#TweetRN Transcript

Healthcare social media transcript of the #TweetRN hashtag.
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Sarah, APRN @SarahKDNP
@from_bedside Today, none. Tomorrow will be a different story. The students start back tomorrow & I have to be the adult again & pretend I know what I’m doing. #TweetRN
NurseBananahammock @ModerateFERN
@from_bedside A1 #tweetRN Haven't cried at work in a while. Legit don't remember the last time. There hv been a few. One I come to 1st makes me think of those incredibly long lashes & big brown eyes. And knowing his 15 mos were torture, but I couldn't be happy he'd never see another day.
Patricia Ann @Patricia_Ann_E
@from_bedside Patricia, L&D nurse, none today! #tweetrn
Justin @NurseJustinRN
@from_bedside A1: Felt like it numerous times today, but shook the devil off. It was a rough day! #TweetRN
Sarah, APRN @SarahKDNP
@from_bedside I think that there are always going to be those patients that pull at your heartstrings, or get under your skin. Definitely shed tears over both types of patients before. #TweetRN
Sarah, APRN @SarahKDNP
@NurseJustinRN @from_bedside Good for you! That’s not easy to do sometimes. #TweetRN
NurseKelsey (she/her) 🌈✨🎉❤️🏳️‍🌈 @nursekelsey
@from_bedside A1: Absolutely. I’ve cried after codes, at the bedside during compassionate extubations, in family meetings when we’re discussing goals of care...and it makes me feel human, connected, invested & I hope it comes across as supportive to the patient & their families. #TweetRN
Tori M @AstrosNurse
@from_bedside A1: I didn’t cry today because I didn’t have time, but I cried yesterday. #tweetrn
Terri Schmitt (she/her) Nurse @onlinenursing
@from_bedside Hey there! Here lurking #tweetrn
Sarah, APRN @SarahKDNP
@nursekelsey @from_bedside Agreed. I tell my students that it’s not wrong to cry with a family. It shows that you’re human too. #TweetRN
Patricia Ann @Patricia_Ann_E
@from_bedside A1- Yes& yes. Delivering babies does not always mean a live baby. I usually cry with my moms in stillbirths initially, but it is measured & I have a rule for myself never to cry more than the patient. When a friend of mine had a stillbirth it affected my emotions at work #tweetrn
Patricia Ann @Patricia_Ann_E
RT @nursekelsey: @from_bedside A1: @from_bedside A1: Absolutely. I’ve cried after codes, at the bedside during compassionate extubations, in family meetings when we’re discussing goals of care...and it makes me feel human, connected, invested & I hope it comes across as supportive to the patient & their families. #TweetRN
NurseKelsey (she/her) 🌈✨🎉❤️🏳️‍🌈 @nursekelsey
@from_bedside A1: One of the biggest things I try to remember is my tears when with patients/family are on stage. Be aware of the mood of the room. Sometimes they don’t want/have emotional space for your feelings. This is when you step away to feel your rightful feelings. #TweetRN
Justin @NurseJustinRN
@from_bedside A1: I had a complete breakdown inside the hospital after working in hospice care. It was a young woman who only spoke Spanish. I never communicated with her without her translator, yet she impacted me greatly. I grieved. I feel cleansed now after. #TweetRN
Sarah, APRN @SarahKDNP
@Patricia_Ann_E @from_bedside I think in that case, I’d have to make myself not start crying because I don’t think I could stop myself. #TweetRN
𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP
@from_bedside A: I’ve certainly been more attached to some patients than others, but for my own mental health I tend to stay emotionally distant. #TweetRN
Justin @NurseJustinRN
@from_bedside It involves a silent pause and one deep breath while reciting these words to yourself: "Don't let them do it!" #TweetRN
Catherine Gegaris @cgegaris1
@from_bedside Catherine Gegaris here #TweetRN
Terri Schmitt (she/her) Nurse @onlinenursing
RT @nursekelsey: @from_bedside A1: @from_bedside A1: One of the biggest things I try to remember is my tears when with patients/family are on stage. Be aware of the mood of the room. Sometimes they don’t want/have emotional space for your feelings. This is when you step away to feel your rightful feelings. #TweetRN
Sarah, APRN @SarahKDNP
Oh that’s bad!! #TweetRN
NeuroNerd @superneuronurse
@from_bedside A1 I’ve cried st work but privately. I might get teary eyed w/families, but I rein it in, bc I don’t want to distract from their grief nor do I want them to feel like they have to comfort me. #TweetRN
Sarah, APRN @SarahKDNP
A2: I feel like in my 2 jobs, we do have adequate support. One job deals solely with death and dying. We are all aware of the harder cases and protect each other. My coworkers are my rocks. #TweetRN
Tori M @AstrosNurse
@from_bedside A1: I remember when I was working inpatient and one of my favorite patients transitioned to inpatient hospice. I was his nurse and he passed during my shift. I remember verifying it with another nurse and we both just started crying. His wife was hugging us. #tweetrn
NurseBananahammock @ModerateFERN
@from_bedside A2 #TweetRN We have excellent chaplaincy as well as wonderful could selors available. Always a bit sad folks don't utilize those resources more.
