SlideShare a Scribd company logo
1 of 12
Download to read offline
http://printyourtweets.com/tweets.html



          rnchat:           Signing into http://www.tweetgrid.com to participate in today's RNchat >> use hashtag &
                            search for #RNchat
                            4/16/2010 11:26


          philbaumann:      Interested in nursing?: Jump into #RNchat - in 15mins 12p EST. Use http://tweetchat or
                            http:/tweetgrid.com
                            4/16/2010 11:45


          rnchat:           Wouldn't you know...of all days for my computer to run terribly S-L-O-W -its @EllenRichter
                            moderating today's #RNchat
                            4/16/2010 12:00


          rnchat:           Hello & welcome to the TGIF edition of #RNchat, a Twitter chat for any health care folks & of
                            course for RNs! We need a place to share ideas
                            4/16/2010 12:01


          holisticnurses:   RT @rnchat: 3 minutes to #RNchat a 12 noon EST! Thanks to @philbaumann &
                            @Trybarefoot for the reminder tweet :)
                            4/16/2010 12:02


          tactile:          @RNchat @tactile here. Med Surg RN in Denver, Colorado #RNchat
                            4/16/2010 12:02


          rnchat:           #RNchat is a way for nurses to meet, tweet & share feelings, thoughts, ideas. BTW, we
                            welcome silent lurkers too if you are shy! :)
                            4/16/2010 12:03


          holisticnurses:   Hi #RNChat @EllenRichter and everyone here today! Telehealth/Holistic Nurse in NYC.
                            #rnchat
                            4/16/2010 12:03


          rnchat:           You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter
                            search page. Use hashtag #RNchat & follow along!
                            4/16/2010 12:03


          HeatheratCAP:     RT @rnchat: #RNchat is a way for nurses to meet, tweet & share feelings, thoughts, ideas.
                            BTW, we welcome silent lurkers too if you are shy! :)
                            4/16/2010 12:04


          nursingpins:      Hey all - Vernon, critical care in New Orleans #RNchat
                            4/16/2010 12:05


          rnchat:           Lets begin the hour by seeing who is joining in. Introduce yourselves & tell us in 140 or less
                            what brings you to #RNchat today
                            4/16/2010 12:05


          rnchat:           I am @EllenRichter filling in for @PhilBaumann as moderator. I'm a critical care nurse &
                            legal nurse consultant in Florida :) HI! #RNchat
                            4/16/2010 12:06


          HeatheratCAP:     Hi #RNChat @EllenRichter @holisticnurses and everyone else here. I am in Sarasota, FL.
                            What is today's topic?
                            4/16/2010 12:06


          rnchat:           @holisticnurses @HeatheratCAP @nursingpins @tactile welcome! :) #RNchat
                            4/16/2010 12:07




1 of 12                                                                                                                 4/17/10 4:04 PM
http://printyourtweets.com/tweets.html



          HeatheratCAP:     #RNChat, I tweet for #Voalte, a communication solution for nurses and clinicians.
                            4/16/2010 12:07


          rnchat:           The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag
                            #RNchat to ea tweet so we can track your responses!
                            4/16/2010 12:08


          rnchat:           T1 Health care professionals experience a level of grief when endearing patients die. How
                            can our workplaces help us deal w/ this? #RNchat
                            4/16/2010 12:09


          philbaumann:      Thank you @EllenRichter for leading today's #RNchat!
                            4/16/2010 12:11


          tactile:          T1 #RNchat If a nurse has an actively dying pt, on a regular floor, other staff should help
                            pass meds, do cares, to allow focus on pt &fam.
                            4/16/2010 12:11


          holisticnurses:   T1 Grief support and education courses. We need a forum to talk about these issues. It's not
                            natural to have to just 'move on'. #rnchat
                            4/16/2010 12:12


          tactile:          T1 #Rnchat After a death, expected or not, time should be made for the pt's nurse to mourn
                            w/family, speak to chaplain, have alone time.
                            4/16/2010 12:12


          rnchat:           T1 @tactile Yes, so the nurse caring for a dying patient needs support with the rest of her
                            assignment. Dying patients need care #RNchat
                            4/16/2010 12:13


          holisticnurses:   @tactile Agreed. Nurse should have more time with family. As a Hospice Nurse I had the
                            opp. to speak w/ the chaplain as needed. #rnchat
                            4/16/2010 12:13


          tactile:          T1 #Rnchat If the pt's death involved prolonged resuscitation, or trauma, then the nurse may
                            need longer to recover. EAP can help.
                            4/16/2010 12:13


          rnchat:           @holisticnurses T1 Its so true. People believe health care professionals just dust off and
                            move on, but we carry this grief inside #RNchat
                            4/16/2010 12:14


          Trybarefoot:      Am 'listening' quietly today to #RNchat - not a topic I can contribute to - but interested all the
                            same!
                            4/16/2010 12:15


          rnchat:           @tactile T1 I'll bet most nurses dont realize EAP can help deal with grief in the workplace
                            #RNchat
                            4/16/2010 12:16


          ONSmark:          T1 Staff retreats w/ grief counselors like the one for oncology nurses summarized at
                            http://bit.ly/9I3YPm #rnchat
                            4/16/2010 12:16




2 of 12                                                                                                                 4/17/10 4:04 PM
http://printyourtweets.com/tweets.html



          nursingpins:      T1 There needs to be Grief Policies to make sure the option is available - agree @tactile re:
                            (time should be made) #RNchat
                            4/16/2010 12:17


          rnchat:           @holisticnurses T1 Yes, I have always loved & supported the hospice principles, which
                            address everyone involved in the dying process #RNchat
                            4/16/2010 12:17


          holisticnurses:   Depending on healthcare setting..."optional" meetings to share thoughts, grief counselor
                            onsite, narrative exercises, meditation. #rnchat
                            4/16/2010 12:18


          VNHC:             T1 We host two annual remembrance services in Spring & Winter which many of our nurses
                            find helpful and can support families #RNChat #RNchat
                            4/16/2010 12:18


          holisticnurses:   We should use it more! RT @rnchat: @tactile T1 Ill bet most nurses dont realize EAP can
                            help deal with grief in the workplace #rnchat
                            4/16/2010 12:18


          rnchat:           T1 I have never been given the opportunity to deal with grief from a loss at the workplace. It
                            would have helped so many times #RNchat
                            4/16/2010 12:18


          holisticnurses:   T1 @RNChat Critical Care was always the toughest for me in regards to that. Some very
                            diff. code situations but no break to process. #rnchat
                            4/16/2010 12:20


          rnchat:           T1 Has any nurse here today participated in grief counselling sessions at their workplace?
                            Did it help? Was it effective? #RNchat
                            4/16/2010 12:20


          VNHC:             T1 we also partner with a local mental health org to offer free assistance/counseling to
                            nurses dealing w/ grief - look for similar #RNchat
                            4/16/2010 12:21


          nursingpins:      T1 Grief time will probably have to be mandated - hospitals will not give up "unproductive
                            time" without a fight #RNchat
                            4/16/2010 12:21


          tactile:          @nursingpins T1 Every hospital I have worked, we made extra time to cover for that nurse
                            and allow her time to deal with her grief. #RNchat
                            4/16/2010 12:22


          holisticnurses:   @rnchat T1 Never formally offered grief support counseling. If I wanted it, had to seek it out
                            myself, besides EAP. #rnchat
                            4/16/2010 12:23


          rnchat:           @holisticnurses T1 Yes, in critical care many deaths are drawn out & emotional for pts,
                            families & STAFF! We all need soothing after #RNchat
                            4/16/2010 12:23


          rnchat:           @officiallycoble Welcome! :) #RNchat
                            4/16/2010 12:24


          VNHC:             T1 See the amazing Sesame Street special Wed. night? Something similar for RNs would



3 of 12                                                                                                                4/17/10 4:04 PM
http://printyourtweets.com/tweets.html


