The Pause

J. Bartels, RN, S. Perez-Protto, MD, & M. Hebb

Amid the work of saving lives, teams of clinicians witness the end of life with heartbreaking regularity—and then move on to the next patient in need—without a pause. Having experienced this scenario countless times, Emergency Department nurse Jonathan Bartels chose to speak up about this tamping down of emotions and encourage his peers to stop for a moment; transforming this passage into a ritual of respect and renewal. The Pause has since been embraced by teams and hospitals across the country, as well as codified and translated into more than six languages under the guidance of Silvia Perez-Protto, Medical Director of Cleveland Clinic’s End of Life Center. Jonathan and Silvia, in partnership with Michael Hebb, Death Over Dinner founder, share how they are evolving The Pause into a new phase of global accessibility.

About the Speakers

Jonathan Bartels, RN is a palliative care nurse liaison at the University of Virginia Health System, where he has worked in various roles for the past 21 years. In 2011, while working as an Emergency Trauma nurse Jonathan implemented “The Pause,” as a way to honor the death of a patient. Since 2009, Jonathan has worked in collaboration with University of Virginia School of Nursing as a pioneering member of the Compassionate Care Initiative to help educate nursing students and physicians on how to promote practicing resiliency. 

Silvia Perez-Protto, MD, MS is an Assistant Professor of Anesthesiology at the Cleveland Clinic Lerner College of Medicine and practices at the Cleveland Clinic Surgical Intensive Care Unit. Silvia serves as faculty at the Center for Excellence in Healthcare Communication and is the President of the Ohio Chapter—Society of Critical Care Medicine as well as the Director of the Center for End of Life Care at the Office of Patient Experience at the Cleveland Clinic. 

Michael Hebb is a partner at RoundGlass, Founder of Death Over Dinner and author, his second book Let’s Talk About Death is currently available. Michael serves as a Board Advisor at the Friedman School of Nutrition Science and Policy at Tufts; and in the recent past as Senior Advisor to Summit Series, Theo Chocolate, CreativeLive, Architecture For Humanity and Mosaic Voices Foundation.