Connecting the Mind, Body and Spirit: The Role of Holistic Nurses

Podcast Transcript

Carol Pehotsky (00:04):

When you hear the phrase "holistic nursing," it might conjure for you images of crystals and herbs, and while it can include that, I'm joined today by Rose Hosler to learn about the many benefits of a mind, body, and spirit approach to nursing for our patients and for ourselves. Hi, and welcome to Nurse Essentials, a Cleveland Clinic podcast where we discuss all things nursing, from patient care, to advancing your career, to navigating tough on-the-job issues. We're so glad you're here. I'm your host, Carol Pehotsky, Associate Chief Nursing Officer of Surgical Services Nursing.

Welcome back, everyone. So if you've been listening since the beginning, you may remember my journey to nursing came by way of music therapy. I was scared of hospitals and nursing, and all that that entailed, and then suddenly I found myself as a music therapist on a burn unit. And one of the worlds that opened up to me as I went through my music therapy schooling, as well as in a career, was really that there's so many amazing m- modalities that we can use to really help patients, help ourselves. 

And so within my educational experiences, and even with some of the folks I worked with when I was at the hospital as a music therapist, were things like Reiki and healing touch, and all sorts of modalities I had no exposure to, so it really opened my eyes to those things, and then as I became a nurse and really seeing that that can be part of a nursing practice. And so with all that as an introduction, it's my pleasure to welcome Rose Hosler to the show today. Rose is the Healing Services Coordinator for Hillcrest Hospital. Welcome, Rose.

Rose Hosler (01:42):

Thank you so much. Happy to be here.

Carol Pehotsky (01:44):

So you have a story to tell in terms of holistic nursing and your journey to-

Rose Hosler (01:44):

Wow.

Carol Pehotsky (01:48):

... all these wonderful modalities. So can you start us off by giving us a little bit about how you found yourself into this specialty?

Rose Hosler (01:53):

Yes.

Carol Pehotsky (01:54):

(laughs).

Rose Hosler (01:54):

So way back when, I started my career out at the Veterans Hospital-

Carol Pehotsky (01:57):

Oh, wow. Okay.

Rose Hosler (01:58):

... here in Cleveland at Wade Park, and I think most of my life, and I can say probably by the age of 12, I knew I was going to become a nurse.

Carol Pehotsky (02:06):

Oh, great. All right.

Rose Hosler (02:07):

And that was shaped of, I think sometimes as we know, you know, from an experience. I had a best friend and her sister was in a devastating car accident-

Carol Pehotsky (02:15):

Oh.

Rose Hosler (02:15):

... that left her as a quadriplegic.

Carol Pehotsky (02:17):

Oh, for goodness sakes. 

Rose Hosler (02:17):

And so I learned from the get-go what it meant to really take care of someone,-

Carol Pehotsky (02:23):

Wow, yeah.

Rose Hosler (02:24):

... to listen to them because she was not able to do things for herself, so-

Carol Pehotsky (02:24):

Oh, gosh, yeah.

Rose Hosler (02:29):

... she used her voice. So I think from that, that's really where-

Carol Pehotsky (02:33):

It's a very formative experience, yeah.

Rose Hosler (02:34):

... a very formative experience-

Carol Pehotsky (02:34):

Mm-hmm.

Rose Hosler (02:35):

... and stayed with me for many, many years. I went on to be her personal assistant when she went on to college.

Carol Pehotsky (02:40):

Oh. 

Rose Hosler (02:41):

And so it was really just a great, great learning-

Carol Pehotsky (02:46):

Wow, yeah.

Rose Hosler (02:47):

... I mean, heartfelt experience, knowledge-

Carol Pehotsky (02:47):

Mm-hmm.

Rose Hosler (02:49):

... that I learned through the years, even before I started nursing school. So when I went to the Veterans Hospital and I was like, "Gosh, there... "I worked med/surg,-

Carol Pehotsky (03:00):

Mm-hmm.

Rose Hosler (03:00):

... I worked their cardiac surgical intensive care and I was like, "There's more to this."

Carol Pehotsky (03:00):

(laughs).

Rose Hosler (03:05):

There is more to healing-

Carol Pehotsky (03:08):

Hmm.

Rose Hosler (03:08):

... than what I'm seeing."

Carol Pehotsky (03:08):

Mm-hmm.

Rose Hosler (03:09):

So I had always I feel like practiced, I was a runner and-

Carol Pehotsky (03:09):

(laughs).

Rose Hosler (03:13):

... always in to kinda health and fitness.

Carol Pehotsky (03:15):

Okay, all right.

Rose Hosler (03:16):

You know, so I got that-

Carol Pehotsky (03:16):

All right.

Rose Hosler (03:16):

... got that-

Carol Pehotsky (03:16):

Yeah.

Rose Hosler (03:17):

... part of it. You know? 

Carol Pehotsky (03:17):

Mm-hmm.

Rose Hosler (03:18):

But I just felt like there was more. And so as I was worked at the VA, I just started exploring more things, getting connected to people that were practicing more spirituality, that were into herbs, vitamins, just all different things-

Carol Pehotsky (03:18):

Right.

Rose Hosler (03:32):

... just trying to expose myself to that.

Carol Pehotsky (03:32):

Yeah.

Rose Hosler (03:34):

I came here to the clinic in '97 and worked the emergency room and I always was listening to someone's story. So I know what brings you here physically,-

Carol Pehotsky (03:43):

Mm-hmm.

Rose Hosler (03:44):

... but what's going on emotionally and spiritually?

Carol Pehotsky (03:46):

Sure.

Rose Hosler (03:47):

And so I just started taking classes and things that interested me,

Carol Pehotsky (03:48):

Mm-hmm.

Rose Hosler (03:52):

... that were a little bit more expansive than just the physical component of what's going on during a disease process.

Carol Pehotsky (03:52):

Sure.

Rose Hosler (03:58):

And I learned Reiki, and I loved it, and I started incorporating it at the bedside when I worked PACU at Hillcrest,-

Carol Pehotsky (03:59):

Ah!

Rose Hosler (04:06):

... and at the Beachwood Surgery Center when I worked.

Carol Pehotsky (04:07):

Yes, yes.

Rose Hosler (04:09):

And I learned aromatherapy.

Carol Pehotsky (04:10):

Mm-hmm.

Rose Hosler (04:11):

I was like, "I wanna take the clinical course in aromatherapy 'cause I really want to understand the chemistry of it, like what's going on."

Carol Pehotsky (04:16):

Oh, sure.

