For those who know me, I think most would describe me as being a pretty feisty character. I make up for my vertically challenged 5'1" self by having a large personality and a seriously scrappy side. Now granted... I have my moments where confrontation is difficult and there are times when I think I could use a little more gusto in speaking up for myself... but on the whole... sharing my opinion is not usually an issue of mine.
In a lot of ways I think its a very necessary trait to have as an ICU nurse... especially an ICU nurse working in a teaching hospital. I know I've mentioned it before but I will say it again... working in an environment where sometimes the physicians you are working with have such little clinical experience can be tough because often times we are all learning together.
In my unit the residents and interns cycle through their ICU rotation on a monthly basis. When I first started working here it was completely discombobulating because every month... just as the old ICU team settled into their routine and figured out how we worked here ( and usually just as I was remembering their names)... they were headed off to their next rotation and we were left to adapt to a whole new set of residents and interns. It's tough also because with each new set of folks you have to figure out which ones have more experience and which ones work well with the nurses.... which ones are good about putting in orders when you ask them to and which ones will actually work with you and not above you... if you know what I mean. To put it plainly... the rotation process of working in a teaching hospital sucks.
Instantly I felt like a terrible person because I knew that the one on call night I had with her was completely horrendous. I guess the good news is that I definitely learned a good lesson here... no matter what the situation... there is always room for more humility and grace on my part... and also...a genuine thank you seriously goes a long way.