What do a long term care facility and a fire house have in common? A lot actually. Dirty jobs, life and death, dark moments and light yet the firefighters culture thrives with little burnout and low attrition. Why is that? Firefighters create a supportive and celebratory culture that acknowledges the heartache (death around the corner) while celebrating joy. Long term care workers are confronted with their mortality every day but have little support to help them relieve fear, grief and sadness. When they are burned out they leave.