go to a bystander or family member would be doing, quote, unquote, CPR, and very rarely was it done appropriately. And it's such a shame, because it's a very stressful situation, in a situation where high quality CPR really does change the outcome of the patient. And people think that they're doing CPR, and they're really not and and I think just a little bit of education, and maybe encouragement could help the bystander CPR and, and improve the quality and then improve patient outcomes. I know that for myself, you know, I've done CPR hundreds of times, but but that was always, you know, with with my fire crew and, and we were called to cardiac arrest. So we knew what we were getting into. However, recently, this summer, I was at the feed store, and I was just, you know, a regular day, it was there with my husband, and we're going to go get some food for our chickens. And we have our cart full and we're getting ready to go to the register and pay and it was a busy day that day, because they had a veterinarian there to do like just just basic rabies shots and stuff for dogs. And so there's a lot of people and on the way out, there's just kind of this flurry of activity in one of the aisles that kind of caught my eye and, and all of a sudden there's kind of some some hollering and you could tell that something wasn't right. And as I walked by, just kind of glanced at this, whatever activity I thought maybe somebody's dog had gotten loose, or, you know, maybe the dogs were to fight or something, and I saw somebody laying down, and then there is a person next to them on their knees and kind of tapping this person and goes, you know, Sir, sir, are you okay? And it was obvious that the gentleman laying on the ground was not okay. So, you know, generally, I wouldn't really have involved myself you know, if it was just something where maybe somebody you know, was having a diabetic event or something, you know, something not life threatening I, I wouldn't have really involved myself in but the gentleman that that was trying to wake this person on the floor up all of a sudden goes, and looks like he's getting ready to do CPR. So I kind of figured, maybe I'll go see what's going on.

    Nicole K: 13:05

    Oh, yeah. Yeah. You're like, this is a little more serious.

    Nicole: 13:09

    Yeah. Yes, this is somebody that just you know, passed out or something not not life threatening. So the the person that was next the person laying down, never actually started doing compressions, and I and I came over and I said, "Is everything okay, I'm, I'm a paramedic?", and the guy grabs me by my arm and yanks me he goes, "Please come help."

    Nicole K: 13:28

    Yes, the desperation. We need your help. Yeah,

    Nicole: 13:32

    So he yanks me and I feel for a pulse, and there's no pulse. So I started doing compressions. And, you know, this was just an aisle of the feasts or so there was probably six or eight people there. But you know, nobody was really too ambitious about doing CPR. And so I did compressions. Thank goodness, one of the other employees there was a volunteer firefighter. So he showed up and then we took turns doing CPR. And ultimately, EMS arrived, they brought their defibrillator there wasn't one in the store and difibrillator them. And by the time I left, I was actually having a conversation with the gentleman and, and it was...

    Nicole K: 14:14

    The gentleman that had an arrest? Yes, really. So you guys got him back too?

    Nicole: 14:19

    Yeah, and now and kind of sidestepping and a little bit more involved in the health care side that the listeners probably wouldn't be too terribly concerned with. But as we were doing compressions, he was starting to grab at us. So I was doing compressions and he'd reach up and he grabbed my wrist. And so then I'd be like, well, what the heck. So I stopped doing compressions, and then all of a sudden he would go flaccid it again. So as we were doing the compressions, we were able to move enough blood that it was kind of waking him up, but he still didn't have a heart rate. So when we stopped doing CPR, he would go back to being unconscious because it was our CPR, the manual squeezing of his heart. That was allowing enough blood to flow to wake him up. But as we were effectively his heartbeat, and when we stopped, he didn't have a heartbeat. So he would go back to being unconscious again. And so that was a weird situation because you're thinking, well, should I even be doing compressions on this guy because he's groaning and grabbing my wrist. But then when I stop, and I feel for a pulse there, there is no pulse. So then, like I said, he got he got the dose of electricity when EMS came. And when I talked to him, I said, Sir, do you know what happened? And he said, Yeah, I have kind of a, I just wasn't really feeling well, and I and I think I just passed out, it's like, well, not, not quite, we have a reservoir here, that's really common for camping. And they were just stopping real quick to get some supplies on their way to the reservoir. So he very well could have had a cardiac arrest while driving. It was just convenient, or not convenient. But...

    Nicole K: 15:50

    Oh, wow. Yeah.

