Great advice and although I disagree with the task statement, I do think more experience is not only necessary but it is just a good idea to have that base to stand on.
I have 2.5 years in an intense CVICU as a new grad. I think I had the tasks down in my first year and have spent the last year and a half on really looking at a patient and knowing what I can do to help get them better in the next 12 hours: ie good pulm. care, fighting for additional meds, seeing the little things that can mean big changes down the road, etc., and I really feel like I do a good job at that.
But part of what is driving me away from the bedside is the tasks. I dislike the fact that my day is scheduled around procedures, meds, dressing changes, and getting orders done. I don't mind it that much because most days it is second nature to do those things, but I feel alot like a go-boy sometimes. The things I do are all in the patient's behalf, but it doesn't take away the feeling of wasting an education. The best days I have are when I don't leave the bedside because I am busy keeping the person alive with gtt titrations, hanging fluids and bld products, bagging, giving meds, all based on clinical judgements. That is part of what draws me so strongly towards anesthesia. You really don't leave the bedside and the responsiblity and autonomy placed in your hands is immense. You assess the pt pre-op and decide based on hx and PE what is the best course for them and you see it through start to finish, free to change the path as necessary based on assessment and rec's from colleagues. Do you agree?