In the Trauma Surgical ICU, prioritizing patient care involves assessing the acuity of each patient and addressing life-threatening issues first using the ABC (Airway, Breathing, Circulation) framework. I rely on clinical judgment, teamwork, and clear communication to ensure timely interventions. For example, I triage tasks by urgency, delegate when appropriate, and continuously reassess patients to adapt to changing conditions. Staying organized and calm under pressure is critical, as is collaborating with the multidisciplinary team to ensure seamless care. My goal is to provide safe, efficient, and compassionate care while maintaining a structured approach to managing multiple critical patients.

I have extensive experience managing ventilated patients, including setting up and monitoring mechanical ventilation, adjusting settings based on ABGs and patient response, and performing routine assessments for readiness to wean. I ensure proper sedation and pain management while minimizing ventilator-associated complications like pneumonia or barotrauma. I also educate families on the ventilator process and collaborate with respiratory therapists and physicians to optimize outcomes. My focus is on maintaining patient comfort, preventing complications, and facilitating timely extubation when clinically appropriate.

Empathy and clear communication are key when dealing with distressed families. I actively listen to their concerns, provide honest yet compassionate updates, and explain medical terms in understandable language. I involve them in care discussions when possible and offer reassurance by highlighting the care plan and progress. If needed, I connect them with social work or chaplain services for additional support. My approach is to build trust, validate their emotions, and maintain transparency while ensuring they feel heard and supported during a difficult time.

Infection prevention starts with strict adherence to hand hygiene, sterile techniques during procedures, and proper use of PPE. I follow evidence-based protocols for central line care, wound management, and ventilator-associated pneumonia prevention. Regular audits of catheter and line necessity help reduce infection risks. I also educate patients and families on hygiene practices and promptly report signs of infection. Collaboration with the infection control team ensures compliance with best practices, ultimately reducing HAIs and improving patient outcomes.

Once, a trauma patient suddenly developed tension pneumothorax. Recognizing the signs—hypotension, tracheal deviation, and absent breath sounds—I immediately alerted the team and prepared for needle decompression while another nurse gathered supplies. I remained calm, followed protocols, and stabilized the patient until the physician arrived. This experience reinforced the importance of rapid assessment, teamwork, and trusting my training in emergencies. Reflecting afterward, I reviewed the event to identify any areas for improvement, ensuring I’m even better prepared for future crises.