Rose Hosler (04:17):

And so every time I took a class or a training it would, just led me to other people that were practicing-

Carol Pehotsky (04:17):

Hmm.

Rose Hosler (04:23):

... like this and it just opened my eyes.

Carol Pehotsky (04:25):

Okay.

Rose Hosler (04:26):

So I was practicing this and doing this while I was working as a clinical nurse.

Carol Pehotsky (04:30):

Mm-hmm.

Rose Hosler (04:30):

And there was a team here at main campus, Healing Services,-

Carol Pehotsky (04:34):

Okay.

Rose Hosler (04:34):

... through the Spiritual Care Department that reported up through Office of Patient Experience and they had a position-

Carol Pehotsky (04:41):

Ah.

Rose Hosler (04:41):

... open, and I had kinda been working with them through doing Code Lavenders and stuff when I was at Hillcrest-

Carol Pehotsky (04:42):

Sure.

Rose Hosler (04:47):

... and connected with them, so I came down here to main campus in 2013.

Carol Pehotsky (04:52):

(laughs).

Rose Hosler (04:52):

And I never thought I would work at main-

Carol Pehotsky (04:53):

(laughs).

Rose Hosler (04:54):

... campus (laughs)-

Carol Pehotsky (04:55):

But here you are.

Rose Hosler (04:55):

... but here I am. So I started working as a Healing Services Coordinator-

Carol Pehotsky (05:00):

Okay.

Rose Hosler (05:00):

... with the Department of Spiritual Care. 

Carol Pehotsky (05:00):

Hmm. Mm-hmm.

Rose Hosler (05:03):

And so it was a great opportunity to learn from chaplains and just really expand the work-

Carol Pehotsky (05:10):

Mm-hmm.

Rose Hosler (05:10):

... and so I got certified as a holistic nurse.

Carol Pehotsky (05:13):

Okay. 

Rose Hosler (05:13):

All these years of clinical training and things, I always incorporated something holistic.

Carol Pehotsky (05:19):

Mm-hmm.

Rose Hosler (05:20):

Something that expanded my knowledge on really what does it mean to look at someone from a mind, body, spirit perspective? We say that-

Carol Pehotsky (05:27):

Sure.

Rose Hosler (05:28):

... and, you know, it's kinda the talk, "Oh, mind, body, spirit-

Carol Pehotsky (05:28):

Yes, but-

Rose Hosler (05:30):

... and- and well-being and stuff." And I have the opportunity when I met with patients, or family, or the caregivers-

Carol Pehotsky (05:38):

Mm-hmm.

Rose Hosler (05:38):

... that something maybe, they'll be like, "Oh my gosh, Rose, I'm just, I've got this major headache. I've got so much pain. Can you do something?" I'm like, "Uh-huh, sure, we'll work on that.

Carol Pehotsky (05:39):

Mm-hmm.

Rose Hosler (05:48):

And what else is going on?

Carol Pehotsky (05:50):

Hmm. What's the root cause?

Rose Hosler (05:51):

What else is going on? 

Carol Pehotsky (05:53):

Yeah, yeah.

Rose Hosler (05:53):

What's the root cause? What else is going on? What's going on emotionally? 

Carol Pehotsky (05:57):

Mm-hmm.

Rose Hosler (05:57):

What's going spiritually for you? What's going on psychologically?" 

Carol Pehotsky (06:01):

Mm-hmm.

Rose Hosler (06:02):

And so practicing from that foundation-

Carol Pehotsky (06:06):

Mm-hmm.

Rose Hosler (06:07):

... it's just amazing-

Carol Pehotsky (06:08):

It's who you are.

Rose Hosler (06:09):

... because I, it's who I am, and it's really opened my eyes, and I've learned a lot. That's kinda been journey here at the clinic.

Carol Pehotsky (06:18):

That's awesome. Yeah.

Rose Hosler (06:18):

So I stayed at main campus for three years-

Carol Pehotsky (06:20):

Mm-hmm.

Rose Hosler (06:20):

... and then transferred back to Hillcrest-

Carol Pehotsky (06:20):

Mm-hmm.

Rose Hosler (06:22):

... doing the same work. So at Hillcrest I kinda bebop around the hospital.

Carol Pehotsky (06:22):

Mm-hmm.

Rose Hosler (06:27):

I get referrals from-

Carol Pehotsky (06:28):

Okay.

Rose Hosler (06:28):

... anyone, so physicians, nurses-

Carol Pehotsky (06:31):

Mm-hmm.

Rose Hosler (06:31):

... social workers.

Carol Pehotsky (06:32):

Mm-hmm.

Rose Hosler (06:32):

Patients they can refer. So they would actually put the referral in EPIC-

Carol Pehotsky (06:37):

Okay.

Rose Hosler (06:37):

... for Healing Services and you get me (laughs).

Carol Pehotsky (06:39):

(laughs) and- and audience I want you to know that this is a reschedule from when we were supposed to first record because Rose was providing those wonderful services to a patient and family, so she absolutely is still boots on the ground helping out-

Rose Hosler (06:39):

Yes.

Carol Pehotsky (06:54):

... so many in our hospitals. 

Rose Hosler (06:55):

Yes, and I love it.

Carol Pehotsky (06:57):

Excellent. So you've given us a- a wonderful overview. Maybe if you can help us dive in a little bit more. So you- you mentioned that you're a holistic nurse and you're a certified holistic nurse.

Rose Hosler (06:58):

Correct.

Carol Pehotsky (07:07):

Can you give us sort of the definition of what that means and what the process of getting certified was like?

Rose Hosler (07:12):

Yeah, so back in nursing school I had no idea that there was-

Carol Pehotsky (07:16):

Mm-hmm.

Rose Hosler (07:17):

... holistic nursing or, you know, thing- things of this nature. So yes, holistic nursing it's a board certification-

Carol Pehotsky (07:23):

Okay.

Rose Hosler (07:23):

... so it's recognized. It's a Magnet Recognition-

Carol Pehotsky (07:26):

Oh, [inaudible 00:07:27].

Rose Hosler (07:26):

... under certification. Yes, and by ANCC it's recognized. So holistic nursing is just what we have said, looking at someone from mind, body, spirit perspective-

Carol Pehotsky (07:38):

And truly doing that (laughs). 

Rose Hosler (07:38):

... and- and- and truly doing that-

Carol Pehotsky (07:38):

Yeah. Yeah.

Rose Hosler (07:39):

... and making it part of your practice.

Carol Pehotsky (07:40):

Okay.

Rose Hosler (07:40):

So yes, I'm a clinical nurse,-

Carol Pehotsky (07:40):

Mm-hmm.

