In my last video on medicine in 2123, I believe I mentioned my next video would be on a specific AI-related topic. That video is "in the can" and I'm really happy with it, but I'm waiting to release it for a few weeks as the topic overlaps with an ongoing research project that will hopefully be submitted soon.
Great video (I'm a nursing professor and critical care nurse 40 years). I appreciate the focus on humility, asking for help, and clear leadership. I would advocate that the critical care nurse who responds is likely one of the best people to guide decision-making. Often interns have very little experience, while the ICU nurse often has 10, 15, or 20-years dealing with really sick patients and picking up on nuanced changes. They'll likely share their thoughts and ideas even if you don't ask, but be receptive and collegial.
I agree except so often the off-shift ICU nurses who respond are not as experienced as was once typical. I have come across RNs with one or less years of bedside time leading rapids & codes exhibiting some "interesting critical thinking skills." The point is we must work through emergencies as we do other problems, as teams, with the more knowledgable or experienced staff taking a leading or mentoring role. (I am a supervisor with almost 30 years of ICU, ER & pre-hospital experience.)
I'm a med surg RN of almost 9 years. Listen to this man. He is correct. The number 1 way to instill confidence in your team is to ask for help when you need it. Lets us know that you have an accurate, dispassionate view of the situation and you aren't letting ego interfere with good clinical decision making.
50 yr old female with significant learning disability here. It has taken me a long time to learn evrything, but a great future nurse here! I’m empathetic, passionate and open to learn. Just need to work on shhh🤫, opening my ears and learning all I can to learn how effectively communicate my needs in re to my patients. This is a great video, albeit I had to slow down the pace. Just because I have (mild)Asperger’s doesn’t mean I won’t be a great nurse. Once I get it, I have it. This is a great video. Thanks for sharing.
Wonderful video! 💓Thank you for recognizing that the bedside and unit nurses, as well as the RT providing direct care to the patient have valuable input to share, and that their opinions should be considered when reviewing or creating a plan of care.
ER nurse from Europe here :). Really nice video. I would like to give my little 2 cents. a) Speaking of close-loop communication in a crowded room is preferable if the TL also acknowledges when a request is reported as executed at the end of the loop; That's because there are a lot of things taking place simultaneously and the team must be sure that the TL knows what happens (and doesn't asks again thinking that is still to be done while giving double the intended dose instead). b) TL should speak calmly but loudly: everyone in the room must know what is going on (also applies to any feedback from the team). c) As you already clearly stated at the end of the video, I still feel the need to stress the importance of "see&treat" approach to the unstable patient if you are alone while waiting for the additional resources to arrive, so to put it simply with an example: a patient doesn't die from pneumonia, dies from hypoxia...pump up the oxygen, otherwise you will end to treat pneumonia to a corpse
I've worked as a hospitalist PA for several years. This was very useful. I was terrified the first time I ran a rapid response, then a code, by myself! 😱😅 However, I gained more confidence with more experience. Having a team of good nurses, respiratory therapists and of course, an attending physician, to work with, is VERY helpful!🙂👋🏽👨🏾⚕️
I watched this as a refresher…it was good…clear. But…I can’t agree with a/any medical professional was never upset for being paged…that’s been a 50/50 …yes 50% of the time, in my experience, people can’t be bothered. And, while your reasons are clear about a team leader multitasking in some cases due to lack of help…it doesn’t change that there is a lack of help.
In my last video on medicine in 2123, I believe I mentioned my next video would be on a specific AI-related topic. That video is "in the can" and I'm really happy with it, but I'm waiting to release it for a few weeks as the topic overlaps with an ongoing research project that will hopefully be submitted soon.
As a non-US based intern, this video rings true universally. Much appreciated.
Great video (I'm a nursing professor and critical care nurse 40 years). I appreciate the focus on humility, asking for help, and clear leadership. I would advocate that the critical care nurse who responds is likely one of the best people to guide decision-making. Often interns have very little experience, while the ICU nurse often has 10, 15, or 20-years dealing with really sick patients and picking up on nuanced changes. They'll likely share their thoughts and ideas even if you don't ask, but be receptive and collegial.
I agree except so often the off-shift ICU nurses who respond are not as experienced as was once typical. I have come across RNs with one or less years of bedside time leading rapids & codes exhibiting some "interesting critical thinking skills." The point is we must work through emergencies as we do other problems, as teams, with the more knowledgable or experienced staff taking a leading or mentoring role. (I am a supervisor with almost 30 years of ICU, ER & pre-hospital experience.)
I'm a med surg RN of almost 9 years. Listen to this man. He is correct. The number 1 way to instill confidence in your team is to ask for help when you need it. Lets us know that you have an accurate, dispassionate view of the situation and you aren't letting ego interfere with good clinical decision making.
Starting intern in a few weeks! New series couldn't be released at a better time, thank you!
50 yr old female with significant learning disability here. It has taken me a long time to learn evrything, but a great future nurse here! I’m empathetic, passionate and open to learn. Just need to work on shhh🤫, opening my ears and learning all I can to learn how effectively communicate my needs in re to my patients.
This is a great video, albeit I had to slow down the pace. Just because I have (mild)Asperger’s doesn’t mean I won’t be a great nurse. Once I get it, I have it. This is a great video. Thanks for sharing.
Wonderful video! 💓Thank you for recognizing that the bedside and unit nurses, as well as the RT providing direct care to the patient have valuable input to share, and that their opinions should be considered when reviewing or creating a plan of care.
ER nurse from Europe here :). Really nice video. I would like to give my little 2 cents.
a) Speaking of close-loop communication in a crowded room is preferable if the TL also acknowledges when a request is reported as executed at the end of the loop; That's because there are a lot of things taking place simultaneously and the team must be sure that the TL knows what happens (and doesn't asks again thinking that is still to be done while giving double the intended dose instead).
b) TL should speak calmly but loudly: everyone in the room must know what is going on (also applies to any feedback from the team).
c) As you already clearly stated at the end of the video, I still feel the need to stress the importance of "see&treat" approach to the unstable patient if you are alone while waiting for the additional resources to arrive, so to put it simply with an example: a patient doesn't die from pneumonia, dies from hypoxia...pump up the oxygen, otherwise you will end to treat pneumonia to a corpse
I've worked as a hospitalist PA for several years. This was very useful. I was terrified the first time I ran a rapid response, then a code, by myself! 😱😅 However, I gained more confidence with more experience. Having a team of good nurses, respiratory therapists and of course, an attending physician, to work with, is VERY helpful!🙂👋🏽👨🏾⚕️
Have been watching you for years. The best!
PS looking for a cardiology job at Stanford, hire me doc!!
Thanks for the comment. Unfortunately, I have no role in hiring cardiologists, but good luck!
Thanks to you people think i am smarter than i really am.
imposter
Very informative
Fantastic video.
I watched this as a refresher…it was good…clear.
But…I can’t agree with a/any medical professional was never upset for being paged…that’s been a 50/50 …yes 50% of the time, in my experience, people can’t be bothered.
And, while your reasons are clear about a team leader multitasking in some cases due to lack of help…it doesn’t change that there is a lack of help.
💯💯✅️✅️