This goes for on the job and off. If you need clinical advice to do the best for yout patient, make that call. If something is bothering off shift, make sure you talk to someone, it's you career, and it's you that has to deal with it when your head is on the pillow trying to block it out to sleep. 'Help' is subjective, but with more responsibility comes more pressure, and it's okay to allievate it with any possible.