Rose Hosler (07:42):

... but as I'm certified in holistic nursing that focus for me is I'm gonna dig deeper with someone. And whether I'm working at the bedside,-

Carol Pehotsky (07:43):

Mm-hmm.

Rose Hosler (07:53):

... if- if I was working PACU, if I was working the ER, it is part of your practice. It's a part of way of being. So it doesn't mean that holistic nurse that, oh, I have a modality. Those are great. 

Carol Pehotsky (08:04):

Yeah.

Rose Hosler (08:04):

Those are added tools-

Carol Pehotsky (08:06):

Okay.

Rose Hosler (08:06):

... that I can use. Sometimes that's kind of the way in, is using a tool-

Carol Pehotsky (08:09):

Okay.

Rose Hosler (08:09):

... or a technique to-

Carol Pehotsky (08:10):

So healing touch, Reiki, et cetera, those are tools? But not-

Rose Hosler (08:14):

Yes, those are tools, but not requirements to get certified-

Carol Pehotsky (08:15):

Interesting.

Rose Hosler (08:15):

... as a holistic nurse.

Carol Pehotsky (08:17):

Okay. 

Rose Hosler (08:17):

So the requirement is that you're practicing from a holistic perspective, you understand holistic nursing theory-

Carol Pehotsky (08:23):

Okay.

Rose Hosler (08:23):

... and you are putting that into practice in the work where you are.

Carol Pehotsky (08:27):

Ah, okay.

Rose Hosler (08:28):

So what's nice is, let's say I went back to the emergency room, I used to be trauma nurse certified when I worked ER-

Carol Pehotsky (08:35):

Oh, okay, yeah. Mm-hmm.

Rose Hosler (08:35):

... and I did SANE nursing as well,-

Carol Pehotsky (08:37):

Wow.

Rose Hosler (08:38):

... so if I went back to the emergency room this certification-

Carol Pehotsky (08:38):

Mm-hmm.

Rose Hosler (08:41):

... would go with me. 

Carol Pehotsky (08:42):

Well, yeah, okay, that makes sense.

Rose Hosler (08:43):

So this holistic-

Carol Pehotsky (08:43):

Yeah.

Rose Hosler (08:44):

... nursing certification would stay with you. So I feel like it's- it's kind of a nice foundation because-

Carol Pehotsky (08:44):

Yeah.

Rose Hosler (08:49):

... you can apply this holistic nursing to any field of nursing. 

Carol Pehotsky (08:53):

And- and we probably all should (laughs).

Rose Hosler (08:55):

Correct. That's my feeling, yes.

Carol Pehotsky (08:58):

Well, and I never knew that. I'm thinking back to, we had an episode a little while ago about certification and- and, you know, the process of getting certified with other specialties, but our guest actually talked about how she had to let her certification lapse 'cause she was no longer practicing that very specific specialty that she had gotten certified, but-

Rose Hosler (09:14):

Right.

Carol Pehotsky (09:15):

... I've learned from you that this should be practiced everywhere, so that wouldn't necessarily be (laughs) a limiting factor that you should be, if you're a certified holistic nurse you can be that in any type of nursing.

Rose Hosler (09:24):

In any type of nursing, that's right. And I was just speaking to another nurse that works oncology and she was like, "Rose, I really wanna become a holistic nurse.

Carol Pehotsky (09:24):

Mm-hmm (laughs).

Rose Hosler (09:33):

How do I do that?"

Carol Pehotsky (09:33):

Right (laughs).

Rose Hosler (09:33):

So we had conversation-

Carol Pehotsky (09:34):

Right.

Rose Hosler (09:35):

... about that. I mean, yes, there's an application.

Carol Pehotsky (09:36):

Yeah.

Rose Hosler (09:36):

There's an exam. And you have to have so many continuing education units-

Carol Pehotsky (09:41):

Yeah.

Rose Hosler (09:41):

... that pertain to holism.

Carol Pehotsky (09:41):

Okay.

Rose Hosler (09:42):

So you can't, like, take your ACLS-

Carol Pehotsky (09:45):

And (laughs) apply it to it. Yes (laughs).

Rose Hosler (09:45):

... and put it towards your CEs. You know? But there's a lot of opportunity in things. That I've taken courses, I've taken in trauma-

Carol Pehotsky (09:52):

Hmm. 

Rose Hosler (09:52):

... and the mind, body, spirit component, the grief component, the- there's many things that-

Carol Pehotsky (09:53):

Gosh, yeah.

Rose Hosler (09:57):

... can pertain to that. 

Carol Pehotsky (09:58):

Yeah.

Rose Hosler (09:58):

So you have to have so many CEs-

Carol Pehotsky (09:59):

Mm-hmm.

Rose Hosler (10:00):

... and, uh, the certification is good for 5 years.

Carol Pehotsky (10:01):

Sure.

Rose Hosler (10:02):

So you do have to renew it,-

Carol Pehotsky (10:02):

Mm-hmm.

Rose Hosler (10:03):

... and you have to keep current with things that are going on, and that you are practicing from that. And part of that certification is, what do you do for your self-care?

Carol Pehotsky (10:12):

No?

Rose Hosler (10:13):

You... Yes, you actually-

Carol Pehotsky (10:14):

That's fantastic.

Rose Hosler (10:14):

... you actually have to write an essay.

Carol Pehotsky (10:16):

Really? 

Rose Hosler (10:16):

Yes, it's part of the (laughs) application process-

Carol Pehotsky (10:17):

Oh, (laughs) man.

Rose Hosler (10:19):

... of how to do you incorporate holism for yourself?

Carol Pehotsky (10:21):

Wow. 

Rose Hosler (10:21):

What does that mean for you? So you get to examine yourself first-

Carol Pehotsky (10:26):

That's fascinating. 

Rose Hosler (10:26):

... when you're applying for that. 

Carol Pehotsky (10:28):

Yeah, I didn't have to write any essays for the certifications I have, so (laughs).

Rose Hosler (10:28):

(laughs). 

Carol Pehotsky (10:33):

So you mentioned that you get referrals?

Rose Hosler (10:35):

Yes.

Carol Pehotsky (10:36):

So talk to me a little bit more about how you sort of get out there that you can be referred to? And what are the- some of the things that a- a physician or a nurse are saying, "I need to refer to Healing Services. I need Rose's help?"

Rose Hosler (10:48):

So I will get referrals for, one of the big ones is emotional support.

Carol Pehotsky (10:53):

Hmm.

Rose Hosler (10:54):

Someone that's been newly diagnosed.