                            be helpful. http://www.sesameworkshop.org/grief #RNchat
                            4/16/2010 12:25


          rnchat:           @nursingpins T1 Sad to think that "time for staff to grieve" could be considered
                            "unproductive time"! :( #RNchat
                            4/16/2010 12:25


          tactile:          @rnchat T1 my hospital offers regular grief workshops, and quarterly masses to remember
                            our patients. #RNchat
                            4/16/2010 12:25


          holisticnurses:   T1 Not sure nursing school focused much on grief either. Remember Hospice rotation in
                            Comm. Health, but little about nurses' loss. #rnchat
                            4/16/2010 12:25


          nursingpins:      T1 Nur at one time counted on each other for emotional support -but now you may not see
                            the same nur for days #RNchat (Is a problem) #RNchat
                            4/16/2010 12:26


          rnchat:           @ONSmark @VNHC Thank you both for the links! :) #RNchat
                            4/16/2010 12:26


          VNHC:             T1 Good point @holisticnurses - perhaps this is an issue that isn't adequately addressed at
                            the academic level. #RNchat
                            4/16/2010 12:27


          rnchat:           T2 is along the same lines, folks :) #RNchat
                            4/16/2010 12:27


          tactile:          T1 #RNchat @nursingpins this is a big part of where hospital culture comes into play. My
                            hospital automatically shifts to allow grief time.
                            4/16/2010 12:27


          HeatheratCAP:     Sorry I don't have anything to contribute to this topic, but your comments are very
                            interesting. #RNChat
                            4/16/2010 12:27


          nursingpins:      T1 We fight for lunch breaks - grief time will not go over well with hospitals #RNchat
                            4/16/2010 12:27


          holisticnurses:   T1 That's why I support AHNA (Holistic Nurses Assoc) principles because such emphasis
                            on self-care in nursing. #rnchat
                            4/16/2010 12:28


          rnchat:           T3 Does the current educational system prepare new health care professionals to effectively
                            manage grief at the workplace? #RNchat
                            4/16/2010 12:28


          rnchat:           #RNchat
                            4/16/2010 12:28


          rnchat:           LOL well, that was supposed to be T2 :) #RNchat
                            4/16/2010 12:28




4 of 12                                                                                                              4/17/10 4:04 PM
http://printyourtweets.com/tweets.html



          rnchat:           T2 Does the current educational system prepare new health care professionals to effectively
                            manage grief at the workplace? #RNchat
                            4/16/2010 12:29


          tactile:          @nursingpins #RNchat T1 We must work in very different environments. When there is an
                            impending death on a floor, we do everything we can
                            4/16/2010 12:29


          rnchat:           @nursingpins T1 Would you come to work on your own time to attend a paid grief
                            counselling session if you needed it? #RNchat
                            4/16/2010 12:30


          tactile:          T2 #RNchat No. I took an elective death &dying class, and take educational opportunities
                            offered, but there was little training.
                            4/16/2010 12:30


          VNHC:             T1 is this a potential Medicare mandate issue? Can local/fed gov. force hospitals or other
                            health orgs to offer grief services? #RNchat
                            4/16/2010 12:30


          holisticnurses:   T2 So much to cover in nursing school but would help to have more preparation on nurses'
                            experience of death. Need more storytelling #rnchat
                            4/16/2010 12:31


          rnchat:           @tactile T1 Based on your tweets, you should consider yourself lucky to work in facilities
                            that provide good nursing support!! :) #RNchat
                            4/16/2010 12:31


          tactile:          T2 #RNchat More training on death & dying needs to occur. Now, it's just a blurb at the end
                            of a chapter. "unfortunately, sometime ppl die."
                            4/16/2010 12:32


          rnchat:           @holisticnurses T2 Most everyone has experienced some loss in their life. That can be
                            applied in nursing school to learn how to cope #RNchat
                            4/16/2010 12:32


          holisticnurses:   @tactile Very true! The writers must have had difficulty with grief too. #rnchat
                            4/16/2010 12:32


          VNHC:             T2 Storytelling - YES! But how? There are resources available like nurseconnect.com and
                            others but are they being utilized? #RNchat
                            4/16/2010 12:33


          tactile:          @rnchat T1 #RNchat I love my hospital, my manager, my coworkers. I am very lucky, but as
                            you know, I sacrifice a lot to keep my job.
                            4/16/2010 12:34


          holisticnurses:   @rnchat T2 Agreed! An opp. to share personal experience is important and instantly
                            relatable. #rnchat
                            4/16/2010 12:34


          rnchat:           @tactile T2 Great point about death just being a blurb @ end of each chapter! Its a topic
                            needing a chapter all to itself, actually! #RNchat
                            4/16/2010 12:34


          VNHC:             T2 What's the standard/infrastructure for connecting with other nurses on a personal level?



5 of 12                                                                                                              4/17/10 4:04 PM
http://printyourtweets.com/tweets.html


                            #RNchat
                            4/16/2010 12:35


          holisticnurses:   In nursing school, working nurses need to come in to share their experiences. RT @VNHC:
                            T2 Storytelling - YES! But how? #rnchat
                            4/16/2010 12:35


          ONSmark:          T2 Some nursing schools use simulations like "Simulated Death: Innovative Approach to
                            Teaching EOL Care" http://bit.ly/aqUyGW #rnchat
                            4/16/2010 12:36


          rnchat:           T2 I wish there were Hospice experiences when I was a student nurse. We never dealt with
                            death unless it happened to occur on a ward #RNchat
                            4/16/2010 12:36


          tactile:          @rnchat T2 Or a class in itself. I had to seek out an elective class, and felt it helped.
                            #RNchat
                            4/16/2010 12:36


          VNHC:             T2 I also see age and aversion to technology (i.e. social media) being issues. Many in our
                            org don't even like to use email! #RNchat
                            4/16/2010 12:37


          ONSmark:          @VNHC "don't even like to use email!" -- wow!!! #rnchat
                            4/16/2010 12:37


          holisticnurses:   T2 Maybe a nurse should write a textbook solely on the topic of dying and grief in the
                            workplace. Perhaps there is one out there? #rnchat
                            4/16/2010 12:38


          rnchat:           @ONSmark T2 Wonderful link! I bet simulated death could surely help nurses learn to cope
                            with grief better #RNchat
                            4/16/2010 12:39


          holisticnurses:   RT @ONSmark: T2 Some nursing schools use "Simulated Death: Innovative Approach to
                            Teaching EOL Care" http://bit.ly/aqUyGW #rnchat
                            4/16/2010 12:40


          rnchat:           @holisticnurses T2 Perhaps this could be your next project? We could all be contributors! :)
                            #RNchat
                            4/16/2010 12:40


          VNHC:             T2 it seems if there was some mandate built into the Medicare reporting/reimbursement
                            process, part of hire orientation, could help. #RNchat
                            4/16/2010 12:40


          holisticnurses:   Yes, I would enjoy that! :) RT @rnchat: @holisticnurses T2 Perhaps this could be your next
                            project? We could all be contributors! #rnchat
                            4/16/2010 12:41


          VNHC:             T2 at least it could provide an intro to the topic and provide forum for discussing resources
                            (internal/external) available. #RNchat
                            4/16/2010 12:41


          rnchat:           @ONSmark T2 Are you joking? We love the links! Don't hold back if they have relevance!
                            And...thanks! :) #RNchat
                            4/16/2010 12:42