    Nicole: 15:51

    You know, just ironic that he was there. But I think that this is an important topic, because, you know, a lot of our listeners are in pretty rural areas. So it could be, you know, 20, 30, an hour before EMS arrives. And so you're going to need to do CPR on somebody for a long period of time, and recognize that there's a situation and call 911 right away, and do all this stuff, you know, in order to hopefully create the best outcome for the person that is in cardiac arrest.

    Nicole K: 16:21

    Yeah. And I think that's the way you have to think of CPR. It's like, basically, it's a lifeline for that patient, you're hands on in the middle of that patient's chest, pushing up and down is a lifeline until help can get there. And that patient was waking up because you were giving them really good perfusion to their brain. And it's one of those things like we have seen this more and more and more as, as people are doing better CPR just because trainings better, and they're just learning, you know how to do CPR more effectively, people can wake up while they're getting chest compressions, you know. And, of course, you know, if somebody wakes up, you do have to kind of just see like, well, maybe they don't, they're not pulseless anymore. But like in your case, they went back out and lost consciousness again. So you know, that's a case where you've just you've got to keep going, it's just that your perfusion, your chest compressions were really good..

    Nicole: 17:15

    Right, and I always tell everybody, you know, even if you have to take a CPR class, for work, or for school, or whatever, or if you come across somebody who is in cardiac arrest, and maybe you don't really want to do anything, just keep in mind that that is somebody's loved one. And it might not be somebody that's important to you, but it's somebody that's important to somebody else. So really taking the CPR class to heart and really being willing to help somebody that is in that situation, don't do it for you, do it for that person's children, or that person, spouse, or that person's loved one. And they might not survive, but at least you made a concerted effort.

    Nicole K: 17:52

    Yeah, no, I completely agree. Yeah. And I think just some basic tips for people out there, you know, first of all, if you can go take some sort of training, go do it. I mean, truly, you know, what is it maybe an hour or two out of your time, you don't have to take a health care BLS class, you can just take some sort of, you know, basic CPR training, but you know, you just put your hands in, kind of in the middle of their chest, if you could imagine where nipples would be kind of in the middle of nipples, basically, you know, the middle, their chest, and just your shoulders, what you want your shoulders to be over the patient's breastbone, and you just want to push up and down at a rate of about 100 a minute. And, you know, there's a couple things I would love people to know about is there's actually an app. So if you've got a smartphone, there's an app called pulse points. And pulse point is it's pretty cool. So it's this app where, unfortunately, not all EMS agencies or counties, or different geographic areas in the United States participate with this, but you can check. So what you do is you download the app, it's called pulse, p-u-l-s-e point, p-o-i-n-t pulsepoint. And basically, you register yourself with whatever EMS agency is in your area if they are participating. And then what will happen is you'll get pinged if there's a cardiac arrest within about so like, if a 911 call comes in, as somebody who doesn't have a pulse, and your location services are turned on on your phone. If you are within about two blocks of the radius of that cardiac arrest, you'll get pinged to let you know that there's a cardiac arrest happening. And I'm hoping in the future, what will happen is I'm hoping this becomes kind of a big public health kind of strategy to improve outcomes from cardiac arrest. And what I would love to see is maybe a federal mandate of this, this application, you know, where you can get notified of a cardiac arrest, just so you can get bystander CPR to the scene. Now one of the crazy things so that story I was telling you about, you know, at the airport, if you've got somebody who's whose heart is quivering, one of the best things that responds to is not only the chest compressions, But delivering electricity to it. And I mean, that can be done through an AED. And interestingly, I asked two people to go into an AED and they ran back into the airport to find one. And luckily, they did. But come to find out, there was an AED only 40 feet away from us. And no one knew. Sure, you know. And so that's, I would say, for airport staff, if you work at an airport, like you definitely should know where AEDS are all over the airport. But it was just it was, you know, one, just one of those things. And luckily, it still worked, we did good CPR, she woke up. So, you know, we had a good outcome. But you know, if all of those things hadn't happened, she may not have had as good of an outcome.

    Nicole: 20:39

    Sure. And that's one thing that I would really like to see, especially in rural areas, and in smaller businesses, just because it's a little bit harder to get a corporate business involved. But I wish that everybody that had a business, or, you know, a local community could pitch in. And it really, it would be great if there is a AEDS and more areas, because like you said, compressions are definitely compressions are kind of like the band aid, but the AED and the shock is kind of the fix and a lot of situations. So if you can get an AED in your area, and it's there, and people know about it, and you it's available for use and maintain and everything, then that can even further enhance the patient's outcome.

