telemetryrn1

It sounds like he is referring to your level of confidence and assertiveness. All nurses need to possess confidence and assertiveness in order to act and advocate for their patients and often without regard or concern for themselves, but it is even more important as an ICU or ER nurse as the expectations in these areas are demanding and high. You have probably heard the term "fake it till you make it" which may be what you will need to try. Even though you don't feel as confident on the inside, you must exude confidence outwardly, not only with physicians but with patients and family members. Most of what I describe comes with experience, however I have seen experienced timid nurses in ICU that still have a air of uncertainty even when they are knowledgeable and it is not good. They often fail to speak up or are afraid to approach physicians or others to advocate for what is needed for their patients. Some even when reporting symptoms end their phrase like it is a question, (inflecting their tone upward) which makes the physician less likely to take what they are saying seriously. You will earn the trust of your patient's, family members, colleagues, etc. when you can project yourself with confidence. Think about something you are an expert in (can be anything, ie., cooking, playing tennis) and think about how confident you feel when doing it or talking about it. That is how you need to project yourself as an ICU nurse