6 of 12                                                                                                                 4/17/10 4:04 PM
http://printyourtweets.com/tweets.html



          holisticnurses:     Yes! Love this! RT @ONSmark One last link: "Peer-Supported Storytelling for Grieving
                              Pediatric Oncology Nurses" http://bit.ly/cBjwvh #rnchat
                              4/16/2010 12:42


          nursingpins:        T2 (Excellence in Palliative & End-of-Life Care)" from the AACN http://tinyurl.com/y7bqvpa
                              #RNchat
                              4/16/2010 12:43


          tactile:            @rnchat T2 #RNchat I have to say that one reason I specifically have avoided picking up
                              hospice shifts... I don't feel comfortable doing so.
                              4/16/2010 12:43


          rnchat:             @VNHC T2 Good point. If it was mandated for reimbursement, wouldn't that be great! I just
                              don't see that happening yet. #RNchat
                              4/16/2010 12:43


          holisticnurses:     Thank you. RT @nursingpins: T2 (Excellence in Palliative & End-of-Life Care)" from the
                              AACN http://tinyurl.com/y7bqvpa #rnchat
                              4/16/2010 12:43


          rnchat:             I'm going to slip in T3, because it all relates.... :) #RNchat
                              4/16/2010 12:44


          rnchat:             @nursingpins T2 Awesome link! Thanks~ :) #RNchat
                              4/16/2010 12:44


          ONSmark:            @rnchat Thanks for encouragement. I am not a practitioner myself so I can only be "middle
                              man" so to speak. #rnchat
                              4/16/2010 12:44


          VNHC:               @nursingpins Fantastic resource, thanks! "Excellence in Palliative & End-of-Life Care" from
                              the AACN http://tinyurl.com/y7bqvpa #RNchat
                              4/16/2010 12:45


          HauteSingleMama: Aghhh! Missing #RNchat because I'm in my a review for my bio lab final. Will read transcript
                           later - very interested in todays topic!
                              4/16/2010 12:45


          rnchat:             T3 Knowing how important grief counseling is, should it be mandatory for professionals who
                              deal with death in their workplace? #RNchat
                              4/16/2010 12:45


          nursingpins:        T3 - I think it absolutely should be mandatory #RNchat
                              4/16/2010 12:47


          ONSmark:            Thanks. I've cited this & ELNEC before. RT @nursingpins: Excellence in Palliative & EOL
                              Care from AACN http://tinyurl.com/y7bqvpa #rnchat
                              4/16/2010 12:47


          VNHC:               T3 Absolutely! Look at other services (i.e. police, fire, etc.) - they all require counseling after
                              traumatic experiences, right? #RNchat
                              4/16/2010 12:48


          tactile:            @rnchat #RNchat T3. It should not be mandatory, as everyone deals differently with grief. If
                              a RN is not dealing, it can be made mandatory.
                              4/16/2010 12:48




7 of 12                                                                                                                    4/17/10 4:04 PM
http://printyourtweets.com/tweets.html



          holisticnurses:   T3 Yes, grief counseling and communication is very important for ALL nurses. We don't want
                            to burnout! #rnchat
                            4/16/2010 12:49


          rnchat:           T3 Medscape for Nurses recently had a whole series of end-of-life articles, many of which
                            addressed nurses & how they are affected #RNchat
                            4/16/2010 12:50


          tactile:          t3 #RNCHAT When you make something mandatory, it feels like punishment that your
                            patient died. It needs to be optional.
                            4/16/2010 12:50


          mandirocker:      @RNchat T2 had Hospice rotation as a student (this graduating semester) but was < 5 hrs
                            x1 day, not long enough nor full scope. #RNchat
                            4/16/2010 12:50


          VNHC:             T3 hmmm, now that I look more closely, mandatory counseling may not be req for other
                            emergency services - varies by county/state #RNchat
                            4/16/2010 12:50


          rnchat:           T3 I feel that many times hostile behavior between nurses can be due to stressful situations
                            at work, including patient deaths #RNchat
                            4/16/2010 12:51


          mandirocker:      @RNchat T3 No, not at all I don't believe. #RNchat
                            4/16/2010 12:52


          rnchat:           @tactile T3 Mandatory can also be in the nurses favor if a facility MUST provide them with
                            support or help. It can be good! :) #RNchat
                            4/16/2010 12:52


          holisticnurses:   RT @rnchat: T3 many times hostile behavior betwn nurses can be due to stressful
                            situations at work, includg patient deaths #rnchat
                            4/16/2010 12:52


          officiallycoble:   RT @nursingpins agreed. even as a patient, I'd want a healthy caregiver who can cope --
                            should be mandatory #RNchat
                            4/16/2010 12:52


          holisticnurses:   RT @officiallycoble: RT @nursingpins agreed. even as a patient, Id want a healthy
                            caregiver who can cope -- should be mandatory #rnchat
                            4/16/2010 12:53


          rnchat:           T3 Great point!! >> RT @HSIJen: Even as a patient, I'd want a healthy caregiver who can
                            cope #RNchat
                            4/16/2010 12:54


          tactile:          @rnchat #RNchat t3 I see potential for a "fault" to be placed. RNs may need time away from
                            hospital to recover, not mandatory class there.
                            4/16/2010 12:54


          philbaumann:      T3 Facilities need 2 integrate daily support - not just 1 in-service and an occasional talk.
                            Needs to be proactive but not over top. #rnchat
                            4/16/2010 12:55


          VNHC:             T3 Important to note that mandatory doesn't mean "psych evaluation" - just a



8 of 12                                                                                                                4/17/10 4:04 PM
http://printyourtweets.com/tweets.html


                            forum/resource for talking openly about grief. #RNchat
                            4/16/2010 12:56


          nickdawson:       RT @philbaumann: T3 Facilities need 2 integrate daily support. Needs to be proactive but
                            not over top. #rnchat
                            4/16/2010 12:56


          tactile:          @rnchat #RNchat T3 I agree with mandatory education before patient deaths. I don't agree
                            with mandatory grief sessions after.
                            4/16/2010 12:57


          VNHC:             T3 After losing a patient, spending 45 minutes with a trained counselor just to check in and
                            offer support can only be helpful. #RNchat
                            4/16/2010 12:57


          holisticnurses:   T3 And we all know avoidance & denial may be one coping behavior in matters of death and
                            dying. #rnchat
                            4/16/2010 12:58


          rnchat:           @philbaumann T3 We need more facilities with innovative & supportive management to
                            provide integrated daily support when needed #RNchat
                            4/16/2010 12:58


          nursingpins:      RT @rnchat: @philbaumann T3 We need more facilities with innovative & supportive
                            management to provide integrated daily support when needed #RNchat
                            4/16/2010 12:58


          rnchat:           Agree!! RT @VNHC: T3 After losing a patient, 45 minutes w/ a trained counselor to check in
                            and offer support can only be helpful. #RNchat
                            4/16/2010 12:59


          tactile:          T3 #RNchat @nursingpins I agree some things should be mandatory, but you cannot direct
                            how a nurse grieves. I would be offended.
                            4/16/2010 12:59


          rnchat:           While everyone is still here I must say that this was truly a wonderful chat today. Everyone
                            offered great ideas & thoughts & links #RNchat
                            4/16/2010 13:00


          tactile:          T3 #RNchat Also this should not only focus on RNs, all staff who care for pt should be given
                            opportunity to grieve as they need.
                            4/16/2010 13:00


          tactile:          T3 #rnchat How far do you take "mandatory grieving?" Just the nurse? The CNA? Grief
                            counseling should be available to all and optional.
                            4/16/2010 13:01


          rnchat:           @tactile T3 Absolutely agree with you! Grief process in health care is for ALL practitioners,
                            not just nurses! :) #RNchat
                            4/16/2010 13:02


          tactile:          @nursingpins T3 #rnchat I agree with yearly training. I don't agree with a mandatory
                            class/workshop/therapist AFTER a pt death.
                            4/16/2010 13:03


          VNHC:             @tactile Absolutely. And doesn't mean telling someone "how" to grieve, only offer
                            options/suggestions on what may work 4 individual. #RNchat



9 of 12                                                                                                              4/17/10 4:04 PM
http://printyourtweets.com/tweets.html


