The Second Shift

Patrick LaRose

The Second Shift is a newsletter plus podcast for nurses who carry the weight of caring for 12 to 14 hours, then come home to begin a second shift. This is the shift no one sees, one that is equally important. I have lived this story. As a coach, I create space for nurses built on real, honest conversations: a plan that moves you from chaos to a life you feel alive inside of again. simplypaddy.substack.com

  1. 1d ago

    9:40 PM - The Cupcake Story: E#17

    It is 9:40 at night. You are standing at the stove after one of the worst shifts in a long time, baking cupcakes for your daughter’s class party tomorrow. You were short-staffed from the first hour. Lunch was a cracker from the nutrition pantry. As the batter goes into the pan, the questions pour in. Is there a way to pay my bills on a schedule that does not leave me baking at ten o’clock at night? Is there a version of my life where I actually get to be at that party? This episode stays at the stove with you. It names the thought most nurses never say out loud: I make a good living. Why do I feel like I have no control over my life? In this episode * The money guilt underneath the exhaustion, and why wanting a good salary does not make you less of a nurse * The story that keeps so many good nurses stuck, “It would not work anyway,” and why it feels responsible when it is really hopelessness * What nursing actually offers when you want to change your entire day without leaving the work you love * Why real change starts in the quiet, not with a five-year plan * The clarity question you ask at every shift report, turned toward your own life: What has changed for you? * Jess, a step-down nurse who could no longer recover on her days off, the sentence that changed everything for her, and the decision she reached by her third session * What the other side of change can look like: cupcakes on a Sunday afternoon, a paycheck with room for a family trip, and work and family that each have their own space Try this tonight Say out loud the thing you have been saying to yourself. Then ask one question: What has changed for me? No plan. No spreadsheet. One honest answer. Know a nurse standing at her own stove tonight?Copy the link to this episode. Text it to her with one line: I do not need a whole new life. I just need some relief. Ready for the next step?The Three-Pack Nurse Clarity Quick Start begins with the same conversation you heard in this episode. It is three 60-minute sessions that flex around your schedule. The Second Shift is a weekly podcast for nurses, by a nurse. Subscribe so you never miss an episode. Take the Next Step ☕ The Three-Pack Nurse Clarity Quick Start begins with the same conversation you heard in this episode. It is three 60-minute sessions that flex around your schedule. 🚪 The Break Room: Community. Your way in. Upgrade to paid for full access. Once a month, we gather live. There is no agenda and no toxic positivity. This is just real talk with nurses who understand where you are, led by a nurse who has spent many years standing there too. 💬 Join the conversation: leave a comment on this post. ☕ Upgrade to the paid tier. The paid tier is a space that provides you with resources and support as a premium member of The Second Shift. These resources include: * The Break Room, a monthly gathering space for nurses. * Interactive Nurse-Driven Workshops designed for nurses in transition and nurse managers, provided at no additional cost. * Nurse Resources - all part of your premium membership. * First to hear about gifted coaching opportunities. The Second Shift is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. About The Second Shift The Second Shift is a newsletter, podcast, and resource library for nurses in transition. For the nurse who has spent hours caring for others and carries that weight home to begin her second shift with her family. I work with nurses who can calm a family, catch a mistake, and carry the weight nobody else sees. Nursing changes you. I coach nurses through nursing, not out of it. If this message speaks to you and you are ready to explore your options, book a discovery call or DM me. I want to hear your story. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

