I
got
rhythm

February 10, 2022 -- An insight about nursing from when I was a student and thinking deeply about it: What makes an expert nurse?

I remember distinctly a comment made by one of my clinical instructors. She observed that I was having difficulty finding my "rhythm".

Rhythm was a well-chosen word. When you're an expert, you know without hesitation what is your top priority, what to do now, what can wait, when something is a crisis and you must hurry, and even more importantly when it's not yet a crisis but it could become one. All these things are about time management.

Music, too, is all about time. Skilled musicians (for a few years in a former career this was how I made my living, though having worked with a few geniuses I wouldn't have rated myself above "competent") always know where "one" (the first beat of every measure) is. Their job, too, is about time. Finding that rhythm -- more a head thing than a hand thing -- is about mastery, flow.

Exhortations from our professor to find out when meds are due but not look them up until time permits -- get our head-to-toe done first! -- help us develop time management instincts.

Perhaps a better word than instinct is reflex. A reflex is an action taken as a result of a decision made at a sub-cortical level. When you know something thoroughly, you do it without having to think about it. You just know. That's where I strive to get to.

I feel like it's a long way away yet, but at least I have a sense of where I want to go. It will take years of practice to arrive at that sense of confidence, of mastery. Someday I will have that rhythm.

Go nurses who've got rhythm!

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