What Nursing Taught Me About Success

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One of the most useful skills I developed as a nurse ended up translating to almost every other aspect of life. That skill was learning how to prioritize. Working on a hospital floor is essentially an exercise in resource allocation. You have a finite amount of time and an unlimited number of things demanding your attention. And those things are not all created equal.

One patient needs medication. Another needs help getting to the bathroom. Someone’s family has a question. A doctor wants an update. And then, inevitably, something happens that wasn’t on the schedule. Someone’s blood pressure crashes and so does your plan.

This is where nursing teaches you something that applies far beyond the hospital. You can’t do everything. You have to decide what matters. If you try to perform every task perfectly and in the order it’s presented, you’ll find yourself spending time on the trivial while something important is forgotten.

Learning to triage is the key. What absolutely has to happen right now? What needs to happen soon? What can wait? What can be simplified? What can be delegated? This sounds obvious, but I think a surprising number of people go through life without really operating this way. They treat their entire to-do list as if every item has the same importance. This is a mistake.

Some things are consequential. Some things are merely urgent. Some things are completely irrelevant. Your ability to distinguish between them is extremely valuable. Consider a business owner trying to get a company off the ground. He can spend three hours tweaking the website, redesigning the logo and choosing the perfect font. Or he can spend those three hours talking to potential customers. Both activities feel productive but one might make the business look slightly better, while the other produces actual sales revenue.

The easiest trap to fall into is confusing activity with progress. Being busy feels like work and so it’s easy to convince yourself that you’re accomplishing something. But the world doesn’t reward effort, it rewards results. This principle applies to almost everything. The hard part is that the low-value things often feel easier. Important things tend to involve uncertainty, discomfort and the possibility of failure. Administrative tasks give you the satisfying feeling of checking a box. But checking that box doesn’t produce the real impact.

Nursing taught me to organize work around consequences rather than convenience. You don’t ask, “What would be nice to get done?” You ask, “What happens if I don’t do this?” If the answer is that someone could die, it probably belongs near the top of the list. If the answer is that someone might have to wait another ten minutes for a blanket, it probably doesn’t. That sounds like common sense in the context of an ICU. But remove the hospital context and suddenly people spend enormous portions of their lives doing the equivalent of finding blankets while their blood pressure is dropping.

The other lesson is that perfectionism can be incredibly expensive. There are things worth doing perfectly. There are also things where 80% is functionally indistinguishable from 100%. Knowing the difference is a skill you can develop. You don’t have unlimited time, energy and attention. Every hour spent making something marginally better is an hour you can’t spend doing something else. And eventually, success becomes less about how much you can do and more about what you choose not to do. This is probably one of the biggest differences between being productive and simply being busy.

Productivity isn’t squeezing more things into your day. It’s making sure the things you’re doing are actually worth doing. Life is going to throw unexpected problems at you regardless of how well you plan. You can’t eliminate those things but you can avoid filling your life with so much unnecessary activity that there is no capacity left when something important happens.

Success is developing enough judgment to recognize what actually matters and putting your limited resources there. Everything else is secondary.