Carol Pehotsky (10:56):

Okay.

Rose Hosler (10:56):

Someone that has high anxiety. They just-

Carol Pehotsky (10:59):

Yeah.

Rose Hosler (11:00):

... they're just a wreck. 

Carol Pehotsky (11:01):

Mm-hmm.

Rose Hosler (11:02):

Pain.

Carol Pehotsky (11:03):

Yeah.

Rose Hosler (11:04):

And so those are probably the most common. End of life things-

Carol Pehotsky (11:07):

Yeah.

Rose Hosler (11:07):

... as well. So really anyone can refer to me and because I am not in one unit, that's the beauty of being a holistic nurse in this position that Cleveland-

Carol Pehotsky (11:07):

Yeah.

Rose Hosler (11:17):

... Clinic has.

Carol Pehotsky (11:18):

We're grateful for it.

Rose Hosler (11:19):

And I will say-

Carol Pehotsky (11:19):

Yeah (laughs).

Rose Hosler (11:20):

... the clinic has been quite progressive-

Carol Pehotsky (11:22):

Yes.

Rose Hosler (11:22):

... in that when I go to conference and stuff like that they're like-

Carol Pehotsky (11:25):

Mm-hmm.

Rose Hosler (11:26):

... "Oh-

Carol Pehotsky (11:26):

Wait, you do this full time?

Rose Hosler (11:27):

... you do this full time and in-patient."

Carol Pehotsky (11:27):

Yeah (laughs). Yeah.

Rose Hosler (11:30):

So I'm out and I'm in different units all over. 

Carol Pehotsky (11:34):

Mm-hmm.

Rose Hosler (11:34):

I could be on the pediatric floor in the morning, and then go over to antepartum, go over-

Carol Pehotsky (11:38):

Mm-hmm.

Rose Hosler (11:38):

... down to the ER, go to ICU, CCU, so staff is pretty well aware of me.

Carol Pehotsky (11:38):

Sure. 

Rose Hosler (11:44):

So that's kind of how, it really is kind of word of mouth-

Carol Pehotsky (11:47):

Okay.

Rose Hosler (11:47):

... and learning about me. But I do partner a lot with Spiritual Care.

Carol Pehotsky (11:50):

Yeah.

Rose Hosler (11:51):

So we're, you know, with the chaplains and things like that. At Hillcrest they're aware they can put in Healing Service referral. And if they're not sure, sometimes people just know me and they just page me.

Carol Pehotsky (12:00):

They stop by, yeah.

Rose Hosler (12:00):

Like, "I don't know what's going on, but-

Carol Pehotsky (12:00):

Sure. Yeah (laughs).

Rose Hosler (12:00):

... you need to come up.

Carol Pehotsky (12:00):

I need your help. Yeah.

Rose Hosler (12:04):

... I need your help." And we do a lot of staff care. I partner a lot with our-

Carol Pehotsky (12:07):

Hmm.

Rose Hosler (12:07):

... Director of Spiritual Care, Rabbi Susan Stone.

Carol Pehotsky (12:10):

Okay, yeah.

Rose Hosler (12:10):

And so we bring, do Code Lavenders, we bring the tea cart around. And just yesterday I had one of our unit coordinators call me and she's like, "Rose, the unit's been a little stressful, um,-

Carol Pehotsky (12:21):

Oh.

Rose Hosler (12:21):

... can you come-

Carol Pehotsky (12:21):

Yeah.

Rose Hosler (12:21):

... over to West Center? We just really need, uh, I think the nurses just need to take a pause and take a breath."

Carol Pehotsky (12:27):

Oh, how wonderful that she reached out.

Rose Hosler (12:27):

And she's... She reached out.

Carol Pehotsky (12:28):

Yeah.

Rose Hosler (12:30):

And so here is someone that's kind of, you know, recognizing that their-

Carol Pehotsky (12:33):

Mm-hmm.

Rose Hosler (12:33):

... co-workers need some added support. And so I was able to go get the tea cart,-

Carol Pehotsky (12:38):

Mm-hmm.

Rose Hosler (12:39):

... go over to West Center and spend some time with the staff and encouraging them just to kinda reset.

Carol Pehotsky (12:45):

Yeah.

Rose Hosler (12:45):

And caregivers know when I'm out on the units.

Carol Pehotsky (12:46):

Mm-hmm.

Rose Hosler (12:48):

They can reach out if they need help.

Carol Pehotsky (12:50):

Wonderful, yeah.

Rose Hosler (12:51):

So I'm- I'm- I'm there for them, too.

Carol Pehotsky (12:53):

What a gift. For our friends who are listening who are not from the Cleveland Clinic, can you explain a little bit more about Code Lavender? 

Rose Hosler (12:59):

Sure. So Code Lavender has been around the clinic for a long time.

Carol Pehotsky (13:03):

Mm-hmm.

Rose Hosler (13:03):

Originally, for the clinic when we brought it here it was, we thought, "Oh, we're gonna do Code Lavender because, you know, when patients get a bad diagnosis, or-

Carol Pehotsky (13:04):

Mm-hmm.

Rose Hosler (13:13):

... you know, we have long hospital stays, or a lot of complicated issues," but what turned out to be 99% of the calls were for the caregivers.

Carol Pehotsky (13:21):

Yep (laughs).

Rose Hosler (13:21):

The staff are like, "We need a Code Lavender."

Carol Pehotsky (13:23):

Yeah. Yeah, I honestly didn't know it was ever patient-focused because in my mind it's always been caregivers.

Rose Hosler (13:26):

It's always-

Carol Pehotsky (13:27):

Yeah.

Rose Hosler (13:27):

... and it- and it started out being that's what we thought it was gonna be,-

Carol Pehotsky (13:28):

Huh, okay.

Rose Hosler (13:30):

... but in essence it really turned out to be for caregivers. So Code Lavender here at the clinic has been around since about 2009.

Carol Pehotsky (13:38):

Wow. Huh.

Rose Hosler (13:39):

Mm-hmm.

Carol Pehotsky (13:39):

Okay.

Rose Hosler (13:40):

2010. And it's ebbed and flowed a little bit,-

Carol Pehotsky (13:43):

Mm-hmm.

Rose Hosler (13:43):

... but it definitely has gained a lot more momentum in these-

Carol Pehotsky (13:43):

Mm-hmm.

Rose Hosler (13:47):

... past years. So any caregiver can call a Code Lavender. 

Carol Pehotsky (13:47):

Mm-hmm.