    9:40 PM - The Cupcake Story: E#17
  2. Sep 20

    One Degree of Change: E#16

    The episode opens with a question that sits underneath the whole story: does change have to be dramatic to count? Two options are laid out, ones every nurse eventually faces. Option one is leaving today with no real plan. Option two is building a plan that lets you decide how you experience nursing. Most nurses would choose option two, not because it is safer, but because it makes room for a family, for financial obligations, for a life that has to keep running while the change happens. The story turns to Cynthia, a nurse on a tele-step-down unit at a large metropolitan hospital. She was getting older, feeling the twelve-hour shifts differently, and she knew something needed to shift. She just did not know what yet. Naming that uncertainty out loud was her actual first move. Through the work, she landed on teaching, then found out she needed an MSN to make it real. She enrolled right away. The coursework was never the hard part. The hard part was asking her manager for a schedule that could hold work, school, and family in the same week, a request Cynthia was not used to making for herself. Midway through her program, a new manager arrived and the schedule she had negotiated left with the old one. Cynthia moved into a clinic role with a steadier schedule inside three weeks. The plan did not survive intact. It bent, the way every real plan eventually has to. Today Cynthia is a nurse educator in a BSN pre-licensure program, and she has said it was the small changes, the ones that felt too minor to mention at the time, that actually got her there. Cynthia’s story reveals a shape underneath every real change: five moves, whether or not anyone ever names them. That method lives in the show notes for anyone who wants to see the full version. The episode closes on the same question it opened with. If money were not a factor, what would your life look like? Naming the rough shape of the answer is the whole first step. Three key points this episode illustrates * Change does not require a dramatic exit to count. Small, deliberate moves, compounded over time, carry more weight than one radical leap. * A real plan has to bend. Cynthia’s schedule fell apart under a new manager, and the plan survived only because it flexed around her actual life instead of demanding she follow it exactly. * Naming the want, even in its roughest form, is the actual starting point. Cynthia could not build a plan until she let herself say “teaching” out loud. Take the Next Step ☕ Schedule a Conversation, Nurse to Nurse: thirty minutes, real, honest, no fancy frameworks. Let’s talk about your version of Cynthia’s story. 🚪 The Break Room: Community. Your way in. Once a month, we gather live. There is no agenda and no toxic positivity. This is just real talk with nurses who understand where you are, led by a nurse who has spent many years standing there too. Jopin is September and get 50% off the paid annual upgrade. 💬 Join the conversation: leave a comment on this post. 🔔 Subscribe to The Second Shift for a new essay plus episode every week. ☕ Upgrade to the paid tier. The paid tier is a space that provides you with resources and support as a premium member of The Second Shift. These resources include: * The Break Room, a monthly gathering space for nurses. * Interactive Nurse-Driven Workshops designed for nurses in transition and nurse managers, provided at no additional cost. * Nurse Resources - all a part of your premium membership. * First to hear about gifted coaching opportunities. About The Second Shift The Second Shift is a newsletter, podcast, and resource library for nurses in transition. For the nurse who has spent hours caring for others and carries that weight home to begin her second shift with her family. I work with nurses who can calm a family, catch a mistake, and carry the weight nobody else sees. Nursing changes you. I coach nurses through nursing, not out of it. If this message speaks to you and you are ready to explore your options, book a discovery call or DM me. I want to hear your story. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com The Second Shift is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