Justin @NurseJustinRN
@from_bedside A2: I work with my best friend! I'm lucky because it wasn't always this way. Outside of this position, I've found emotional support in social workers, chaplains, and my fellow nurses. #TweetRN
infamous @cardiovascCCRN
@from_bedside A2: 100% my coworkers (mostly fellow RNs or RTs/NPs that have been around a while) are my go-to for any emotions I want to let rip. They’re the ones who understand and know me well enough to know when it’s the real deal. #tweetrn
NurseKelsey (she/her) 🌈✨🎉❤️🏳️‍🌈 @nursekelsey
@from_bedside A2: I recently worked a 60+ hour week during which my dog nearly died & my daughter nearly drowned. I went into work every day because of the family I have there, the friends who hold me up & the value in distraction. My coworkers are why I love my job. #TweetRN
Terri Schmitt (she/her) Nurse @onlinenursing
@from_bedside A2: so important! And yet so difficult to get at times. Support means sifferent things at different times. This is the one thing I wish we taught students of all levels more & provided as a profession more readily #tweetrn #support
𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP
@from_bedside A2: I have an amazing boss who is very supportive. She helps me talk through my frustrations regarding patients, families, and coworkers. It is so helpful to have a place to vent so I can go back to work in a better frame of mind. #TweetRN
Sarah, APRN @SarahKDNP
That makes going to work so much easier! #TweetRN
Heather DiCioccio DNP RN @missinu3400
@from_bedside Hi! Heather from Cleveland, OH! Postpartum staff educator. #TweetRN
Kirstin Manges Piazza PhD RN @kirstin_manges
@from_bedside A2: Most of the time!! Beyond my awesome coworkers I have right now and my family, I’ve found additional support from old nursing school classmates & my nurse residency cohort. Even 10 yrs later & multiple states, I still am friends with my classmates/cohort. #tweetrn
NICU RN @nicunurselife
@from_bedside A2: My coworkers & charge RNs are a constant support system. In the bereavements I’ve done, our chaplain has been clear that she’s there, not just for the family, but for me. Even my APNs & physicians offered support during bereavements. We’re a team, we hurt together. #TweetRN
Sarah, APRN @SarahKDNP
I respect you so much for surviving that week. I would’ve wanted to curl up in a ball and wallow in depression. #TweetRN
Sarah, APRN @SarahKDNP
That’s too bad. Debriefings are so helpful following an emotionally charged situation. #TweetRN
Heather DiCioccio DNP RN @missinu3400
@from_bedside On PTO this week, so my time is MINE (minus the minis starting school today). Had a really rough day last week that ended in a meltdown in my car. #TweetRN
NeuroNerd @superneuronurse
@from_bedside A2, up until last year, I worked with Mister, so he has been my go to for support. Otherwise, I tend to rely on myself at work, & talk to him when I get home. I do make myself available to my coworkers, but I tend to be a private person with my emotions while at work #TweetRN
Sarah, APRN @SarahKDNP
That is the biggest testament to a nurse residency program! #TweetRN
Sarah, APRN @SarahKDNP
I love this. #TweetRN
Catherine Gegaris @cgegaris1
@nursekelsey @from_bedside W all do our emotional letting down in the way it is https://t.co/kJlonOqRCV my units we did debriefings when it was tough and we had partners we could count on to show comfort and support. We would take a break or offer one.#Tweetrn
Sarah, APRN @SarahKDNP
Amen!!