                             4/16/2010 13:03


           nursingpins:      T3 The training should be mandatory - then grieve how you want. #RNchat
                             4/16/2010 13:03


           holisticnurses:   @tactile T2 Perhaps individual grief sessions are only as long as the nurse needs them to
                             be. But not right after a death. #rnchat
                             4/16/2010 13:04


           rnchat:           T3 Just like families have a funeral & ceremony for closure, health care workers need
                             closure from pt relationships. We hurt @ times #RNchat
                             4/16/2010 13:04


           tactile:          @holisticnurses T3 Exactly. I sought a brief time to pray, called my grandmother to say I
                             loved her, and then grieved on my own. #rnchat
                             4/16/2010 13:06


           rnchat:           T3 I did pediatric open heart ICU for a short while. Babies died & no one talked about it. I
                             ended up leaving there. Too painful. #RNchat
                             4/16/2010 13:07


           nursingpins:      T3 without training - many will continue to need a bitch slap - at least the training will prevent
                             that #RNchat
                             4/16/2010 13:07


           rnchat:           @nursingpins LOL I love your descriptions, and yes, I agree...training can only help, not hurt
                             the grief process #RNchat
                             4/16/2010 13:08


           twchat:           @rnchat I know #RNchat is listed on the Chat Sched, but if you use http://twebevent.com
                             /RNchat u can post ur nxt chat day/time on that pg
                             4/16/2010 13:08


           tactile:          @nursingpins t3 #RNchat It's important to realize when someone just needs a bitchslap,
                             metaphorically, of course.
                             4/16/2010 13:09


           holisticnurses:   I must sign off. Lovely chat! Thank you everyone, #rnchat, @EllenRichter for moderating.
                             Lots of great info to read through again. #rnchat
                             4/16/2010 13:09


           tactile:          @holisticnurses #rnchat Was great to chat with you today.
                             4/16/2010 13:11


           holisticnurses:   PS Also wanted to share something I wrote about personal grief: http://tinyurl.com/y2clslq
                             Nurses need to share their experiences! #rnchat
                             4/16/2010 13:11


           holisticnurses:   @tactile Thanks! Talk to you soon! #rnchat
                             4/16/2010 13:11


           rnchat:           As fill-in moderator I wish you all a great day & fun weekend. TY all for making my role so
                             much fun! @EllenRichter signing off! xox #RNchat
                             4/16/2010 13:11


           philbaumann:      RT @holisticnurses: PS Also wanted to share something I wrote about personal grief:
                             http://tinyurl.com/y2clslq Nurses need to share their experiences! #rnchat



10 of 12                                                                                                                 4/17/10 4:04 PM
http://printyourtweets.com/tweets.html


                            4/16/2010 13:13


           rnchat:          @holisticnurses Wonderful! Thanks so much for sharing your personal experience with us
                            all! #RNchat
                            4/16/2010 13:13


           nursingpins:     T3 one can get training in dealing with death - or you can experience many deaths and learn
                            the sane -training saves grief #RNchat
                            4/16/2010 13:13


           grimalkinrn:     #RNchat Another great chat! Thanks @EllenRichter, sorry I can't keep my twitters straight.
                            Thanks to everyone who participated!!
                            4/16/2010 13:15


           rnchat:          Twitter nurses please be on the look-out for the link to the transcript of today's #RNchat on
                            health care professionals & grief management
                            4/16/2010 13:15


           VNHC:            Nice chatting with everyone - will definitely be back! Thanks... #RNchat
                            4/16/2010 13:16


           rnchat:          I'll get a transcript up asap - I'm on Amtrak now & my connection is jittery. Thanks everybody
                            & big thanks to Ellen! - @PhilBaumann #rnchat
                            4/16/2010 13:16


           nursingpins:     Great job Ellen - thanks Phil -Thanks all #RNchat
                            4/16/2010 13:19


           EllenRichter:    Thanks folks! Your tweets made #RNchat a very valuable experience! @tactile
                            @philbaumann @nursingpins @holisticnurses @ONSmark @VNHC :)
                            4/16/2010 13:30


           EllenRichter:    @Trybarefoot @HeatheratCAP I hope you enjoyed the sidelines of #RNchat today! You can
                            always suggest other health care topics for future!
                            4/16/2010 13:32


           MeredithGould:   @EllenRichter Always support #RNchat, in memory of Cherry Ames: Nurse Supervisor.
                            4/16/2010 13:40


           Trybarefoot:     I did indeed! RT @EllenRichter: @Trybarefoot @HeatheratCAP I hope you enjoyed the
                            sidelines of #RNchat today!
                            4/16/2010 13:58


           HeatheratCAP:    @Trybarefoot and @EllenRichter I very much enjoyed the chat today. Thanks! #RNChat
                            4/16/2010 14:00


           LuvenRN:         @PhilBaumann I'm sorry I missed the #RNChat this morning. Do you have the next one
                            scheduled?
                            4/16/2010 14:09


           philbaumann:     @LuvenRN Haven't scheduled next #RNChat yet but will announce soon. What time(s)
                            days work for you?
                            4/16/2010 14:12




11 of 12                                                                                                             4/17/10 4:04 PM
http://printyourtweets.com/tweets.html



           EllenRichter:     @holisticnurses Great blog posting you shared with us today at #RNchat ---thanks!
                             http://tinyurl.com/y2clslq
                             4/16/2010 14:44


           holisticnurses:   @philbaumann Thank you, sir, for the RT! Amazing #rnchat as always.
                             4/16/2010 15:44


           philbaumann:      @holisticnurses Sure! Ellen does a great job moderating #rnchat!
                             4/16/2010 15:54


           EllenRichter:     @ONSmark Well, we are honored that you spent an hour of your birthday at #RNchat with
                             us!! Happy birthday & many more!! :)
                             4/16/2010 16:18


           storyboardlife:   RT @EllenRichter: Attention Twitter RNs ~ #RNchat is tomorrow at 12 noon! Come join in to
                             discuss how nurses (& other hc workers) deal with grief on the job
                             4/16/2010 22:47




12 of 12                                                                                                             4/17/10 4:04 PM

More Related Content

What's hot

What's hot (10)

IV chat 11232010
IV chat 11232010IV chat 11232010
IV chat 11232010
 
IVchat 12082010
IVchat 12082010IVchat 12082010
IVchat 12082010
 
RNchat Transcript August 6, 2010
RNchat Transcript August 6, 2010RNchat Transcript August 6, 2010
RNchat Transcript August 6, 2010
 
I vchat 610201
I vchat 610201I vchat 610201
I vchat 610201
 
IVchat 12222010
IVchat 12222010IVchat 12222010
IVchat 12222010
 
RNchat Transcript March 26, 2010
RNchat Transcript March 26, 2010RNchat Transcript March 26, 2010
RNchat Transcript March 26, 2010
 
IVchat 02162011
IVchat 02162011IVchat 02162011
IVchat 02162011
 
RNchat Transcript March 23, 2010
RNchat Transcript March 23, 2010RNchat Transcript March 23, 2010
RNchat Transcript March 23, 2010
 
RNchat Transcript December 29 2009
RNchat Transcript December 29 2009RNchat Transcript December 29 2009
RNchat Transcript December 29 2009
 
Www.ivchat 08052010
Www.ivchat 08052010Www.ivchat 08052010
Www.ivchat 08052010
 

Similar to RNchat Transcript April 16, 2010

Www.i vchat 05152010_
Www.i vchat 05152010_Www.i vchat 05152010_
Www.i vchat 05152010_
guest2ba32ba
 
RNchat September 25, 2010
RNchat September 25, 2010RNchat September 25, 2010
RNchat September 25, 2010
RN Chat
 
RNchat Transcript October, 28, 2010
RNchat Transcript October, 28, 2010RNchat Transcript October, 28, 2010
RNchat Transcript October, 28, 2010
RN Chat
 

Similar to RNchat Transcript April 16, 2010 (20)

RNchat Transcript March 16, 2010
RNchat Transcript March 16, 2010RNchat Transcript March 16, 2010
RNchat Transcript March 16, 2010
 
RNchat Transcript April 6, 2010
RNchat Transcript April 6, 2010RNchat Transcript April 6, 2010
RNchat Transcript April 6, 2010
 