  3. Sep 13

    How Do You Want to Experience Nursing Now? E15

    Leaving nursing can seem like the obvious answer when exhaustion, stress, schedule, and changing priorities begin to collide. But sometimes the problem is not nursing. Sometimes the problem is that the way nursing is being experienced no longer fits the person who has grown through years of doing it. A nursing career changes more than a résumé. Bedside practice, leadership, education, advanced practice, specialization, mentorship, advocacy, and countless difficult decisions shape how a nurse thinks, responds, leads, communicates, and solves problems. That experience does not disappear when the role changes. Yet a transition can make an experienced nurse question everything. A new position may feel unfamiliar. Expertise may no longer receive immediate recognition. The impact of the work may look different. The confidence that once came naturally can become harder to access. That discomfort can easily be mistaken for evidence of having made the wrong decision. The more useful question is often not, “What job comes next?” It is: What has changed? That question creates space to separate dissatisfaction with a role from dissatisfaction with nursing itself. It also creates room to recognize what still matters, what needs to change, and what valuable experience deserves to move forward. The initials RN do not tell the whole story. They do not capture the years of clinical judgment, leadership, problem-solving, teaching, advocacy, relationships, resilience, or wisdom accumulated along the way. A nurse is not starting over. A nurse is starting from experience. Perhaps the next question is not whether nursing should end. How do I want to experience nursing now? That question opens a different kind of conversation. One that considers career alongside family, time, identity, priorities, financial realities, and the person who exists beyond the job description. The work of The Second Shift begins in that space. Not coaching nurses out of nursing. Coaching nurses through nursing. A question to carry forward What has changed? Not just in the job. In the career.In life.In priorities.In identity.In the way work needs to fit. The answer may reveal that the next chapter is not about starting over at all. It may be about using everything already learned to create a way of working that fits the nurse who exists today. Join The Break Room The Break Room is a monthly gathering for nurses navigating the space between where nursing has been and where nursing might go next. A place for conversation, connection, and nurses asking many of the same questions. The next Break Room is October 9. Go deeper For nurses ready for focused support around what comes next, the Three-Pack Quick Start provides three 60-minute coaching sessions centered on creating clarity around the next chapter. The starting point is simple: What has changed? Only you can answer that question, but I am here if you want to say it out loud to someone. What are people saying about The Second Shift? Take the Next Step ☕ Schedule a Conversation, Nurse to Nurse: thirty minutes, real, honest, no fancy frameworks. 🚪 The Break Room: Community. Your way in. Once a month, we gather live. There is no agenda and no toxic positivity. This is just real talk with nurses who understand where you are, led by a nurse who has spent many years standing there too. 💬 Join the conversation: leave a comment on this post. 🔔 Subscribe to The Second Shift for a new essay plus episode every week. ☕ Upgrade to the paid tier. The paid tier is a space that provides you with resources and support as a premium member of The Second Shift. These resources include: * The Break Room, a monthly gathering space for nurses. * Meditation Series Designed For You! * Interactive Nurse-Driven Workshops designed for nurses in transition and nurse managers, provided at no additional cost. * Nurse Resources - all a part of your premium membership. * First to hear about gifted coaching opportunities. About The Second Shift The Second Shift is a newsletter, podcast, and resource library for nurses in transition. For the nurse who has spent hours caring for others and carries that weight home to begin her second shift with her family. I work with nurses who can calm a family, catch a mistake, and carry the weight nobody else sees. Nursing changes you. I coach nurses through nursing, not out of it. If this message speaks to you and you are ready to explore your options, book a discovery call or DM me. I want to hear your story. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

