Published Oct 29, 2018
TexasmedicRN
28 Posts
Always trying to improve. What in your eyes is the difference between a decent nurse and a great ICU nurse. Obviously experience teaches us all, but is there a specific knowledge that is really needed in the ICU? I am not talking about general stuff work ethic, laziness, a drive to learn, eye for detail, etc. Mainly what knowlegde separates the great from good nurse. I have heard medication knowledge is huge.
llg, PhD, RN
13,469 Posts
Factual knowledge about disease processes and treatments is usually not what really separates a good nurse from a great one. It's the more difficult, less tangible wisdom and behaviors that make that distinction.
However, if it is the most cherished factual information that you are looking for ..... it varies. It depends on what type of ICU it is. It's usually the factual information about the most challenging patients the unit cares for. For example, if it is a Surgical ICU, then the knowledge related to the care of the most complex surgery patients. If it's a cardiac ICU, it will be cardiac related, etc. So look at the ICU that is of concern to you. Who are the most challenging patients?
offlabel
1,645 Posts
Reading.
viprn21, BSN, RN
38 Posts
Knowledge and wisdom are two totally different things. I've met nurses who know volumes upon volumes of facts but still are terrible nurses. In my opinion, it's experience and wisdom that make a great nurse.
NICU Guy, BSN, RN
4,161 Posts
What separates the great nurses from the decent nurses? The great nurses are the male nurses.
{Heading to my Fallout Shelter and await the attack}
LovingLife123
1,592 Posts
The ability to see what's going to happen before it happens. And yes, that comes with experience.
Anyone can rattle off a bunch of info about medications. Anyone. But those that are great in the ICU, can pick up on those subtle changes in their patient, and take action before the bad event happens.
brownbook
3,413 Posts
All answers are correct, especially NICU Guy . It certainly isn't one or two things. It's like choosing which super hero's powers are the best to have.
Everybody has different abilities. You want a co-worker with good work ethics more than a text book smart nurse who calls in sick a lot or somehow gets all the holiday's off or always says they're busy when asked to help with a difficult patient.
Great ICU nurses are the nurses that:
Everyone goes to when they need a second opinion about a patient
Helps you with a treatment/procedure that is rarely done (without being judged)
Very supportive of new nurses
Makes time to answer any questions that their patient and families have.
Makes you laugh when you are having a rough day
Lends you a hand when you are way behind and drowning without being asked.
Knowledge and wisdom are two different things but that doesn't mean they aren't integral to one another. They are. And experience without knowledge is just one mistake after another. Whatever wisdom that comes of that would lead one to seek knowledge, I'd hope.
NurseB94, BSN
13 Posts
Great ICU nurses are the nurses that:Everyone goes to when they need a second opinion about a patientHelps you with a treatment/procedure that is rarely done (without being judged)Very supportive of new nursesMakes time to answer any questions that their patient and families have.Makes you laugh when you are having a rough dayLends you a hand when you are way behind and drowning without being asked.
I agree fully with this!
chudo161
10 Posts
Knowledge and wisdom of course are biographical factors! But attitude is a big one as well, not only towards patients, but towards fellow nurses, CNAs, environmental worker and doctors. I don’t think that a person who hates the facility where she/he is spending 12hr a day will make a great nurse ??♀️
KeepinitrealCCRN
132 Posts
Number one would be critical thinking skills and a close second would be just caring about the patients. So many RNs lack these 2 even the senior RNs.