RNchat Transcript June 4 2010
RNchat Transcript June 4 2010RNchat Transcript June 4 2010
RNchat Transcript June 4 2010
 
RNchat Transcript May 28, 2010
RNchat Transcript May 28, 2010RNchat Transcript May 28, 2010
RNchat Transcript May 28, 2010
 
RNchat Transcript April 2, 2010
RNchat Transcript April 2, 2010RNchat Transcript April 2, 2010
RNchat Transcript April 2, 2010
 
RNchat Transcript August 19, 2010
RNchat Transcript August 19, 2010RNchat Transcript August 19, 2010
RNchat Transcript August 19, 2010
 
RNchat Transcript February 5 2010
RNchat Transcript February 5 2010RNchat Transcript February 5 2010
RNchat Transcript February 5 2010
 
RNchat Transcript March 12, 2010
RNchat Transcript March 12, 2010RNchat Transcript March 12, 2010
RNchat Transcript March 12, 2010
 
RNchat Transcript October 14, 2010
RNchat Transcript October 14, 2010RNchat Transcript October 14, 2010
RNchat Transcript October 14, 2010
 
RNchat Transcript April 9, 2010
RNchat Transcript April 9, 2010RNchat Transcript April 9, 2010
RNchat Transcript April 9, 2010
 
Www.i vchat 05152010_
Www.i vchat 05152010_Www.i vchat 05152010_
Www.i vchat 05152010_
 
Www.i vchat 05152010_
Www.i vchat 05152010_Www.i vchat 05152010_
Www.i vchat 05152010_
 
RNchat Transcript January 22, 2010
RNchat Transcript January 22, 2010RNchat Transcript January 22, 2010
RNchat Transcript January 22, 2010
 
RNchat Transcript July 23, 2010
RNchat Transcript July 23, 2010RNchat Transcript July 23, 2010
RNchat Transcript July 23, 2010
 
RNchat Transcript May 11, 2010
RNchat Transcript May 11, 2010RNchat Transcript May 11, 2010
RNchat Transcript May 11, 2010
 
RNchat September 25, 2010
RNchat September 25, 2010RNchat September 25, 2010
RNchat September 25, 2010
 
RNchat Transcript February 18, 2010
RNchat Transcript February 18, 2010RNchat Transcript February 18, 2010
RNchat Transcript February 18, 2010
 
RNchat Transcript October, 28, 2010
RNchat Transcript October, 28, 2010RNchat Transcript October, 28, 2010
RNchat Transcript October, 28, 2010
 
RNchat Transcript June 23, 2010
RNchat Transcript June 23, 2010RNchat Transcript June 23, 2010
RNchat Transcript June 23, 2010
 
RNchat Transcript August 28, 2010
RNchat Transcript August 28, 2010RNchat Transcript August 28, 2010
RNchat Transcript August 28, 2010
 

More from RN Chat

#R nchat transcript 07 feb2013
#R nchat transcript 07 feb2013#R nchat transcript 07 feb2013
#R nchat transcript 07 feb2013
RN Chat
 
RNchat Transcript September 11, 2010
RNchat Transcript September 11, 2010RNchat Transcript September 11, 2010
RNchat Transcript September 11, 2010
RN Chat
 

More from RN Chat (10)

#R nchat transcript 07 feb2013
#R nchat transcript 07 feb2013#R nchat transcript 07 feb2013
#R nchat transcript 07 feb2013
 
RNchat Transcript for December 23, 2010
RNchat Transcript for December 23, 2010RNchat Transcript for December 23, 2010
RNchat Transcript for December 23, 2010
 
RNchat Transcript for November 4, 2010
RNchat Transcript for November 4, 2010RNchat Transcript for November 4, 2010
RNchat Transcript for November 4, 2010
 
RNchat Transcript October 29, 2010
RNchat Transcript October 29, 2010RNchat Transcript October 29, 2010
RNchat Transcript October 29, 2010
 
RNchat Transcript October 24, 2010
RNchat Transcript October 24, 2010RNchat Transcript October 24, 2010
RNchat Transcript October 24, 2010
 
RNchat Transcript September 18, 2010
RNchat Transcript September 18, 2010RNchat Transcript September 18, 2010
RNchat Transcript September 18, 2010
 
RNchat Transcript September 11, 2010
RNchat Transcript September 11, 2010RNchat Transcript September 11, 2010
RNchat Transcript September 11, 2010
 
RNchat Transcript Septermber 3, 2010
RNchat Transcript Septermber 3, 2010 RNchat Transcript Septermber 3, 2010
RNchat Transcript Septermber 3, 2010
 
RNchat Transcript August, 13 2010
RNchat Transcript August, 13 2010RNchat Transcript August, 13 2010
RNchat Transcript August, 13 2010
 
RNchat Transcript for July 9, 2010
RNchat Transcript for July 9, 2010RNchat Transcript for July 9, 2010
RNchat Transcript for July 9, 2010
 

