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The physician wanted the patient to get 2 units of blood before going downstairs to the procedure. About 30 minutes after that second unit got started, I noticed his oxygen went from 95% down to 92% down to 90%. But it just sort of hung around the low 90’s on oxygen. via GIPHY I had a patient that was scheduled to go to get a pacemaker placed at 0900. How can you better assess the information and ideas you’re given, in order to make better decisions and become a more rounded individual? 1 thing we look for is general cognitive ability, and it’s not IQ. And they’re doing more and more of the tasks that only a few years ago depended on human input.
For example, better reasoning and interpretation skills might have been useful to US electronics retailer Circuit City in 2007, when it fired 3,400 of its highest-paid employees – resulting in widespread public outrage – and then attempted to argue that the cuts had no impact on plummeting sales of its products.
The possibility that customer confidence might be damaged by negative media coverage seemed not to occur to Circuit City management.
He peed like a racehorse (and was NOT happy with me for making that happen! And he was off of oxygen before he went down to get his pacemaker. She was on a dilaudid PCA and still complaining of awful pain. She said the pain meds would just knock her out and she’d sleep for a little while but wake up in even worse pain. Diabetics with neuropathy would talk about similar pain… “So if this works for their nerve pain, could it work for a patient who has had an amputation? I called the PA for the surgeon and asked them what they thought about trying something like gabapentin for her pain, after I described my patient’s type of pain and thought process. I’ll write for it and we’ll see if we can get her off the opioids sooner.” She wrote for it. It takes a few days to really kick in and once it did, the patient’s pain and discomfort was significantly reduced.
My patient just had her right leg amputated above her knee. I thought about other patients that report similar pain.. Then I remembered that many of my patients with diabetic neuropathy were taking gabapentin daily for pain.
What do I know that will get rid of extra fluid and make him pee? I ran over my thought process with a coworker before calling the doc. I called the doc and before I could suggest anything, he said.. The told the doctor when he rounded that morning that the meds weren’t doing anything. She kept requiring more and more meds and I’m supposed to someone wean her off? Critical thinking is something you’ll do every day as a nurse and honestly you probably do it in your regular non-nurse life as well.
OK, so he’s got extra fluid that he can’t get out of his body.. She maxed it out every time, still saying she was in horrible pain. She said to get rid of those other pain meds because they “didn’t do a damn thing,” and to “just give her that nerve pain pill because it’s the only thing that works”. She was able to work with therapy more because her pain was tolerable and was finally able to get rest.
You’ll be able to select the most important information and filter out the bias from masses of detail.
Using only the most relevant, factual information at hand, and the skills to interpret it correctly, you have fewer chances to make costly and time-wasting mistakes.
People with good analytical skills, and who can think flexibly, are better at predicting what enemy states will do next than top intelligence analysts:“So-called “superforecasters” from Tetlock’s Good Judgement Project — non-experts who are good at turning information into predictions and assessments of confidence — outperformed intelligence analysts with access to classified information.”( by Jeffrey Lewis, Foreign Policy.com, 2016)It’s simple: if you can think outside your own knowledge graph, and follow good arguments, even if they don’t fit with a given plan you’ve been given, then you’re more likely to be able to entertain possibilities that are strange — but true.
“I saw the most dangerous young men in the country walking down a corridor saying, “you can’t say that, that’s circular reasoning,” instead of punching each other or hitting the wall,” says Dr Roy van den Brink-Budgen, a former Education Manager at a UK prison and critical thinking expert.