When I was practicing, I found that fearful feeling in my gut actually kept me on my toes but too much at times...a sort of functional anxiety if you will. What I did learn over the years, was to pace myself, take the time no matter what was going on to go to the bathroom to promote bladder health, not going to be given time off for polynephritis, are we, if we do not ever void enough! That urine just sits there allowing microbes to set up infection, to also eat and drink enough to have fuel and hydration enough to be able to even function in a healthy state. Also, I stopped worrying about my license being on the line, 'cuz I promised myself that if I just concentrated, did the very best that I possibly could, that no harm would come to my pts. as a result of my being careless from being nervous or distracted. Once I came of that mindset, of being as careful as humanly possible, carrying malpractice insurance
ALWAYS, and then letting the thought drift away from the above mindset, I was much more relaxed, hence, able to do a much better job!
Hope this helps. It is not safe to go without fuel or to empty your tank! I know that's easier said than done. Good luck to everyone...and by the way, I could never be an e.r. nurse That used to be a goal of mine, but I eventually let the dream go...I'm too much of a nervous nelly to ever be able to function in that mode. I take my hat off to all of you e.r. nurses. God bless you for your nerves of steel, critical thinking skills, etc that make you a gift to the needy in rushed hours of delivering nursing care of an awesome level.