RNchat Transcript April 16, 2010

  • 1. http://printyourtweets.com/tweets.html rnchat: Signing into http://www.tweetgrid.com to participate in today's RNchat >> use hashtag & search for #RNchat 4/16/2010 11:26 philbaumann: Interested in nursing?: Jump into #RNchat - in 15mins 12p EST. Use http://tweetchat or http:/tweetgrid.com 4/16/2010 11:45 rnchat: Wouldn't you know...of all days for my computer to run terribly S-L-O-W -its @EllenRichter moderating today's #RNchat 4/16/2010 12:00 rnchat: Hello & welcome to the TGIF edition of #RNchat, a Twitter chat for any health care folks & of course for RNs! We need a place to share ideas 4/16/2010 12:01 holisticnurses: RT @rnchat: 3 minutes to #RNchat a 12 noon EST! Thanks to @philbaumann & @Trybarefoot for the reminder tweet :) 4/16/2010 12:02 tactile: @RNchat @tactile here. Med Surg RN in Denver, Colorado #RNchat 4/16/2010 12:02 rnchat: #RNchat is a way for nurses to meet, tweet & share feelings, thoughts, ideas. BTW, we welcome silent lurkers too if you are shy! :) 4/16/2010 12:03 holisticnurses: Hi #RNChat @EllenRichter and everyone here today! Telehealth/Holistic Nurse in NYC. #rnchat 4/16/2010 12:03 rnchat: You can join our chat by signing into websites like tweetchat or tweetgrid or use twitter search page. Use hashtag #RNchat & follow along! 4/16/2010 12:03 HeatheratCAP: RT @rnchat: #RNchat is a way for nurses to meet, tweet & share feelings, thoughts, ideas. BTW, we welcome silent lurkers too if you are shy! :) 4/16/2010 12:04 nursingpins: Hey all - Vernon, critical care in New Orleans #RNchat 4/16/2010 12:05 rnchat: Lets begin the hour by seeing who is joining in. Introduce yourselves & tell us in 140 or less what brings you to #RNchat today 4/16/2010 12:05 rnchat: I am @EllenRichter filling in for @PhilBaumann as moderator. I'm a critical care nurse & legal nurse consultant in Florida :) HI! #RNchat 4/16/2010 12:06 HeatheratCAP: Hi #RNChat @EllenRichter @holisticnurses and everyone else here. I am in Sarasota, FL. What is today's topic? 4/16/2010 12:06 rnchat: @holisticnurses @HeatheratCAP @nursingpins @tactile welcome! :) #RNchat 4/16/2010 12:07 1 of 12 4/17/10 4:04 PM
  • 2. http://printyourtweets.com/tweets.html HeatheratCAP: #RNChat, I tweet for #Voalte, a communication solution for nurses and clinicians. 4/16/2010 12:07 rnchat: The topics will be labeled T1, T2, etc. Please remember to add topic label & hashtag #RNchat to ea tweet so we can track your responses! 4/16/2010 12:08 rnchat: T1 Health care professionals experience a level of grief when endearing patients die. How can our workplaces help us deal w/ this? #RNchat 4/16/2010 12:09 philbaumann: Thank you @EllenRichter for leading today's #RNchat! 4/16/2010 12:11 tactile: T1 #RNchat If a nurse has an actively dying pt, on a regular floor, other staff should help pass meds, do cares, to allow focus on pt &fam. 4/16/2010 12:11 holisticnurses: T1 Grief support and education courses. We need a forum to talk about these issues. It's not natural to have to just 'move on'. #rnchat 4/16/2010 12:12 tactile: T1 #Rnchat After a death, expected or not, time should be made for the pt's nurse to mourn w/family, speak to chaplain, have alone time. 4/16/2010 12:12 rnchat: T1 @tactile Yes, so the nurse caring for a dying patient needs support with the rest of her assignment. Dying patients need care #RNchat 4/16/2010 12:13 holisticnurses: @tactile Agreed. Nurse should have more time with family. As a Hospice Nurse I had the opp. to speak w/ the chaplain as needed. #rnchat 4/16/2010 12:13 tactile: T1 #Rnchat If the pt's death involved prolonged resuscitation, or trauma, then the nurse may need longer to recover. EAP can help. 4/16/2010 12:13 rnchat: @holisticnurses T1 Its so true. People believe health care professionals just dust off and move on, but we carry this grief inside #RNchat 4/16/2010 12:14 Trybarefoot: Am 'listening' quietly today to #RNchat - not a topic I can contribute to - but interested all the same! 4/16/2010 12:15 rnchat: @tactile T1 I'll bet most nurses dont realize EAP can help deal with grief in the workplace #RNchat 4/16/2010 12:16 ONSmark: T1 Staff retreats w/ grief counselors like the one for oncology nurses summarized at http://bit.ly/9I3YPm #rnchat 4/16/2010 12:16 2 of 12 4/17/10 4:04 PM
  • 3. http://printyourtweets.com/tweets.html nursingpins: T1 There needs to be Grief Policies to make sure the option is available - agree @tactile re: (time should be made) #RNchat 4/16/2010 12:17 rnchat: @holisticnurses T1 Yes, I have always loved & supported the hospice principles, which address everyone involved in the dying process #RNchat 4/16/2010 12:17 holisticnurses: Depending on healthcare setting..."optional" meetings to share thoughts, grief counselor onsite, narrative exercises, meditation. #rnchat 4/16/2010 12:18 VNHC: T1 We host two annual remembrance services in Spring & Winter which many of our nurses find helpful and can support families #RNChat #RNchat 4/16/2010 12:18 holisticnurses: We should use it more! RT @rnchat: @tactile T1 Ill bet most nurses dont realize EAP can help deal with grief in the workplace #rnchat 4/16/2010 12:18 rnchat: T1 I have never been given the opportunity to deal with grief from a loss at the workplace. It would have helped so many times #RNchat 4/16/2010 12:18 holisticnurses: T1 @RNChat Critical Care was always the toughest for me in regards to that. Some very diff. code situations but no break to process. #rnchat 4/16/2010 12:20 rnchat: T1 Has any nurse here today participated in grief counselling sessions at their workplace? Did it help? Was it effective? #RNchat 4/16/2010 12:20 VNHC: T1 we also partner with a local mental health org to offer free assistance/counseling to nurses dealing w/ grief - look for similar #RNchat 4/16/2010 12:21 nursingpins: T1 Grief time will probably have to be mandated - hospitals will not give up "unproductive time" without a fight #RNchat 4/16/2010 12:21 tactile: @nursingpins T1 Every hospital I have worked, we made extra time to cover for that nurse and allow her time to deal with her grief. #RNchat 4/16/2010 12:22 holisticnurses: @rnchat T1 Never formally offered grief support counseling. If I wanted it, had to seek it out myself, besides EAP. #rnchat 4/16/2010 12:23 rnchat: @holisticnurses T1 Yes, in critical care many deaths are drawn out & emotional for pts, families & STAFF! We all need soothing after #RNchat 4/16/2010 12:23 rnchat: @officiallycoble Welcome! :) #RNchat 4/16/2010 12:24 VNHC: T1 See the amazing Sesame Street special Wed. night? Something similar for RNs would 3 of 12 4/17/10 4:04 PM
  • 4. http://printyourtweets.com/tweets.html be helpful. http://www.sesameworkshop.org/grief #RNchat 4/16/2010 12:25 rnchat: @nursingpins T1 Sad to think that "time for staff to grieve" could be considered "unproductive time"! :( #RNchat 4/16/2010 12:25 tactile: @rnchat T1 my hospital offers regular grief workshops, and quarterly masses to remember our patients. #RNchat 4/16/2010 12:25 holisticnurses: T1 Not sure nursing school focused much on grief either. Remember Hospice rotation in Comm. Health, but little about nurses' loss. #rnchat 4/16/2010 12:25 nursingpins: T1 Nur at one time counted on each other for emotional support -but now you may not see the same nur for days #RNchat (Is a problem) #RNchat 4/16/2010 12:26 rnchat: @ONSmark @VNHC Thank you both for the links! :) #RNchat 4/16/2010 12:26 VNHC: T1 Good point @holisticnurses - perhaps this is an issue that isn't adequately addressed at the academic level. #RNchat 4/16/2010 12:27 rnchat: T2 is along the same lines, folks :) #RNchat 4/16/2010 12:27 tactile: T1 #RNchat @nursingpins this is a big part of where hospital culture comes into play. My hospital automatically shifts to allow grief time. 4/16/2010 12:27 HeatheratCAP: Sorry I don't have anything to contribute to this topic, but your comments are very interesting. #RNChat 4/16/2010 12:27 nursingpins: T1 We fight for lunch breaks - grief time will not go over well with hospitals #RNchat 4/16/2010 12:27 holisticnurses: T1 That's why I support AHNA (Holistic Nurses Assoc) principles because such emphasis on self-care in nursing. #rnchat 4/16/2010 12:28 rnchat: T3 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace? #RNchat 4/16/2010 12:28 rnchat: #RNchat 4/16/2010 12:28 rnchat: LOL well, that was supposed to be T2 :) #RNchat 4/16/2010 12:28 4 of 12 4/17/10 4:04 PM