  4. Sep 6

    Navigating Identity, Health, and Retirement Beyond the Bedside: E14

    Show Notes In this episode of The Second Shift, I sat down with Bill Hennessy, creator of the Ignite Retirement Substack. Together, we explored the complex emotional, physical, and financial transitions that healthcare professionals, especially nurses, face as they approach retirement. Here are the key takeaways from our conversation: Redefining Identity Beyond the Job Title For so many of us in healthcare, our work isn’t just a job; it’s a core piece of who we are. Bill and I talked about the deep challenge of stepping away from the bedside and putting down the professional label. Bill made a point that really stuck with me: your worth is never tied strictly to a career title. We discussed how critical it is to recognize your intrinsic value, navigate the identity shift that happens when leaving a lifelong calling, and give yourself permission to step into a new season of life. “You’re not valuable because you’re a nurse. You’re a nurse because you’re valuable.” (Bill Hennessy) Updating the Retirement Dream & Pacing Physical Demands We often set our retirement goals back in our 30s or 40s, but those dreams don’t always align with our physical realities in our 50s, 60s, or 70s. Bedside nursing takes a heavy physical toll, and Bill and I agreed that we have to let our dreams adapt alongside our bodies. Instead of pushing through injury or ignoring what our bodies are telling us, we talked about the importance of pausing, assessing our physical health, and leveraging our transferable skills to transition into more sustainable roles. “We need realistic dreams for how we feel today... give ourselves permission to be different people than we were when we were 30 and 40.” (Bill Hennessy) Aligning Your Health Charter with Your Financial Plan When it comes to retirement anxiety, money is usually at the top of the list, but Bill shared why generic target numbers from financial advisors often miss the mark. He walked through practical steps for tracking real spending, cutting unnecessary expenses, and making intentional adjustments well before leaving the workplace. I also shared why having a personalized “health charter” is just as vital as a financial plan, focusing on stress management, mobility, and preventive care so we can actually enjoy our retirement years. “Just like we have a money plan, we need to have a health plan.” (Patrick LaRose) Take the Next Step ☕ Schedule a Conversation, Nurse to Nurse: thirty minutes, real, honest, no fancy frameworks. 🚪 The Break Room: Community. Your way in. Once a month, we gather live. There is no agenda and no toxic positivity. This is just real talk with nurses who understand where you are, led by a nurse who has spent many years standing there too. 💬 Join the conversation: leave a comment on this post. 🔔 Subscribe to The Second Shift for a new essay plus episode every week. ☕ Upgrade to the paid tier. The paid tier is a space that provides you with resources and support as a premium member of The Second Shift. These resources include: * The Break Room, a monthly gathering space for nurses. * Interactive Nurse-Driven Workshops designed for nurses in transition and nurse managers, provided at no additional cost. * Nurse Resources - all part of your premium membership. * First to hear about gifted coaching opportunities. Connect with Bill Hennessey's writing and his podcast at Ignite Retirement. Bill is the Retirement Igniter. Learn more about his work with people over 50 who are trading their career label for a life of purpose, clarity, and lasting impact. About The Second Shift The Second Shift is a newsletter plus podcast for nurses who carry the weight of caring for 12 to 14 hours, then come home to begin a second shift - this one is for their families. This is the shift no one sees, one that is equally important. As a nurse, this is my story as well. As a coach, I create space for nurses built on real, honest conversations: a plan that moves you from chaos to a life you feel alive inside of again. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com We learned something new today, and that, my friends, is exciting 🥳. Thank you for being a valued subscriber and listener. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