Rose Hosler (13:50):

So let's say maybe there was a death of a coworker-

Carol Pehotsky (13:53):

Yeah.

Rose Hosler (13:54):

... we get called a lot for that. We've had some patients that have been on the unit for a while and they've passed away.

Carol Pehotsky (14:00):

Sure, yeah.

Rose Hosler (14:00):

Or maybe a patient came in and they seemed like they were doing great and they passed away.

Carol Pehotsky (14:05):

Yeah.

Rose Hosler (14:05):

Or, you know, there's been a lot of turnover, or just the stress of every day life in the unit, or what's going on and staff is feeling overwhelmed, they can call Spiritual Care-

Carol Pehotsky (14:06):

Mm-hmm.

Rose Hosler (14:17):

... and say, "We need a Code Lavender," and we can mobilize on the unit within a half hour, sometimes we've done shorter.

Carol Pehotsky (14:23):

Yes, you have (laughs).

Rose Hosler (14:23):

So we come up-

Carol Pehotsky (14:24):

Yes. Yeah. 

Rose Hosler (14:25):

... and we might bring the tea cart, we bring our lavender bin.

Carol Pehotsky (14:28):

Mm-hmm.

Rose Hosler (14:28):

And it has all different things depending on what's going on in the unit-

Carol Pehotsky (14:28):

Hmm.

Rose Hosler (14:31):

... and what the needs are of the staff.

Carol Pehotsky (14:33):

Yep.

Rose Hosler (14:33):

So we will set up in a room. There have been times when we've done like a water ceremony. We have this water-soluble paper.

Carol Pehotsky (14:33):

Hmm. Mm-hmm.

Rose Hosler (14:40):

And so we might come up, we'll set up Mandalas. We'll have a vase full of water and we'll have this dissolvable paper and staff can write on, maybe an intention, a prayer, something they need to let go of, or something that's bothering them. They don't say what it is,-

Carol Pehotsky (14:41):

Hmm.

Rose Hosler (14:56):

... but they put into the vase and the paper dissolves and the water turns colors. 

Carol Pehotsky (15:01):

Wow.

Rose Hosler (15:02):

And so then we take that water and we pour it out by a tree or something-

Carol Pehotsky (15:05):

Oh.

Rose Hosler (15:05):

... honoring and releasing those intentions. 

Carol Pehotsky (15:07):

Oh, wow.

Rose Hosler (15:07):

So that's one small thing we do.

Carol Pehotsky (15:08):

Mm-hmm.

Rose Hosler (15:09):

We'll do Reiki. We'll do acupressure.

Carol Pehotsky (15:11):

Mm-hmm.

Rose Hosler (15:11):

Listening to staff, bringing the tea cart. And sometimes staff are actually too busy to come and sit-

Carol Pehotsky (15:18):

Yeah. 

Rose Hosler (15:18):

... into a conference room or something,-

Carol Pehotsky (15:18):

Mm-hmm.

Rose Hosler (15:19):

... so then we have a bag and we go out and we talk to each caregiver-

Carol Pehotsky (15:23):

Mm-hmm. Mm-hmm.

Rose Hosler (15:23):

... and on the unit at that time of the day. So the Code Lavender maybe it's, you know, in the ICU, let's say, so anybody that's in the ICU-

Carol Pehotsky (15:31):

Hmm. 

Rose Hosler (15:32):

... whether you're a physician, or a nurse, or-

Carol Pehotsky (15:34):

Yeah.

Rose Hosler (15:35):

... a [inaudible 00:15:35]-

Carol Pehotsky (15:35):

Mm-hmm.

Rose Hosler (15:34):

... or you're with respiratory, or you with VVS, you are welcome to participate-

Carol Pehotsky (15:38):

Mm-hmm.

Rose Hosler (15:39):

... and be a part of that.

Carol Pehotsky (15:40):

Yeah.

Rose Hosler (15:40):

So we can, sometimes they'll say, "Oh, you know, this happened. I think we're gonna need a Code Lavender. Maybe not today, but two-

Carol Pehotsky (15:47):

Hmm.

Rose Hosler (15:47):

... days from now."

Carol Pehotsky (15:48):

Sure, yeah.

Rose Hosler (15:48):

So we can-

Carol Pehotsky (15:49):

Mm-hmm.

Rose Hosler (15:49):

... schedule that.

Carol Pehotsky (15:49):

Mm-hmm.

Rose Hosler (15:50):

We've come in all different times, all different days.

Carol Pehotsky (15:53):

Yes.

Rose Hosler (15:53):

So the Code Lavender is a rapid response for-

Carol Pehotsky (15:54):

Mm-hmm.

Rose Hosler (15:56):

... emotional support, spiritual support for the caregivers.

Carol Pehotsky (15:57):

Yeah.

Rose Hosler (16:01):

And so we meet them where they are in real time. So we come to them. We always set up on their unit and offer support. And years ago when I was at Hillcrest and we had the shootings in Chardon at-

Carol Pehotsky (16:13):

Mm-hmm. That's right.

Rose Hosler (16:14):

... Chardon High School,-

Carol Pehotsky (16:14):

Yeah.

Rose Hosler (16:15):

... at Hillcrest we had a lot of caregivers-

Carol Pehotsky (16:17):

Yeah.

Rose Hosler (16:17):

... that left that day-

Carol Pehotsky (16:18):

Oh, yeah.

Rose Hosler (16:18):

... that had kids at the school-

Carol Pehotsky (16:20):

Mm-hmm.

Rose Hosler (16:21):

... and so we actually did a three-day Code Lavender.

Carol Pehotsky (16:25):

Really?

Rose Hosler (16:26):

Yep, we-

Carol Pehotsky (16:26):

Wow.

Rose Hosler (16:26):

... I reached out to main campus and we mobilized the whole entire Spiritual Care Team,- 

Carol Pehotsky (16:32):

Mm-hmm.

Rose Hosler (16:32):

... the holistic nurses, uh, with Healing Services, and I think we saw 500 caregivers.

Carol Pehotsky (16:37):

Wow! Well, as somebody whose teams have benefited from those services, I- I do wanna say to you and the whole team that- that it has made a world of difference for us as caregivers. 

Rose Hosler (16:46):

Thank you. 

Carol Pehotsky (16:47):

We are, as you mentioned, very fortunate though, not every hospital system has the ability to provide Code Lavenders and dedicated resources. So I know you've piqued some interest out there with those folks who are listening. So what would you say to somebody who says, "But I don't have that in hospital, so I- I'm not sure I can do those things." What's a good first step for somebody who says, "I would like to be more in tune with the holistic nursing experience, or I- I'd like to even see if we can do a Code Lavender in my hospital." What would, what advice would you give those nurses out there? You've piqued their interest.