Patricia Ann @Patricia_Ann_E
@from_bedside A2- Yes & No. we have a CIRT (critical incident response team) that is trained in how to properly debrief that I have found helpful. Unfortunately there are many that believe this is unnecessary and make those feeling upset feel worse. Greatest support is friends at work #tweetRN
Patricia Ann @Patricia_Ann_E
Coworkers really make the job #TweetRN
Sarah, APRN @SarahKDNP
agreed. Healthcare can be ugly everywhere! They’re missing a great opportunity to help their staff. #TweetRN
NeuroNerd @superneuronurse
@from_bedside A2 I also have coworkers I can talk to, but it tends to be me talking to say it out loud vs crying or being upset. It helps me to understand why I am feeling what I’m feeling or just to validate my feelings. I don’t want advice/solutions, just an ear. #TweetRN
Sarah, APRN @SarahKDNP
First time I’ve heard of it, but it’s going on my “to research” list. #TweetRN
Catherine Gegaris @cgegaris1
@from_bedside A2 We would also do care for the care giver day,I would make sure staff got a chance to go to a room we were given with music, books, meditation..good for the soul.#Tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A1: I never cry in front of patients or families, unless it is along with a family after a death, particularly if I became close to a patient. I have cried in the Med room, in the break room, in the car on the way home. #TweetRN
Justin @NurseJustinRN
RT @Patricia_Ann_E: @from_bedside A2- Yes & No. we have a CIRT (critical incident response team) that is trained in how to properly debrief that I have found helpful. Unfortunately there are many that believe this is unnecessary and make those feeling upset feel worse. Greatest support is friends at work #tweetRN
NICU RN @nicunurselife
@from_bedside We don’t, but we debrief any code that includes compressions, lasts longer than 5 minutes, and on request from participants. We have our own code team for our unit, so the code team, bedside Rn, charge, apn, md, and rt meet, ideally within 30 minutes, to debrief. #TweetRN
Heather DiCioccio DNP RN @missinu3400
@from_bedside A1: yes and yes. Occasionally, there’s an instant bond with a family or coworker and you FEEL for them & they get YOU. Other times, there is NO connection and we do what we can to make it through the shift. Home life can make/break our response to this. #TweetRN
Sarah, APRN @SarahKDNP
A3: I make a conscious effort to go inside my head and not show emotion. I focus on the tasks that need to be done and start to critical think through the situation. Not always the easiest thing to do. #TweetRN
NurseBananahammock @ModerateFERN
@from_bedside A3 #TweetRN Better. Hopefully every time. :) Do an internal debrief. Try to be honest w/myself and be alert to responses from others and ask for honest feedback.
Justin @NurseJustinRN
@from_bedside A3: To handle emotionally charged situations, you should explore your own personal state of mind first. How you react is closely related to how you feel at the time. Being in touch with one's own emotion is a sure-fire way to succeed in nursing! #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A2: I’m lucky to be in a workplace with wonderful supportive coworkers. My most supportive people are my charge nurse and nurse manager. I haven’t always had this supportive of an environment! #TweetRN
Sarah, APRN @SarahKDNP
My current status. If I’m being honest, THIS is my coping mechanism ... cuddling with my fur child. #TweetRN https://t.co/nQI4j5qt5F
NurseKelsey (she/her) 🌈✨🎉❤️🏳️‍🌈 @nursekelsey
@from_bedside A3: I keep asking “what is best for the patient right now?” Is it doing compressions? Is it getting supplies? Is it a box of tissues? Is it being their advocate? Is it finding their family? Thinking about what they need from me helps keep me focused & functional. #TweetRN
Kirstin Manges Piazza PhD RN @kirstin_manges
@from_bedside A: I like to do a hand sanitizer centering. When ever I’m entering a challenging room where tensions are high I say a little manta: “I am patient, I am kind.” It helps me center my emotions and keep focused on others needs. Also, knowing when to ask for help! #tweetRN
Justin @NurseJustinRN
RT @ModerateFERN: @from_bedside A3 #TweetRN Better. Hopefully every time. :) Do an internal debrief. Try to be honest w/myself and be alert to responses from others and ask for honest feedback.