  • 5. http://printyourtweets.com/tweets.html rnchat: T2 Does the current educational system prepare new health care professionals to effectively manage grief at the workplace? #RNchat 4/16/2010 12:29 tactile: @nursingpins #RNchat T1 We must work in very different environments. When there is an impending death on a floor, we do everything we can 4/16/2010 12:29 rnchat: @nursingpins T1 Would you come to work on your own time to attend a paid grief counselling session if you needed it? #RNchat 4/16/2010 12:30 tactile: T2 #RNchat No. I took an elective death &dying class, and take educational opportunities offered, but there was little training. 4/16/2010 12:30 VNHC: T1 is this a potential Medicare mandate issue? Can local/fed gov. force hospitals or other health orgs to offer grief services? #RNchat 4/16/2010 12:30 holisticnurses: T2 So much to cover in nursing school but would help to have more preparation on nurses' experience of death. Need more storytelling #rnchat 4/16/2010 12:31 rnchat: @tactile T1 Based on your tweets, you should consider yourself lucky to work in facilities that provide good nursing support!! :) #RNchat 4/16/2010 12:31 tactile: T2 #RNchat More training on death & dying needs to occur. Now, it's just a blurb at the end of a chapter. "unfortunately, sometime ppl die." 4/16/2010 12:32 rnchat: @holisticnurses T2 Most everyone has experienced some loss in their life. That can be applied in nursing school to learn how to cope #RNchat 4/16/2010 12:32 holisticnurses: @tactile Very true! The writers must have had difficulty with grief too. #rnchat 4/16/2010 12:32 VNHC: T2 Storytelling - YES! But how? There are resources available like nurseconnect.com and others but are they being utilized? #RNchat 4/16/2010 12:33 tactile: @rnchat T1 #RNchat I love my hospital, my manager, my coworkers. I am very lucky, but as you know, I sacrifice a lot to keep my job. 4/16/2010 12:34 holisticnurses: @rnchat T2 Agreed! An opp. to share personal experience is important and instantly relatable. #rnchat 4/16/2010 12:34 rnchat: @tactile T2 Great point about death just being a blurb @ end of each chapter! Its a topic needing a chapter all to itself, actually! #RNchat 4/16/2010 12:34 VNHC: T2 What's the standard/infrastructure for connecting with other nurses on a personal level? 5 of 12 4/17/10 4:04 PM
  • 6. http://printyourtweets.com/tweets.html #RNchat 4/16/2010 12:35 holisticnurses: In nursing school, working nurses need to come in to share their experiences. RT @VNHC: T2 Storytelling - YES! But how? #rnchat 4/16/2010 12:35 ONSmark: T2 Some nursing schools use simulations like "Simulated Death: Innovative Approach to Teaching EOL Care" http://bit.ly/aqUyGW #rnchat 4/16/2010 12:36 rnchat: T2 I wish there were Hospice experiences when I was a student nurse. We never dealt with death unless it happened to occur on a ward #RNchat 4/16/2010 12:36 tactile: @rnchat T2 Or a class in itself. I had to seek out an elective class, and felt it helped. #RNchat 4/16/2010 12:36 VNHC: T2 I also see age and aversion to technology (i.e. social media) being issues. Many in our org don't even like to use email! #RNchat 4/16/2010 12:37 ONSmark: @VNHC "don't even like to use email!" -- wow!!! #rnchat 4/16/2010 12:37 holisticnurses: T2 Maybe a nurse should write a textbook solely on the topic of dying and grief in the workplace. Perhaps there is one out there? #rnchat 4/16/2010 12:38 rnchat: @ONSmark T2 Wonderful link! I bet simulated death could surely help nurses learn to cope with grief better #RNchat 4/16/2010 12:39 holisticnurses: RT @ONSmark: T2 Some nursing schools use "Simulated Death: Innovative Approach to Teaching EOL Care" http://bit.ly/aqUyGW #rnchat 4/16/2010 12:40 rnchat: @holisticnurses T2 Perhaps this could be your next project? We could all be contributors! :) #RNchat 4/16/2010 12:40 VNHC: T2 it seems if there was some mandate built into the Medicare reporting/reimbursement process, part of hire orientation, could help. #RNchat 4/16/2010 12:40 holisticnurses: Yes, I would enjoy that! :) RT @rnchat: @holisticnurses T2 Perhaps this could be your next project? We could all be contributors! #rnchat 4/16/2010 12:41 VNHC: T2 at least it could provide an intro to the topic and provide forum for discussing resources (internal/external) available. #RNchat 4/16/2010 12:41 rnchat: @ONSmark T2 Are you joking? We love the links! Don't hold back if they have relevance! And...thanks! :) #RNchat 4/16/2010 12:42 6 of 12 4/17/10 4:04 PM
  • 7. http://printyourtweets.com/tweets.html holisticnurses: Yes! Love this! RT @ONSmark One last link: "Peer-Supported Storytelling for Grieving Pediatric Oncology Nurses" http://bit.ly/cBjwvh #rnchat 4/16/2010 12:42 nursingpins: T2 (Excellence in Palliative & End-of-Life Care)" from the AACN http://tinyurl.com/y7bqvpa #RNchat 4/16/2010 12:43 tactile: @rnchat T2 #RNchat I have to say that one reason I specifically have avoided picking up hospice shifts... I don't feel comfortable doing so. 4/16/2010 12:43 rnchat: @VNHC T2 Good point. If it was mandated for reimbursement, wouldn't that be great! I just don't see that happening yet. #RNchat 4/16/2010 12:43 holisticnurses: Thank you. RT @nursingpins: T2 (Excellence in Palliative & End-of-Life Care)" from the AACN http://tinyurl.com/y7bqvpa #rnchat 4/16/2010 12:43 rnchat: I'm going to slip in T3, because it all relates.... :) #RNchat 4/16/2010 12:44 rnchat: @nursingpins T2 Awesome link! Thanks~ :) #RNchat 4/16/2010 12:44 ONSmark: @rnchat Thanks for encouragement. I am not a practitioner myself so I can only be "middle man" so to speak. #rnchat 4/16/2010 12:44 VNHC: @nursingpins Fantastic resource, thanks! "Excellence in Palliative & End-of-Life Care" from the AACN http://tinyurl.com/y7bqvpa #RNchat 4/16/2010 12:45 HauteSingleMama: Aghhh! Missing #RNchat because I'm in my a review for my bio lab final. Will read transcript later - very interested in todays topic! 4/16/2010 12:45 rnchat: T3 Knowing how important grief counseling is, should it be mandatory for professionals who deal with death in their workplace? #RNchat 4/16/2010 12:45 nursingpins: T3 - I think it absolutely should be mandatory #RNchat 4/16/2010 12:47 ONSmark: Thanks. I've cited this & ELNEC before. RT @nursingpins: Excellence in Palliative & EOL Care from AACN http://tinyurl.com/y7bqvpa #rnchat 4/16/2010 12:47 VNHC: T3 Absolutely! Look at other services (i.e. police, fire, etc.) - they all require counseling after traumatic experiences, right? #RNchat 4/16/2010 12:48 tactile: @rnchat #RNchat T3. It should not be mandatory, as everyone deals differently with grief. If a RN is not dealing, it can be made mandatory. 4/16/2010 12:48 7 of 12 4/17/10 4:04 PM
  • 8. http://printyourtweets.com/tweets.html holisticnurses: T3 Yes, grief counseling and communication is very important for ALL nurses. We don't want to burnout! #rnchat 4/16/2010 12:49 rnchat: T3 Medscape for Nurses recently had a whole series of end-of-life articles, many of which addressed nurses & how they are affected #RNchat 4/16/2010 12:50 tactile: t3 #RNCHAT When you make something mandatory, it feels like punishment that your patient died. It needs to be optional. 4/16/2010 12:50 mandirocker: @RNchat T2 had Hospice rotation as a student (this graduating semester) but was < 5 hrs x1 day, not long enough nor full scope. #RNchat 4/16/2010 12:50 VNHC: T3 hmmm, now that I look more closely, mandatory counseling may not be req for other emergency services - varies by county/state #RNchat 4/16/2010 12:50 rnchat: T3 I feel that many times hostile behavior between nurses can be due to stressful situations at work, including patient deaths #RNchat 4/16/2010 12:51 mandirocker: @RNchat T3 No, not at all I don't believe. #RNchat 4/16/2010 12:52 rnchat: @tactile T3 Mandatory can also be in the nurses favor if a facility MUST provide them with support or help. It can be good! :) #RNchat 4/16/2010 12:52 holisticnurses: RT @rnchat: T3 many times hostile behavior betwn nurses can be due to stressful situations at work, includg patient deaths #rnchat 4/16/2010 12:52 officiallycoble: RT @nursingpins agreed. even as a patient, I'd want a healthy caregiver who can cope -- should be mandatory #RNchat 4/16/2010 12:52 holisticnurses: RT @officiallycoble: RT @nursingpins agreed. even as a patient, Id want a healthy caregiver who can cope -- should be mandatory #rnchat 4/16/2010 12:53 rnchat: T3 Great point!! >> RT @HSIJen: Even as a patient, I'd want a healthy caregiver who can cope #RNchat 4/16/2010 12:54 tactile: @rnchat #RNchat t3 I see potential for a "fault" to be placed. RNs may need time away from hospital to recover, not mandatory class there. 4/16/2010 12:54 philbaumann: T3 Facilities need 2 integrate daily support - not just 1 in-service and an occasional talk. Needs to be proactive but not over top. #rnchat 4/16/2010 12:55 VNHC: T3 Important to note that mandatory doesn't mean "psych evaluation" - just a 8 of 12 4/17/10 4:04 PM