Rose Hosler (17:16):

I would think from holistic nursing perspective and s- offering something like that is really speaking to leadership-

Carol Pehotsky (17:22):

Mm.

Rose Hosler (17:22):

... and saying the value. You know, "We're always talking about resiliency and retention for our caregivers-

Carol Pehotsky (17:28):

Mm-hmm.

Rose Hosler (17:28):

... and when we have those things in place, when caregivers feel supported, when they feel valued, when they feel heard, it makes a big difference."

Carol Pehotsky (17:38):

Mm-hmm.

Rose Hosler (17:38):

So I would start with that. And I would start with, "If we really wanna truly pull our team together and have that retention and have our, you know, from nurses to really feel cared about-

Carol Pehotsky (17:39):

Mm.

Rose Hosler (17:50):

... this really speaks to that."

Carol Pehotsky (17:52):

Sure. And like you mentioned, it's not just for the nurses, it's for anybody-

Rose Hosler (17:55):

That's right.

Carol Pehotsky (17:55):

... who needs that. Yeah.

Rose Hosler (17:56):

Oh, yeah, absolutely. I mean, I can't tell you how many times I've been around on the unit and whether it's working with a patient or a caregiver-

Carol Pehotsky (18:04):

Mm-hmm.

Rose Hosler (18:04):

... and I'll keep chocolate in my bag (laughs) and-

Carol Pehotsky (18:08):

I bet that makes you popular (laughs).

Rose Hosler (18:10):

... hey, you know, uh, we know food, chocolate. You know? 

Carol Pehotsky (18:10):

Help- helpful advise. Yeah.

Rose Hosler (18:12):

Yeah, dark chocolate, you know. 

Carol Pehotsky (18:12):

(laughs).

Rose Hosler (18:14):

But I'll just offer that to someone and they're like, "You just made my day." Or when we're bringing the tea cart around and the nurses are like, "We see you coming down the hall with the-

Carol Pehotsky (18:14):

(laughs).

Rose Hosler (18:25):

... tea cart, and oh my gosh-

Carol Pehotsky (18:27):

It's like an ice cream truck (laughs).

Rose Hosler (18:27):

... we know the rest, our..." Yes, it is. "Our- our shift is gonna be awesome." Like, "We're good now." Like, "Oh my gosh, how do you guys know to come at that right time." 

Carol Pehotsky (18:27):

(laughs).

Rose Hosler (18:35):

You know, 'cause sometimes we just bring the tea cart randomly.

Carol Pehotsky (18:37):

Sure. Yeah.

Rose Hosler (18:37):

You know? And-

Carol Pehotsky (18:37):

Mm-hmm.

Rose Hosler (18:38):

... I would say speak to leadership because you can really speak to this is not only emotionally the thing to do,-

Carol Pehotsky (18:48):

Mm-hmm.

Rose Hosler (18:48):

... when you speak to retention things, but it's actually if you think about fiscally. You know, if you're supporting your staff and you're supporting them in real time-

Carol Pehotsky (18:57):

Mm-hmm.

Rose Hosler (18:57):

... on their units, they're more apt to say that. I've met with nurses that have been traveling with the clinic and when they see me out on the unit working with the patients or family and then I speak to them they're like, or bring the tea cart up, they're like, "Wow, we don't get... I never got this at any other hospital."

Carol Pehotsky (19:12):

Right. Mm-hmm.

Rose Hosler (19:14):

Like, "Are you... Is this tea..." And I kid you not-

Carol Pehotsky (19:14):

(laughs).

Rose Hosler (19:16):

... people will say, "Is- is this for free?

Carol Pehotsky (19:18):

Oh, yeah. Yeah.

Rose Hosler (19:18):

Like, "The- the tea's for free?"

Carol Pehotsky (19:20):

Yeah.

Rose Hosler (19:20):

Or, "The- the snack is for free?"

Carol Pehotsky (19:22):

Mm-hmm. Yeah.

Rose Hosler (19:23):

Yeah.

Carol Pehotsky (19:24):

Mm-hmm.

Rose Hosler (19:24):

So it's something simple and easy to do that does not cost a lot of money, that's worth it.

Carol Pehotsky (19:29):

It's worth it.

Rose Hosler (19:30):

And so you don't have to have a lot of supplies to start with the Code Lavender.

Carol Pehotsky (19:35):

Sure.

Rose Hosler (19:35):

You really don't. You just have to have the buy-in from leadership to do. That- that this matters. I can do it while I'm on shift. And-

Carol Pehotsky (19:35):

Well, that's just it. Yeah.

Rose Hosler (19:35):

You know?

Carol Pehotsky (19:35):

Yeah.

Rose Hosler (19:43):

And, you know, so the- the data is definitely out there. 

Carol Pehotsky (19:46):

Mm-hmm. We have rapid response teams for medical reasons and like you said, this is a rapid response.

Rose Hosler (19:51):

And when we talk about mind, body, spirit and holism-

Carol Pehotsky (19:51):

(laughs).

Rose Hosler (19:53):

... right, if we're gonna take care of us physically-

Carol Pehotsky (19:55):

Mm-hmm.

Rose Hosler (19:55):

... what else are we gonna do-

Carol Pehotsky (19:55):

That's right.

Rose Hosler (19:56):

... for ourselves emotionally and spiritually?

Carol Pehotsky (19:58):

Yeah. Yeah, fantastic.

Rose Hosler (19:59):

Bring the whole package, right?

Carol Pehotsky (20:01):

That's right. So certainly you've illustrated that holistic nursing is a lot of things and I'm sure there's lots of people out there who think it's all crystals and kumbaya-

Rose Hosler (20:08):

Mm-hmm.

Carol Pehotsky (20:08):

... and they- they come at it with a layer of skepticism. So let's say, you're- you're visiting a patient or even a caregiver-

Rose Hosler (20:14):

Mm-hmm.

Carol Pehotsky (20:15):

... and you're met with that skepticism, how do you handle that?

Rose Hosler (20:18):

So I get this question a lot,-

Carol Pehotsky (20:18):

I bet (laughs).

Rose Hosler (20:20):

... especially when I'm meeting with patients.

Carol Pehotsky (20:20):

Mm.

Rose Hosler (20:22):

And I'll say, "Hi, my name is Rose. I'm the holistic nurse." And they're like, "Ho- hol- holistic nurse?"

Carol Pehotsky (20:22):

(laughs) what?