  5. Aug 30

    The Human Inside The Nurse: E13

    Show Notes: Reclaim Your Health, Your Happiness, Your Joy What this episode is about This one steps away from the usual ground of career, burnout, moral injury. It turns toward the person living inside the nursing role. The whole episode rests on a single premise: you are a human being first, a nurse second, deserving of the same attention you hand out all day to everybody else. Who inspires you The episode opens with a question meant to be sat with, not answered quickly. Not who inspired you today. Not who inspired you yesterday. Who inspires you now, in an ongoing way. The reflection moves through a chief nursing officer who modeled transformational leadership, floor nurses whose practice set a standard, then a more recent influence who prompted a whole change of direction into coaching, Substack, this podcast. Your version of that question: who makes you a better human inside the frame of the nursing job you hold? The human being inside the role Nurses define themselves by the caring. Hospital, long-term care, home health, wherever the work happens, the role tends to swallow the person. This segment asks you to look past it. How is your health? Your blood pressure? Your cholesterol? Your cortisol? Those questions land uncomfortably for a reason. Nurses give everything to everybody around them, rarely to themselves. That gap shows up in diet, in physical activity, in the twelve, thirteen, fourteen-hour shifts spent running nonstop that do nothing for cardiovascular health. There is a light moment here worth keeping. Stand up, say out loud, “I’m a nurse, I’m stubborn.” Resilience, stubbornness, both true. Naming it clears the way for honest reflection. One degree of change The central idea of the episode. Transition in your life does not have to be dramatic. One degree of change, compounded across a year, leaves you somewhere entirely different. That works in both directions, which is the warning inside the encouragement. Ignore what is happening in your life, focus only on the work, the bills, the lunches, the kids, a year still passes. The challenge posed to you: define one degree of change. A health goal. A relationship goal. A personal fulfillment goal. Your choice. Stories from the coaching room The remote nurse. She had worked remotely through COVID, stayed remote afterward, felt terrible at the end of every day. Her words: brain warped, body having done nothing. She named what she wanted: better core strength, more movement. Her one degree of change arrived in pieces. First a sit-stand desk. A couple weeks later, an under-desk walking treadmill. Then goals for how often she would use both. By the end of the coaching sessions, she had lost weight, built core strength, gained better control of her hypertension, and found a way to metabolize the stress of the day. The nurse who quit soda. One decision, no more soda. It sounds almost too small to matter. It is harder than it sounds. That single change changed everything for her. The nurse who called it mumbo jumbo. High-caliber, highly responsible role, blood pressure well managed, stress still enormous. Asked what breath work, what meditation she used during stressful moments, she looked straight into the camera: none of it; it is a bunch of mumbo jumbo. Her one degree of change became five minutes of breath work between encounters. Supply room, linen closet, at her desk, anywhere. Deep in, slowly out. Five minutes of mindfulness can turn a whole day. Do not ignore the warning signs A frank stretch of the episode. Fatigue. Blood pressure climbing. Type 2 diabetes. Nurses carry a third sense about their own bodies, the self-assessment nobody else can run. Ignoring the result is easy. Moving on is easier. The ask here is direct: today is the day to commit to the change you already know you need. Plans worth looking forward to Health is one piece. Life is the other. What are your plans for the next thirty days, three months, six months, a year? The story offered here comes from single fatherhood: kids need something to look forward to, a flight to visit cousins, a trip to Disney World, a day at Six Flags, a family gathering. Adults need the same thing. This is also where the show’s name gets explained. After you clock out, your second shift starts. The days blur. On the rare day off, when nobody calls at four in the morning to cover a shift, you want the couch, the bathrobe, the coffee, the iPad, nobody bothering you. That is understandable. It is also not a plan. Nobody gets to steal your joy The anchor story of the episode. Thirty years ago, a nurse author, known for speaking about joy, kept a small hand puppet on the podium during her lectures. She said one thing that has framed a career, a fatherhood, a life since: never let any situation, any person, steal joy from your day. Plenty of things will try. The invitation is to make a plan for joy the way you would make a plan for anything else that matters. In this house, that looks like the podcast itself, connection with nurses who need help, fulfillment that runs both directions. It looks like a camper van pointed toward a daughter in Minnesota, a mother in Ohio, dear friends in Michigan. It looks like the coach who travels in an airstream with her husband, two dogs, coaching from the road, sharing her joy publicly. Whichever nurse you are today, the one who strips down in the garage after a fourteen-hour shift then stands staring into the refrigerator wondering why she opened it, the academic who gave everything to the next generation of nurses then came home to a second shift with no joy in it, the message holds. You deserve joy. Make a plan for it. The closing invitation Your inner knowing, your wisdom, your resilience are real. Sometimes a partner still helps. Somebody who will call you on your b******t. Somebody who holds a space where you can say out loud what you have never said before. Somebody without judgment, letting you be you. That is what coaching is for here. Reclaim your health. Reclaim your happiness. Most of all, reclaim your joy. Reflection questions from this episode * Who inspires you? Not today, not yesterday. Who inspires you? * When did you last look honestly at your health as a human being rather than as a nurse? * What would one degree of change look like in your life right now? * What plans do you have, outside health, outside work, that you actually look forward to? * If you have none, why not? What is happening on Substack * Meditation series launches September 1, for paid subscribers. Three sessions on launch day at 10 Central, 11 Central, 12 noon Central. A new meditation video drops every week after that. * Two gifted coaching sessions in September for upgraded paid subscribers. * The Break Room meets September 11, the monthly live gathering for paid subscribers. The first one drew nurses talking honestly about their lives, some already on the other side of a change, some still naming what they want. The link is available on request. Take the Next Step Each step is defined. ☕ Schedule a Conversation, Nurse to Nurse: thirty minutes, real, honest, no fancy frameworks. 🚪 The Break Room: Community. Your way in. Once a month, we gather live. There is no agenda and no toxic positivity. This is just real talk with nurses who understand where you are, led by a nurse who has spent many years standing there too. 💬 Join the conversation: leave a comment on this post. 🔔 Subscribe to The Second Shift for a new essay plus episode every week. ☕ Upgrade to the paid tier. The paid tier is a space that provides you with resources and support as a premium member of The Second Shift. These resources include: * The Break Room, a monthly gathering space for nurses. * Interactive Nurse-Driven Workshops designed for nurses in transition and nurse managers, provided at no additional cost. * Nurse Resources - all a part of your premium membership. * First to hear about gifted coaching opportunities. Something new and exciting: About The Second Shift The Second Shift is a newsletter plus podcast for nurses who carry the weight of caring for 12 to 14 hours, then come home to begin a second shift - this one is for their families. This is the shift no one sees, one that is equally important. As a nurse, this is my story as well. As a coach, I create space for nurses built on real, honest conversations: a plan that moves you from chaos to a life you feel alive inside of again. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com The Second Shift is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

