The Battle of Day vs. Night Shift - page 2

by nkochrn

30,435 Views | 26 Comments

I have worked both night and day shifts; I even spent a little time doing a combination of both shifts. The hardest thing about alternating between the two shifts, other than sleep issues, was that I had to constantly hear each... Read More

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    It would be so amazing if shifts could understand one another and get along. It would be amazing if people on the SAME shift could understand one another and get along. Oh well, a girl can dream.......
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    when we change shifts, we simply say nothing has changed except so and so had issues with this or that and could you please check with the doctor on so and so. our patients are usually there anywhere from 1 week to 28 days. when they are new pts we do read all diagnosis's the first couple of change of shifts so that we are kept on target. other than that, its "ssdd, something or some one different, love ya, see ya in
    opossum likes this.
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    I have worked every shift, I'm about the only person on my floor that has! I was on nights for a while and I know that I personally hate working nights. I just accepted a position on weekends, Fri-Sunday. Finally, I know my schedule I have mon-thurs. off, I usually work OT on at least one of those days. As far as report goes, once someone starts babbling I usually tune them out, I'm not even listening at that point. I just want to know dx., any procedures the pt. has had or needs, if they are NPO or not, and if they have any tubes, or fluids running. I can figure the rest out on my own. I know I hated waiting to give a long, drawn out report to the oncoming nurse. I never make someone stay, I know night shift is tired and wants to go home and sleep. I like days much better, but different strokes for different folks.
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    Nightshift in the ER isn't slower on the most part, and you don't have as much support around. This was my experience, anyway.
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    I completely agree with this. I work in a long-term care facility as an LPN. I do not so much see it in this current place but I have worked all the shifts and there are pros and cons to both shift. Its about stepping in that other shifts "shoes" if you will and seeing what they have to deal with.
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    Quote from Ntheboat2
    I think everything you listed above is important, but I think it's also important to give a little more casual info. too. Some people don't care, but I personally like to know if a patient is upset because he's worried about losing his apartment or if they refused to take their medicine for five minutes, but finally agreed to, etc. It helps me know what to expect and the pt stands out as more than just a name/diagnosis. Granted, some people get a little carried away and make report last forever.
    Oh no, I'm totally with you on any report information that's original, new, or helpful- just the redundant, boring chart reading. But, I guess there's worse things I could whine about!
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    I've listened to a nurse give a report including every detail of the labor and delivery on a patient that is scheduled to go home within a few hours! Unless there is a pertinent complication I really don't care how long it took her to dilate.
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    God knew what he was doing molding out L&D, Postpartum, and OBGYN Nurses- because Boston would have to chained, gagged, and sedated to witness another birth!
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    I think everyone should have to work every shift right after orientation for a period of time, then they would be allowed to judge. I've spent a year on nights and a year on days and get sick of hearing each of them complain about the other. When I worked nights I thought to myself "how many times have two of my patients been gone for half the shift to surgery, testing, etc? Never! So stop complaining days!" but once I worked days I realized that these patients 1) will come and go at the most inconvenient times, and 2) usually end up coming and going AT THE SAME TIME!! It's Murphy's law! So yes I enjoy the time they're gone, but dread them coming back, then having to field questions from paranoid family members, setting up post op vitals, dealing with post op pain, trying to teach incentive spirometry to someone who is still drowsy and in too much pain to care, etc. and fit it all in in the last 2 hours of the shift because I know the chances of them getting this education from nights is about 20%. I mean, report starts at 7, takes 30-45 minutes trying to track down nurses to get report, then they spend the next hour doing med pass, by the time they're done the patient wants to go to sleep, not listen to teaching!
    canoehead, svdbyGrace0976, ProfRN4, and 2 others like this.
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    I've worked 7-3, 3-11, and 11-7. The 3-11 shift was the worst - all the fun stuff happens then! But my absolute favorite of all was working 7a-7p every Sun/Mon/Tues, and having 4 days off every week:-)
    Sorry for going off topic, but there seems to be a rule that you can't send a private message on this site until you have created 15 topics. I am a new informatics nurse at a small hospital in Massachusetts with Meditech 5.64. The IT staff are pretty much letting me orient myself. I'd be very interested in chatting with you about your work experience, and any lessons you've learned since you switched to the IT world.