Rose Hosler (20:29):

And they're like, "So okay, what is that?"

Carol Pehotsky (20:29):

Mm-hmm.

Rose Hosler (20:31):

I've had some patients say, "So that you means you do herbs and vitamins?" I'm so into herbs and vitamins."

Carol Pehotsky (20:36):

(laughs).

Rose Hosler (20:36):

Or, you know? And I'll say, "Well, I do like those things and I use those things in my life." And I'll say, "But I'm here to be a support for you."

Carol Pehotsky (20:36):

Hmm.

Rose Hosler (20:44):

And I actually say, "I'm here to look at more than just what's going on with you physically.

Carol Pehotsky (20:45):

Hmm.

Rose Hosler (20:50):

I wanna know what's going emotionally and spiritually. "So I'm looking," and I use my hands, my Italian hands-

Carol Pehotsky (20:55):

(laughs).

Rose Hosler (20:56):

... the whole picture. 

Carol Pehotsky (20:57):

Mm-hmm.

Rose Hosler (20:57):

I'm going beyond just what you came in for." And so I often say, "Can I pull up a chair."

Carol Pehotsky (21:03):

Oh, there you go. Yeah.

Rose Hosler (21:04):

And, um, so patients are like, "Yeah, you can pull up a chair."

Carol Pehotsky (21:05):

(laughs).

Rose Hosler (21:07):

And so that's where it begins. So I will say, I'm the holistic nurse and I'm looking at you from a pretty broad lens,-

Carol Pehotsky (21:16):

Mm-hmm.

Rose Hosler (21:16):

... but these are some of things that I can also offer for you."

Carol Pehotsky (21:20):

Oh, recommend (laughs).

Rose Hosler (21:20):

I say, "In addition to being a good listener,"-

Carol Pehotsky (21:22):

Yep.

Rose Hosler (21:22):

... and patients always laugh at that, I'll say, "I use Reiki.

Carol Pehotsky (21:23):

Mm-hmm.

Rose Hosler (21:26):

I use acupressure. 

Carol Pehotsky (21:26):

Mm-hmm.

Rose Hosler (21:28):

I use some other touch therapies.

Carol Pehotsky (21:30):

Mm-hmm.

Rose Hosler (21:30):

I, we use aromatherapy here at the Cleveland Clinic." I'll say, "I can do some other mind body things, like guided imagery." So then patients will usually pause and they'll look at me and they'll be like, "Hmm, well, I've kinda heard of Reiki,-

Carol Pehotsky (21:40):

Hmm.

Rose Hosler (21:41):

... but I don't know quite what it is?" And so that opens the door to explain.

Carol Pehotsky (21:45):

Mm-hmm.

Rose Hosler (21:45):

Um, same thing with acupressure, or Emotional Freedom Technique. So then they get inquisitive and they're like, "Can I experience that?" 

Carol Pehotsky (21:53):

Oh, there you go.

Rose Hosler (21:53):

And, yeah. 

Carol Pehotsky (21:55):

And then you're in.

Rose Hosler (21:55):

And so, and then I'm right there-

Carol Pehotsky (21:55):

(laughs) yeah, yeah.

Rose Hosler (21:56):

... at the bedside. And- and sometimes patients will say, I've gotten calls for someone in a lot of pain and I'll do a quick introduction and I'll say, "Can I offer something for you?" And I had one patient say to me, "I don't care what you do. Yeah, you can touch me, just do something for me." 

Carol Pehotsky (22:14):

Sure.

Rose Hosler (22:15):

He was-

Carol Pehotsky (22:15):

Yeah.

Rose Hosler (22:15):

... laying on his left-side-

Carol Pehotsky (22:16):

So miserable.

Rose Hosler (22:17):

... withering in pain.

Carol Pehotsky (22:17):

Yeah.

Rose Hosler (22:17):

They had done pretty much everything that they could do at- at this point. And I ended up using acupressure-

Carol Pehotsky (22:23):

Mm-hmm.

Rose Hosler (22:24):

... and after about 12 minutes he was asleep-

Carol Pehotsky (22:27):

Oh.

Rose Hosler (22:28):

... and I left the room. And I went back the next day to check in on him-

Carol Pehotsky (22:28):

Mm-hmm.

Rose Hosler (22:32):

... to see where he was, he was sitting up in the chair. He was much better.

Carol Pehotsky (22:35):

Mm.

Rose Hosler (22:36):

And he said, "I just wanna know exactly what did you do to me yesterday?

Carol Pehotsky (22:36):

(laughs).

Rose Hosler (22:39):

Because I know I told you just-

Carol Pehotsky (22:39):

It was like magic (laughs).

Rose Hosler (22:41):

... go ahead and do whatever, but I'm not really sure." So then we had some conversation about that and he's like, "I would like more of that. That really helped me."

Carol Pehotsky (22:48):

Wonderful.

Rose Hosler (22:48):

And that's how-

Carol Pehotsky (22:49):

Mm-hmm.

Rose Hosler (22:49):

... it kind of opens the door. When I started at Hillcrest, I do see a lot of moms in our antepartum unit,-

Carol Pehotsky (22:55):

Oh, sure.

Rose Hosler (22:56):

... so we use a lot of Reiki and guided imagery with the moms. It really helps them when they're there for weeks on end-

Carol Pehotsky (23:02):

Sure.

Rose Hosler (23:02):

... before they deliver.

Carol Pehotsky (23:03):

Yeah.

Rose Hosler (23:03):

And there was a physician that would write in their note, "Patient really benefited from that Reiki lady." And-

Carol Pehotsky (23:11):

(laughs) Reiki lady.

Rose Hosler (23:11):

Reiki lady, I'm like, "Okay." "But is the Reiki lady coming back? You know, the patient really like them." Like, "Okay." And it was very interesting over time-

Carol Pehotsky (23:19):

Mm-hmm.

Rose Hosler (23:20):

... the physician then started referring. She started seeing the patient's response-

Carol Pehotsky (23:25):

Mm-hmm.

Rose Hosler (23:25):

... when they were getting Reiki and just where they were emotionally, things like that.

Carol Pehotsky (23:25):

Mm-hmm.

Rose Hosler (23:30):

So now in the chart it's Healing Service referral placed.

Carol Pehotsky (23:34):

Hey, all right (laughs).

Rose Hosler (23:35):

So yes, and, you know, the thing now I think we're moving forward in the United States.

Carol Pehotsky (23:41):

Mm-hmm.

Rose Hosler (23:41):

I mean, the Cleveland Clinic has functional medicine, we have an integrative center, we have employee wellness. And I am seeing a shift in people when they're admitted to the hospital, they're starting to ask for some of these things.