NeuroNerd @superneuronurse
@from_bedside A3 I tend to be too busy to deal with my feelings at the time they are occurring, and I focus on what work I need to do. That’s not to say I don’t sit with families/pts and have times of connections, I do and I love those times. #TweetRN
Justin @NurseJustinRN
@ModerateFERN @from_bedside Great points!! Thank you #TweetRN
Heather DiCioccio DNP RN @missinu3400
@Patricia_Ann_E @from_bedside Kudos to the labor nurses for what you handle- it hurts. We occasionally sit with a new father & baby as he tries to decide what the next step is for his girlfriend/wife in grave condition down in ICU. #MaternalMortality #TweetRN
Sarah, APRN @SarahKDNP
I love this idea!! #TweetRN
infamous @cardiovascCCRN
@from_bedside A3: I tend to put any emotions in the back seat and focus on my job. Looking at it like a math problem of critical thinking, balance, interventions, monitoring etc and make sure that I am giving my 100% best care to the patient. It’s a quiet, deliberate energy #tweetrn
NurseKelsey (she/her) 🌈✨🎉❤️🏳️‍🌈 @nursekelsey
@from_bedside A3: also, knowing when to step away is huge. You aren’t helpful to the room if you’re struggling with valid but intense or difficult emotions. Stepping away is not weakness. Taking a moment is mature & important. Don’t force yourself to stay. #TweetRN
Justin @NurseJustinRN
RT @kirstin_manges: @from_bedside A: @from_bedside A: I like to do a hand sanitizer centering. When ever I’m entering a challenging room where tensions are high I say a little manta: “I am patient, I am kind.” It helps me center my emotions and keep focused on others needs. Also, knowing when to ask for help! #tweetRN
NICU RN @nicunurselife
@from_bedside I try to be really aware of the situation, be patient with the family & with myself as we are both experiencing stress reactions in the situation, & ensure that the needs of the patient/family are met. Then I find someone that can support me while I support the family. #tweetRN
NeuroNerd @superneuronurse
@from_bedside A3 Anger and frustration I tend to put aside when dealing w/pts/families-it’s not about me, but what I can do to improve the situation, even if it’s removing myself from it, or just working through the awkward. #TweetRN
NurseBananahammock @ModerateFERN
This is so important.