  6. Aug 23

    What If You Don't Trust Yourself Anymore? E12

    Show Notes A nurse can run a code, catch a bad order, learn new equipment overnight, walk into a falling-apart room, find the next right move before anyone asks twice. That same nurse can sit in her own driveway with a decision about her own life and go completely blank. This episode looks at why that happens. At work there is a protocol, a physician order, a policy, a chain of command, a second set of eyes on anything that matters. Personal life hands over no such framework. It hands over a blank line, with only one person able to fill it in. The question at the center of the episode: what happened that made a nurse stop trusting her own judgment in her own life, when that judgment is trusted with patients every single shift? What This Episode Covers * Why a decision at work feels anchored, while a decision about a life feels like free fall * The blank line no protocol fills in, plus the small honest answer that starts it * Gratitude for a job versus indecision about a job, two very different things * A body that never clocks out: light sleep, phone checked before the eyes open, triage running during a child’s birthday party * Two words worth retiring: stuck, burnout * What sits underneath: fear, exhaustion, identity, the question of who a nurse is away from the bedside * A real story from the emergency department, one sentence said out loud, ten minutes in a car, eight months of change * Why a lapse is information rather than failure * The SHIFT approach, built on the nursing process, with the nurse at the center * Clarity as a product of momentum rather than certainty * One degree of change, compounded across a year Lines From This Episode “I love my patients. I do not love what this job has become.” “Being the one everybody can count on was never really supposed to mean you stopped counting on yourself.” “Clarity comes from momentum.” “Gratitude and staying with indecision are not the same thing.” Two Places To Begin The Break Room. A monthly gathering where nurses talk with other nurses about change, some already on the other side of it, some just beginning to ask what else is out there. Next gathering: September 11. Access comes with a subscription to The Second Shift. Book a call. Thirty minutes, nurse to nurse, no obligation, no expectation. Just a conversation about where things are now, plus where they could go. More Links * lifenursecoach.com * Free guide for nurses Share This Episode Copy the link. Text it to a nurse who needs to hear it today. Do it now, before it slips. Take the Next Step ☕ Schedule a Conversation, Nurse to Nurse: thirty minutes, real, honest, no fancy frameworks. 🚪 The Break Room: Community. Your way in. Once a month, we gather live. There is no agenda and no toxic positivity. This is just real talk with nurses who understand where you are, led by a nurse who has spent many years standing there too. 💬 Join the conversation: leave a comment on this post. 🔔 Subscribe to The Second Shift for a new essay plus episode every week. ☕ Upgrade to the paid tier. The paid tier is a space that provides you with resources and support as a premium member of The Second Shift. These resources include: * The Break Room, a monthly gathering space for nurses. * Interactive Nurse-Driven Workshops designed for nurses in transition and nurse managers, provided at no additional cost. * Nurse Resources - all a part of your premium membership. * First to hear about gifted coaching opportunities. The Second Shift is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. About The Second Shift The Second Shift is a newsletter plus podcast for nurses who carry the weight of caring for 12 to 14 hours, then come home to begin a second shift - this one is for their families. This is the shift no one sees, one that is equally important. As a nurse, this is my story as well. As a coach, I create space for nurses built on real, honest conversations: a plan that moves you from chaos to a life you feel alive inside of again. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