Carol Pehotsky (23:53):

Really?

Rose Hosler (23:53):

They're using these things.

Carol Pehotsky (23:54):

Fantastic. Yeah.

Rose Hosler (23:55):

You know?

Carol Pehotsky (23:55):

Mm-hmm.

Rose Hosler (23:55):

And sometimes I go into a room and I see people have their, they do have crystals on their-

Carol Pehotsky (23:55):

Yeah, yeah.

Rose Hosler (24:00):

... on their nightstand.

Carol Pehotsky (24:00):

Mm-hmm.

Rose Hosler (24:00):

You know? Or they've said, "Oh, yeah, I- I heard you guys offer Reiki here. I- I love Reiki."

Carol Pehotsky (24:07):

Oh, all right.

Rose Hosler (24:07):

You know? So we're seeing a shift in our community that people are knowing that this is available, it is helpful for them- 

Carol Pehotsky (24:15):

Mm-hmm.

Rose Hosler (24:16):

... and supports their well-being and contributes to their healing.

Carol Pehotsky (24:19):

Wonderful. I can spend hours talking to you about this, but we are getting short on time. Before we wrap it up, a little birdie told me that you won a Daisy Award last year. Can you tell us a little bit more about that?

Rose Hosler (24:30):

Well, I had no idea (laughs) that I was-

Carol Pehotsky (24:30):

(laughs).

Rose Hosler (24:33):

This is funny because I was actually teaching Reiki (laughs).

Carol Pehotsky (24:35):

Oh (laughs).

Rose Hosler (24:36):

I was teaching Reiki, and we were on a lunch break, and I see all these people gathering outside the auditorium at Hillcrest, I'm like, "What's going on?" And then I see, I saw my boss-

Carol Pehotsky (24:37):

(laughs).

Rose Hosler (24:46):

... and I saw her boss, and I was like-

Carol Pehotsky (24:48):

I hope I'm not getting fired (laughs).

Rose Hosler (24:48):

... I'm like-

Carol Pehotsky (24:48):

Probably.

Rose Hosler (24:50):

... "Okay, this- this is interesting, but why is everybody coming down here?" Like, so I had no idea, so it was wonderful. And one of the nurse managers had submitted-

Carol Pehotsky (24:59):

Oh, how nice.

Rose Hosler (24:59):

... um, for me, for a person that was just really struggling with grief-

Carol Pehotsky (25:03):

Hmm.

Rose Hosler (25:03):

... and just could not get themselves centered. They were just really at a loss. 

Carol Pehotsky (25:10):

Mm-hmm.

Rose Hosler (25:10):

And so the nurse manager had called me, and I went up immediately-

Carol Pehotsky (25:14):

Mm-hmm.

Rose Hosler (25:14):

... and sat with that person and just held that space and, um, spent-

Carol Pehotsky (25:15):

Wow.

Rose Hosler (25:19):

... some time with them, did some modalities, just to help them calm physically.

Carol Pehotsky (25:24):

Oh, gosh, sure, yeah.

Rose Hosler (25:25):

... so they could, you know-

Carol Pehotsky (25:26):

Mm-hmm.

Rose Hosler (25:27):

... begin to have some clarity and feel a little bit more at peace. And it was just wonderful to receive that award because it really embodied exactly what I do every day. 

Carol Pehotsky (25:37):

And clearly it well deserved.

Rose Hosler (25:39):

Thank you. Thank you.

Carol Pehotsky (25:40):

So, uh, we're gonna flip a little bit and I'm gonna ask you some more fun questions-

Rose Hosler (25:43):

All right.

Carol Pehotsky (25:44):

... to help our audience get to know you a little bit better. So what's something about you that surprises people?

Rose Hosler (25:48):

I don't know. I- I learned to ski at 40.

Carol Pehotsky (25:51):

Oh, fun. Okay.

Rose Hosler (25:51):

(laughs).

Carol Pehotsky (25:53):

So what was that like?

Rose Hosler (25:54):

What was that like?

Carol Pehotsky (25:55):

Yeah.

Rose Hosler (25:55):

Um-

Carol Pehotsky (25:55):

You're a lot taller at 40 than, you know, the kids that are at 6 learning (laughs).

Rose Hosler (25:59):

Yes, 'cause I was taking my son and he was snowboarding, I'm like, "Okay, I guess there's only so long I can stay here in this chalet-

Carol Pehotsky (25:59):

(laughs).

Rose Hosler (26:05):

... I guess... It was fun. You know, it was definitely a challenge.

Carol Pehotsky (26:07):

Yeah.

Rose Hosler (26:07):

Um, I'm not great at it. I love cross-country skiing. 

Carol Pehotsky (26:10):

Okay.

Rose Hosler (26:10):

The downhill still makes me a little nervous, but I still do it.

Carol Pehotsky (26:12):

Wow.

Rose Hosler (26:12):

(laughs).

Carol Pehotsky (26:13):

Nice. Well done.

Rose Hosler (26:15):

And probably that I have my moments too.

Carol Pehotsky (26:18):

Hmm.

Rose Hosler (26:19):

You know, 'cause-

Carol Pehotsky (26:19):

Sure.

Rose Hosler (26:19):

... they'll say, "Rose, how come, you always stay so calm-"

Carol Pehotsky (26:23):

(laughs).

Rose Hosler (26:23):

... and I said, "Well, you know,-

Carol Pehotsky (26:23):

Human.

Rose Hosler (26:23):

... you don't always see my Irish and Italian coming out (laughs)-

Carol Pehotsky (26:23):

(laughs).

Rose Hosler (26:28):

... but it does."

Carol Pehotsky (26:30):

So it's about taking care of yourself and balance, right?

Rose Hosler (26:32):

That's right. That's right. That's right.

Carol Pehotsky (26:34):

All right, well, thank you so much for joining me today, Rose.

Rose Hosler (26:36):

Thank you so much for having me. This has been fun. 

Carol Pehotsky (26:42):

As always thanks so much for joining us for today's discussion. Don't miss out, subscribe to hear new episodes wherever you get your podcasts. And remember we want to hear from you. Do you have ideas for future podcasts or want to share your stories? Email us at nurseessentials@ccf.org. To learn about nursing at Cleveland Clinic, please check us out at my.clevelandclinic.org/nursing. Until next time take care of yourselves and take care of each other. The information in this podcast is for educational and entertainment purposes only and does not constitute medical or legal advice. Consult your local state boards of nursing for any specific practice questions.