    Nicole K: 21:23

    Yeah, and I know, so one of the things I think people worry about is that they're going to get sued.

    Nicole: 21:28

    Yeah.

    Nicole K: 21:28

    You know, if they if they do CPR on somebody, and you know, what's really interesting, so the American Heart Association had their conference the week of November 18, of 2019. And there was a really interesting presentation at the conference, it was basically, this group that took kind of a deep dive into all of the legal cases that had been filed from all 50 states from 1989 until 2019. And what they found was that the legal risk of not performing CPR, or delays and CPR, those risks were higher for litigation than giving CPR. There were two cases where people had gotten there was a suit brought against them for doing CPR. And both were ruled in favor of the bystander who gave the CPR. So like to date, there's not really there aren't many cases where people have gotten sued or found, you know, liable for doing CPR. So, you know, there are things that are called the Samaritan laws that protect us for doing CPR. And so I would say, you know, it's, it's even if you look at, you know, the evidence, evidence is showing you there's more likely to be litigation if you don't do CPR than if you do it. So...

    Nicole: 22:45

    Yeah. And I know a lot of people they're worried about what if I do it wrong? Or like you mentioned, I don't want to put my mouth on the strange person who I don't know who they are. But hands only CPR has great outcomes. And like you mentioned, it's better to do CPR on somebody that doesn't need it, then not do CPR on somebody that does need it. So you're not going to hurt them and and suggest just do CPR.

    Nicole K: 23:12

    Just do it. Do it, just do it. If they don't have a pulse, right? Well, yes. Again, for all the listeners out there, you can check your own pulse. So you can feel it in your neck. You can feel it in your wrist, you could feel it in your groin area. So just practice on yourself. So you know where to check for a pulse?

    Nicole: 23:27

    Absolutely. And or, you know, borrow friend or family member and practice checking their pulse.

    Nicole K: 23:33

    Yeah, that actually might be a better suggestion, because they can kind of get the hang of feeling a pulse on someone else. Yeah, I like that idea. So but it's just it can really save a life, you know, if it's done and done well. So it's the depth I think, is one of the things people have a hard time with. But it's a full, you know, 2 to 2.4 inch depth in adults. So it's deeper than you think it is. And I will tell you like so for example, that that night that I was giving CPR to that woman, I would after two minutes, I was worn out.

    Nicole: 24:05

    Oh, it's exhausting.

    Nicole K: 24:06

    It's exhausting. So if you're doing it, right, it's exhausting.

    Nicole: 24:08

    So it's really a core full body workout and that rate of 100 a minute and and that's another one that the first couple of compressions that you're going to do, you're going to hear some popping and snapping, but I would rather have potentially broken ribs and have my life back then, you know, to have my ribs and I'm being buried.

    Nicole K: 24:30

    Yeah. And I think especially where you'll you might run into broken ribs, if you do CPR is is people who are older, who maybe have osteoporosis and things like that. So I completely agree, but you know, we can even I'm in the shownotes put a link to how to do CPR correctly.

    Nicole: 24:47

    Yeah. Yep. If you don't have the ability to take a class then at least YouTube is a great resource to check out.

    Nicole K: 24:54

    Yeah, absolutely.

    Nicole: 24:55

    So I think another common misconception about CPR is you know, it's, it's only the elderly that go into cardiac arrest and it's not, you know, you're healthy, young, athletic people that have these cardiac events. But that's not really necessarily the case. And I know that you've got a couple good examples of that.