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A3: Actually, @NatsforDocs taught me some great meditations and how to clear my head between patients to help prevent compassion fatigue and encourage empathy preservation. It’s become a wellness lifeline for me and I try to do it as much as I can! #TweetRN
Heather DiCioccio DNP RN @missinu3400
@from_bedside A2: depends on the day & who’s working. Most coworkers are like a 2nd family but if it’s an emotional day & not the right people around, it’s tough. And lonely. And frustrating. Greatest support- the other OB educators I work with. #TweetRN
Justin @NurseJustinRN
Tonight's Twitter chat is all about emotions in nursing. Tonight we discovered a task force that supports nurses. Here is the link for more information! #TweetRN
NeuroNerd @superneuronurse
@NurseJustinRN @from_bedside I am also the one that gets assigned to challenging rooms-whether it’s an angry family or they are having trouble accepting the reality of the illness. My experience has helped me to know what they need and how to provide it. It’s an honor to be “that nurse” on my unit. #TweetRN
Sarah, APRN @SarahKDNP
Same!! I’m used to my peeps. I worked weeks a for 10 years for this exact reason. #TweetRN
Catherine Gegaris @cgegaris1
@from_bedside A2 Yes,we did Moral Distress training and debriefings when tensions and emotions were high. Take 5 to cool down.#Tweetrn
Patricia Ann @Patricia_Ann_E
@from_bedside A3: I usually just start getting very task oriented. This is an area that I hope to get better in— I took a course in emotional intelligence recently and am working on understanding how emotions can come across, especially to colleagues. #TweetRN
Sarah, APRN @SarahKDNP
A4: if I’m being honest ... I ignore them. I’m one who doesn’t react or deal with things until it all becomes too much and then I finally break down. #TweetRN
NurseBananahammock @ModerateFERN
RT @nursekelsey: @from_bedside A1: @from_bedside A1: One of the biggest things I try to remember is my tears when with patients/family are on stage. Be aware of the mood of the room. Sometimes they don’t want/have emotional space for your feelings. This is when you step away to feel your rightful feelings. #TweetRN
Heather DiCioccio DNP RN @missinu3400
@from_bedside A3: my emotions- I need to step away, be by myself. Journal through emotion. I tend to “go cold” until I can process my own emotion. Coworkers: I try to help them debrief. First question I have after an event is “thoughts, feelings, emotions?” Give them a safe space. #TweetRN
Justin @NurseJustinRN
@from_bedside Know your point-of-no-return and the associated symptoms (biological responses). At first sign, much like a head cold, begin self-care, take a mental health day, or take an immediate break if on duty! #TweetRN #SelfCareisResponsbileCare
NurseKelsey (she/her) 🌈✨🎉❤️🏳️‍🌈 @nursekelsey
@from_bedside And oh jeez. A4. #TweetRN https://t.co/cT0fTV2oVd
NeuroNerd @superneuronurse
@from_bedside A4 I just do 🤷‍♀️I have really good support that I can reach out to, and I know myself well enough to acknowledge my feelings and know when I need help. I think mostly I’m ok, and when I’m not, I take care of myself #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A4: I admit I’m not always good at this. Good at keeping it in check in front of patients at least, but I’ve not been great at not losing it in front of my coworkers either out of anger/frustration or despair. Sigh. #TweetRN
MammaTaubs @kayrae6
Yes, yup,uhuh
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@NerdyICURN @from_bedside I love this answer so much!!!! Thank you for this honesty. 💙 #TweetRN
Tori M @AstrosNurse
@from_bedside A3: I think it helps to have a team that supports you and having someone at work you talk to. Some of my employees just want to express how they feel something that happened. We should allow that. #TweetRN
Heather DiCioccio DNP RN @missinu3400
@ThatClinical @from_bedside Right there with you on this one. #TweetRN
NurseBananahammock @ModerateFERN
@from_bedside A4 #TweetRN Been a process over decades. Haven't perfected it. Had pt, old guy, beaten in head w/umbrella by younger guy. Younger guy also my pt for incarceritis. He was such a PITA. As old guy got worse from brain bleed had to get charge to take young guy cuz I was so angry.
Sarah, APRN @SarahKDNP
🙋🏻‍♀️ Same
NICU RN @nicunurselife
@from_bedside Thankfully I was at home when I found out, so I could grieve alone. I didn’t have to regulate my emotions to support his family. I would have done it, but part of me is glad I didn’t have to. #tweetRN
Heather DiCioccio DNP RN @missinu3400
@from_bedside A4: usually ok with patients & families. It’s holding it together with coworkers. I have a core group that helps keep track of me & we do the same for each other. We’re not always good at picking up our own emotional needs. I can tell when I haven’t seen them recently. #TweetRN
Sarah, APRN @SarahKDNP
@rn_critcare you rocked it!!!
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@nicunurselife @from_bedside Thank you so much for sharing this very human experience with us. 💙 #TweetRN
Justin @NurseJustinRN
I'll be there!! Will you? Join us next Monday!! #TweetRN
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