As nurses, we have an interesting challenge: We need to make sure we are doing our jobs as quickly and efficiently as possible while still making sure to carefully pay attention to and make note of every detail in the care process. This can be especially tricky when it comes to conditions like stroke where every second makes a difference.
I sometimes pick on ER physicians for hesitating to give tPA for stroke despite data that supports administering, but the responsibility isn't 100% theirs. Our nursing skills play an important part in ensuring that a patient stays within the guidelines. As hospital systems, sometimes we push a little too hard to go straight to CT, for example. In general, I think pushing to go directly to CT is a good thing ... but problems arise when we get tunnel vision and forget the little things that can make a difference down the line. John Wooden, the legendary basketball coach of the UCLA Bruins, has a famous quote that I love: "Be quick, but don't hurry."