  • 9. http://printyourtweets.com/tweets.html forum/resource for talking openly about grief. #RNchat 4/16/2010 12:56 nickdawson: RT @philbaumann: T3 Facilities need 2 integrate daily support. Needs to be proactive but not over top. #rnchat 4/16/2010 12:56 tactile: @rnchat #RNchat T3 I agree with mandatory education before patient deaths. I don't agree with mandatory grief sessions after. 4/16/2010 12:57 VNHC: T3 After losing a patient, spending 45 minutes with a trained counselor just to check in and offer support can only be helpful. #RNchat 4/16/2010 12:57 holisticnurses: T3 And we all know avoidance & denial may be one coping behavior in matters of death and dying. #rnchat 4/16/2010 12:58 rnchat: @philbaumann T3 We need more facilities with innovative & supportive management to provide integrated daily support when needed #RNchat 4/16/2010 12:58 nursingpins: RT @rnchat: @philbaumann T3 We need more facilities with innovative & supportive management to provide integrated daily support when needed #RNchat 4/16/2010 12:58 rnchat: Agree!! RT @VNHC: T3 After losing a patient, 45 minutes w/ a trained counselor to check in and offer support can only be helpful. #RNchat 4/16/2010 12:59 tactile: T3 #RNchat @nursingpins I agree some things should be mandatory, but you cannot direct how a nurse grieves. I would be offended. 4/16/2010 12:59 rnchat: While everyone is still here I must say that this was truly a wonderful chat today. Everyone offered great ideas & thoughts & links #RNchat 4/16/2010 13:00 tactile: T3 #RNchat Also this should not only focus on RNs, all staff who care for pt should be given opportunity to grieve as they need. 4/16/2010 13:00 tactile: T3 #rnchat How far do you take "mandatory grieving?" Just the nurse? The CNA? Grief counseling should be available to all and optional. 4/16/2010 13:01 rnchat: @tactile T3 Absolutely agree with you! Grief process in health care is for ALL practitioners, not just nurses! :) #RNchat 4/16/2010 13:02 tactile: @nursingpins T3 #rnchat I agree with yearly training. I don't agree with a mandatory class/workshop/therapist AFTER a pt death. 4/16/2010 13:03 VNHC: @tactile Absolutely. And doesn't mean telling someone "how" to grieve, only offer options/suggestions on what may work 4 individual. #RNchat 9 of 12 4/17/10 4:04 PM
  • 10. http://printyourtweets.com/tweets.html 4/16/2010 13:03 nursingpins: T3 The training should be mandatory - then grieve how you want. #RNchat 4/16/2010 13:03 holisticnurses: @tactile T2 Perhaps individual grief sessions are only as long as the nurse needs them to be. But not right after a death. #rnchat 4/16/2010 13:04 rnchat: T3 Just like families have a funeral & ceremony for closure, health care workers need closure from pt relationships. We hurt @ times #RNchat 4/16/2010 13:04 tactile: @holisticnurses T3 Exactly. I sought a brief time to pray, called my grandmother to say I loved her, and then grieved on my own. #rnchat 4/16/2010 13:06 rnchat: T3 I did pediatric open heart ICU for a short while. Babies died & no one talked about it. I ended up leaving there. Too painful. #RNchat 4/16/2010 13:07 nursingpins: T3 without training - many will continue to need a bitch slap - at least the training will prevent that #RNchat 4/16/2010 13:07 rnchat: @nursingpins LOL I love your descriptions, and yes, I agree...training can only help, not hurt the grief process #RNchat 4/16/2010 13:08 twchat: @rnchat I know #RNchat is listed on the Chat Sched, but if you use http://twebevent.com /RNchat u can post ur nxt chat day/time on that pg 4/16/2010 13:08 tactile: @nursingpins t3 #RNchat It's important to realize when someone just needs a bitchslap, metaphorically, of course. 4/16/2010 13:09 holisticnurses: I must sign off. Lovely chat! Thank you everyone, #rnchat, @EllenRichter for moderating. Lots of great info to read through again. #rnchat 4/16/2010 13:09 tactile: @holisticnurses #rnchat Was great to chat with you today. 4/16/2010 13:11 holisticnurses: PS Also wanted to share something I wrote about personal grief: http://tinyurl.com/y2clslq Nurses need to share their experiences! #rnchat 4/16/2010 13:11 holisticnurses: @tactile Thanks! Talk to you soon! #rnchat 4/16/2010 13:11 rnchat: As fill-in moderator I wish you all a great day & fun weekend. TY all for making my role so much fun! @EllenRichter signing off! xox #RNchat 4/16/2010 13:11 philbaumann: RT @holisticnurses: PS Also wanted to share something I wrote about personal grief: http://tinyurl.com/y2clslq Nurses need to share their experiences! #rnchat 10 of 12 4/17/10 4:04 PM
  • 11. http://printyourtweets.com/tweets.html 4/16/2010 13:13 rnchat: @holisticnurses Wonderful! Thanks so much for sharing your personal experience with us all! #RNchat 4/16/2010 13:13 nursingpins: T3 one can get training in dealing with death - or you can experience many deaths and learn the sane -training saves grief #RNchat 4/16/2010 13:13 grimalkinrn: #RNchat Another great chat! Thanks @EllenRichter, sorry I can't keep my twitters straight. Thanks to everyone who participated!! 4/16/2010 13:15 rnchat: Twitter nurses please be on the look-out for the link to the transcript of today's #RNchat on health care professionals & grief management 4/16/2010 13:15 VNHC: Nice chatting with everyone - will definitely be back! Thanks... #RNchat 4/16/2010 13:16 rnchat: I'll get a transcript up asap - I'm on Amtrak now & my connection is jittery. Thanks everybody & big thanks to Ellen! - @PhilBaumann #rnchat 4/16/2010 13:16 nursingpins: Great job Ellen - thanks Phil -Thanks all #RNchat 4/16/2010 13:19 EllenRichter: Thanks folks! Your tweets made #RNchat a very valuable experience! @tactile @philbaumann @nursingpins @holisticnurses @ONSmark @VNHC :) 4/16/2010 13:30 EllenRichter: @Trybarefoot @HeatheratCAP I hope you enjoyed the sidelines of #RNchat today! You can always suggest other health care topics for future! 4/16/2010 13:32 MeredithGould: @EllenRichter Always support #RNchat, in memory of Cherry Ames: Nurse Supervisor. 4/16/2010 13:40 Trybarefoot: I did indeed! RT @EllenRichter: @Trybarefoot @HeatheratCAP I hope you enjoyed the sidelines of #RNchat today! 4/16/2010 13:58 HeatheratCAP: @Trybarefoot and @EllenRichter I very much enjoyed the chat today. Thanks! #RNChat 4/16/2010 14:00 LuvenRN: @PhilBaumann I'm sorry I missed the #RNChat this morning. Do you have the next one scheduled? 4/16/2010 14:09 philbaumann: @LuvenRN Haven't scheduled next #RNChat yet but will announce soon. What time(s) days work for you? 4/16/2010 14:12 11 of 12 4/17/10 4:04 PM
  • 12. http://printyourtweets.com/tweets.html EllenRichter: @holisticnurses Great blog posting you shared with us today at #RNchat ---thanks! http://tinyurl.com/y2clslq 4/16/2010 14:44 holisticnurses: @philbaumann Thank you, sir, for the RT! Amazing #rnchat as always. 4/16/2010 15:44 philbaumann: @holisticnurses Sure! Ellen does a great job moderating #rnchat! 4/16/2010 15:54 EllenRichter: @ONSmark Well, we are honored that you spent an hour of your birthday at #RNchat with us!! Happy birthday & many more!! :) 4/16/2010 16:18 storyboardlife: RT @EllenRichter: Attention Twitter RNs ~ #RNchat is tomorrow at 12 noon! Come join in to discuss how nurses (& other hc workers) deal with grief on the job 4/16/2010 22:47 12 of 12 4/17/10 4:04 PM