When the decisions you make each day are literally the difference between life or death for a stranger, a bad day at work takes on a whole new meaning. Imagine carrying that weight into an Emergency Department at one of the biggest cities in America, where anything can (and does) happen without any warning. As a critical care nurse in the Stanford Emergency Department, Sara Marrello knows this scene all too well, and has learned to operate effectively amidst the chaos - she was named Nurse of the Year in 2019 - while making sure others on the team doesn't skip a beat. Alongside her both in the ER and also on this episode, Dr Al'ai Alvarez - Assistant Residency Program Director (APD) at Stanford - shares his insights on how he develops those same skills in young doctors, in ways that can be applied across any teams that have to deal with high stakes consequences.