    Nicole K: 25:18

    Yeah. Well, you know, one of the other cases, just super quick that I had witnessed of a person going down was, it was actually in a marathon. And we were coming into the finish line, and this guy passed me and I'm in, he collapsed. And he was only 38 years old, and he was doing a marathon. So you know, somebody that was super healthy, but you know, luckily King County, Seattle medic, one was right there. And they did CPR on him. But, um, but I think, you know, an example of cases of younger people that have caught gotten a lot of media attention was, there was a case from March of 2018, in Grand Rapids, Michigan. So it was a college basketball game. And it was, there was this young up and coming. Pretty sure he was going to get signed to the NBA. It was Zeke Upshaw. And they were while they were playing basketball, he collapsed on the court. And he landed face first, or kind of like face down. And in people, they kind of noticed he was down, they ran over to him. And you couldn't really see this is all caught on video. If you go on YouTube, you can see it, it was all kind of video he was doing those gasping or agonal respirations. And I think that threw people off because those respirations were making his feet move. And in anyway, and it was a quite a bit of time had passed. And EMS kind of got to the scene, they were just kind of taking their time, because I don't think it was messaged them appropriately how sick he was. But apparently he was in cardiac arrest that entire time. And unfortunately, he didn't get CPR like he should have, he did not get shocked. And he ended up passing away, you know, from basically brain damage from not getting CPR. So that's one case that was in March of 2018. And I think since then some changes are coming down in the basketball world. But three months before that at the rivalry, it was like a rival South Carolina, North Carolina basketball game. One of the players had gone down on the field, or on the court. I keep saying field sorry, on the court. Sorry, I don't know my sports as well. But he had gone down on the court. And luckily they noticed him right away, got started. All his coaches had done CPR and EMS got there right away. They took over got him shocked. And he had a really good outcome. He woke up completely neurologically intact. And so you know, this doesn't just happen to people who are older, this can happen to even you know, people who are young, and that's why, you know, like a lot of sports arenas and stadiums are putting a AEDS, you know, into their stadiums. And I would say if you are listening to this, and you work at either an employer or a stadium a sports or you know, whatever that has an AED one of the other problems with AEDS is the batteries were out, right? So you just got to make sure you've got a good battery in it, and into testing every now and then, you know, on those AEDS So, you know, so again, that was just a story of young people who had almost the exact type of arrest with really different outcomes because one got bystander CPR and the other one did it.

    Nicole: 28:25

    And I guess I feel like I should just point out to that the intent of this episode is not really to scare anybody or make you think that the you know, person sitting next to them is just going to go into cardiac arrest or whatever.

    Nicole K: 28:40

    Not what usually happens. Yeah, no, no, no. In fact, it's there's only about the statistics are about 330,000 people in the United States have a cardiac arrest. I mean, there's 300 and 30 million people in the United States and although is about 330,000 have a cardiac arrest.

    Nicole: 28:58

    Yeah, so the odds of it really are minimal. But I think just the awareness and the preparedness and the willingness to perform bystander CPR is really the intent. So not to be scared, really just know when and how to assist somebody else that's in this situation,

    Nicole K: 29:17

    I would hundred percent agree with that.

    Nicole: 29:20

    Well, Nicole, I really appreciate you taking the time to share your stories and you know, your side of the world with the nursing expertise, and how can people follow you and get some more information from you?

    Nicole K: 29:31

    Yeah, so I'm on Facebook and Instagram. So on Instagram, I'm at Nicole Kupchik on Facebook, I have a like page under Nicole Kupchik consulting, and then I've got a YouTube show as well. And a lot of the stuff I post is geared toward health care providers. But if that's something that interests you, you're more than welcome to follow me. But I definitely post things that are mostly focused on the heart and the lungs in the brain for the most part. So...

    Nicole: 29:59

    Yeah, I know. I do. definitely enjoy watching your content. And even though I'm not really in the field anymore as much, I'm still learning a lot from your content. And it's really interesting. I'm kind of a AMP nerd, I guess. So...

    Nicole K: 30:11

    I love it. That's awesome.

    Nicole: 30:12

    Yeah. Well, Nicole, I really appreciate you taking the time to share with us today. Thank you so much.

    Nicole K: 30:17

    Of course. Yeah. Thanks for having me. And, again, don't be afraid go out there and save a life.

    Nicole: 30:22

    Absolutely. And for those of you listening, thank you so much for joining us for another episode of Backyard Bounty, and we'll see you again next week.

    Announcer: 30:31

    Thank you for listening to Backyard Bounty, a podcast by HeritageAcresMarket.com. Don't forget to subscribe and leave us a review. If you have a question you'd like us to answer on the show. please email us at "ask@HeritageAcresMarket.com". Also find us on Instagram, Facebook, and YouTube at Heritage Acres Market. All the links mentioned in this podcast will be included in the description. See you again next week!

    Edited by PodSugar Audio Production & Editing

    #backyardbountypodcast #heritageacresmarket

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