    What If You Don't Trust Yourself Anymore? E12
  7. Aug 16

    Pull the Damn Alarm: E11

    The Second Shift - Show Notes Episode Overview The episode opens at 7:15 a.m. in the ICU, with a red light flashing in room eight during a routine fire drill. What follows is a thirty-second hesitation before pulling the alarm, despite already knowing exactly what needs to happen. That pause becomes the frame for the episode’s central theme: permission. The discussion covers why so many nurses wait for permission that was never really anyone else’s to give, whether the decision is leaving the bedside, saying no to a shift, or telling a manager the truth about the workload. Nurses.org data on bedside burnout and a client story mirror that same hesitation, landing on the episode’s core line: the only signature required on a permission form belongs to the person holding the pen. Key Takeaways * The hesitation before a hard decision often is not about ability or a plan. It is about waiting for someone else’s permission. * 43% of nurses report wanting to leave the bedside within the next year, and 41% stay only for the paycheck (Nurses.org). * Permission is not handed over. It gets taken back one decision at a time. * Feeling unmoved even when life looks right on paper is not ingratitude. It is information. * Certainty is not a prerequisite for moving forward. Certainty comes with movement. Questions to Sit With * Whose voice is actually being waited on to say it is okay? * What decision has been sitting unresolved for six months, two years, or longer? * What would change this week if the wait for that voice simply stopped? Notable Moment Standing in front of the fire alarm panel during a monthly fire drill, running through a checklist, a charge nurse simply gives the instruction to pull it. No permission slip gets requested. The permission assumed to be necessary was never anyone else’s to give. Share This Episode For anyone this episode names something for, sharing it with a nurse who needs to hear it is encouraged. New episodes of The Second Shift publish weekly. Comments and topic requests are welcome. Resources Mentioned * The Break Room: monthly community gathering for nurses. Subscribe on Substack for access. * Bedside and Beyond Guide: resume support and 4 AI prompts to help you translate your skills and get past AI screening. * Book a 1:1 call with Patrick. Connect Patrick LaRose, DNP, MSN/Ed, RN, NC-BCThe Second Shift on Substack - Once a nurse, always a nurse. Stay strong. Take the Next Step ☕ Schedule a Conversation, Nurse to Nurse: thirty minutes, real, honest, no fancy frameworks. Book here 🔔 The companion podcast: 💬 Join the conversation: leave a comment on this post. 🔔 Subscribe to The Second Shift for a new essay plus episode every week. About The Second Shift The Second Shift is a newsletter plus podcast for nurses who carry the weight of caring for 12 to 14 hours, then come home to begin a second shift. This is the shift no one sees, one that is equally important. I have lived this story. As a coach, I create space for nurses built on real, honest conversations: a plan that moves you from chaos to a life you feel alive inside of again. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com The Second Shift is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

    Pull the Damn Alarm: E11
  8. Aug 9

    Before The Straw Breaks E10

    It’s 6:30 AM. No hospital call. No rush to get kids out the door. Just quiet. This is what life looks like on the other side of a decision. In this episode Patrick asks the question most nurses avoid. What is stopping you from defining a future that looks like this? Are you seeking permission? Are you afraid to change? Nursing today is overworked, short-staffed, stretched past capacity. Nurses keep showing up anyway. Patrick unpacks why, using real conversations with nurses who feel stuck, who are waiting for a breaking point (a pandemic, a shift too far) to give themselves permission to change. Through two case studies, Joan (a veteran bedside nurse facing another ownership change) and Tomeka (a new graduate questioning if this pace is sustainable), Patrick makes the case for a different measuring stick. Not a crisis. Your health. Your time. Your own limit. In This Episode * Why “another pandemic” should not be anyone’s breaking point * Joan’s story: reading the difference between a CNO-led and CFO-led hospital, and what to do when your limits are reached after years at one hospital * Tomeka’s story: the whiplash from nursing student to RN, and why new grad burnout is common, not personal * Your skills have market value, even if you have not job searched in years * Why leaving the bedside is not the only path, and why staying does not mean losing your voice Resources Mentioned * The Break Room: monthly community gathering for nurses, first session August 14th. Subscribe on Substack for access. * Bedside and Beyond Guide: resume support and 4 AI prompts to help you translate your skills and get past AI screening. * Book a 1:1 call with Patrick. Connect Patrick LaRose, DNP, MSN/Ed, RN, NC-BCThe Second Shift on Substack - Once a nurse, always a nurse. Stay strong. Take the Next Step ☕ Schedule a Conversation, Nurse to Nurse: thirty minutes, real, honest, no fancy frameworks. Book here 🔔 The companion podcast: 💬 Join the conversation: leave a comment on this post. 🔔 Subscribe to The Second Shift for a new essay plus episode every week. About The Second Shift The Second Shift is a newsletter plus podcast for nurses who carry the weight of caring for 12 to 14 hours, then come home to begin a second shift. This is the shift no one sees, one that is equally important. I have lived this story. As a coach, I create space for nurses built on real, honest conversations: a plan that moves you from chaos to a life you feel alive inside of again. Patrick LaRose, DNP, MSN/Ed., RN, NC-BC Board-Certified Coach | Life Coach lifenursecoach.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit simplypaddy.substack.com/subscribe

    Before The Straw Breaks E10

About

The Second Shift is a newsletter plus podcast for nurses who carry the weight of caring for 12 to 14 hours, then come home to begin a second shift. This is the shift no one sees, one that is equally important. I have lived this story. As a coach, I create space for nurses built on real, honest conversations: a plan that moves you from chaos to a life you feel alive inside of again. simplypaddy.substack.com