Do Day Nurses Really Feel that Night Nurses Do Nothing All Night? - page 2

Having worked the 12 hour night shift in many hospitals I find the same things. Day shift nurses leave us so much work to do that we're playing catch up all night. We start off 2 hours behind... Read More

  1. by   Brita01
    Originally posted by Fgr8Out

    And why do Nurses always make the assumption that the shift prior INTENTIONALLY leaves work for the next shift? Shouldn't a Unit be a TEAM? And shouldn't we, as "Professionals", have the GRACE to understand that, when a job wasn't completed the shift before it was more than likely due to too many tasks needing attention all at the same time, rather than some conspiratorial effort on the part of the previous shift Nurses to "dump" on the next shift?

    Brita, no, I didn't forget you and your dilemna. It's horribly frustrating when teamwork isn't the norm, and shifts pit themselves against one another. BTDT, and of course, whenever you move to a new facility or unit, you may very likely encounter the same scenario all over again. All you can do is be the example... even the exception sometimes, and ignore the invalid complaints and comments that come your way. Look at how your own shift is run and see if there aren't things that can be changed to make the night shift routine flow a bit more easily. Talk with your Supervisor or Manger and ask for input. And please, please, give your coworkers the benefit of the doubt. Their day may have been just as chaotic as your night.

    Peace



    I agree with what you're saying about teamwork and giving co-workers the benefit of the doubt. I always do until I see a pattern emerging. When the same nurses and the same unit secretary are leaving the same things undone, that's a pattern. I'm the nurse that tries to fix everything that wasn't done even though it takes time away from my patients, which I hate. And when those same nurses come in the next morning complaining about this or that wasn't done on the night shift, I just want to start grabbing necks and shaking. I wish everyone could "do unto others..."
  2. by   Brita01
    Night Owl, I just saw your post and I couldn't have said it better.
  3. by   night owl
    Where are the 39% of you who say we twiddle our thumbs and drink coffee, or work once and awhile and why do you feel this way??? My and other inquiring minds would like to know.
  4. by   Fgr8Out
    Originally posted by Brita01





    I agree with what you're saying about teamwork and giving co-workers the benefit of the doubt. I always do until I see a pattern emerging. When the same nurses and the same unit secretary are leaving the same things undone, that's a pattern. I'm the nurse that tries to fix everything that wasn't done even though it takes time away from my patients, which I hate. And when those same nurses come in the next morning complaining about this or that wasn't done on the night shift, I just want to start grabbing necks and shaking. I wish everyone could "do unto others..."
    Yep, I do know what you and Night Owl mean... And I certainly don't want to come across as goody two shoes.... as a matter of fact, I've envisioned my fingers around certain necks as well. :X

    Just do what you do best... provide quality caring for your patients. And if management isn't assisting you with your respective issues... I'd consider moving on. There is supposedly some sort of nursing shortage and I can't imagine an employer wanting to lose good Nurses such as yourselves.

    Peace
  5. by   Fgr8Out
    Originally posted by night owl
    Where are the 39% of you who say we twiddle our thumbs and drink coffee, or work once and awhile and why do you feel this way??? My and other inquiring minds would like to know.
    Here, here!! This poll should show 100% of voters agreeing that ALL nurses work hard!!!!
  6. by   night owl
    i couldn't agree with you more!
  7. by   Brownms46
    I also have worked every single known to man! I have found that EACH shift has it's own demands and stressors! On nites pts do NOT sleep as a rule! You have Sundowners Syndrome alive and well in many! For the last two nites I have had a pt who calls on the light Q 30-60 secs or more!!! He is confused at nite...and alert during the day! He's on tele...why I can't tell you...as he has been in SR & in the 70's with no ectopy since he has been there. NO IVF...no acute distress...just flunked a dysphagia gram...and had a dobbhoff until he pulled it out and they re-evaluted and placed him on pureed diet. So why is he on a tele unit...NO CLUE! I also had 2 fresh post cath pts...one going for PTCA/stent in the AM. An admission of a R/O CP at the same time I had just found a pt in resp distress after receiving ATIVAN 2m IVP at 2250! Unable to narcan as he had Hepatic and Renal diesease...and MD felt it would do no good to give. Why he was given the Ativan I have NO clue...but thank GOd he refused the Ambien 10mg she was going to give him also! Trying to keep his O2 on to keep sats out of the low 80's...keep him in bed..pulls out foley and starts spurting blood from penis...do stat H&H...get ABG's...Neb tx ....give IVP Bumex...draw AM labs from 6 pts.....finish admitting my new pt...running in and out of the freq callers room...incont of BM.....NEVER sat down the whole nite...no potty break...no water...NOTHING..but running all nite!!!

    On nite many times we have no CNA...and have to do FSBS q6 or the AC FSBS...daily wts...chart checks...MARs...draw all am labs...and any CE ordered...or PTT. We have family members who stay with the pts overnite...and call every few mins for this or that...BR assist for the pt...THEY the visitor needs a blanket...the pt is having this problem or that....and if we don't come ASAP they're on the light again! or at the nurses station demanding help NOW! We have had up to 9 pts each with the CN also taking pts. A lot of the times the am or pm shift has been too busy to change IV sites or hang new tubing per protocal and guess who this falls to??? I KNOW ALL nurse work hard no matter what shift they work, and the least of these is NOT nites!!!
    Last edit by Brownms46 on Apr 18, '02
  8. by   bjpeace
    Just a couple of quick thoughts from one nite shifter to another..... I like the idea of shift rotation, but if you don't get 100% agreement, how can it fly? I know several day people who could come up with valid reasons not to be able to do it. Any suggestions? I'll email my cc right away! I've worked nights for 6 years, and I feel its always going to be that night shift is the catch-all shift. Now me being a control freak and all - this worked for me, because I was able to fix the broken parts and address the problems with the person involved one to one. However! the most annoying part to this is when the same people keep making the same mistakes, then its either be the babysitter or report them. I don't like conflict, but will act accordingly when someone isn't completing tasks correctly or in a timely manner on the other 2 shifts. But I am only one person, there are others whom I feel are just fixing the problem and moving on. Is there anyone else who experiences this? I stay very busy on night shift even without the docs and paperwork. But this picking up after the same people time and again can get on a persons last nerve! ..... sorry, didn't mean to turn this into a rant! (but thanks!)
    bj
  9. by   tiger
    i think there is hard work to be done on both shifts and a slow time as well. on my unit i feel there is more slow time on nights. days has all three meals and all the other depts to deal with. as well as family and other issues. mho j
  10. by   Tookie
    I did 14 and half years of nights in aged care - (nursing home) - yes we did get some quiet nights however that was back in the days when the residents dependency levels were not as high - l have not done nights now for 2 and half years and l beleive that it is only now that l am coming out of the fog that it creats - the whole night duty thing - permanent that is has a hugh impact on your body - my sleeping patterns are still not good - l have to take something to sleep at times still - l put on lots of weight - l ate erractically and l belive that over a long time l became quite depressed as a side effect of it (OK there were probably other factors impacting along the way - but l blame night duty for a lot of it
    The positive was that you didnt have to put up with doctros very often - the people that l worked with were great and are still great friends I loved my residents and we could often give them that little extra when we were attending to their personal needs - It also suited the family situation at the time as my children were growing up

    However to get back to the orginal tread - Yes we worked as hard - but in a different way to the other shifts- however because a lot of our work was completed at the end of the shift and that is when a lot of your observations and 'work' was done you then had the subequently write up all your documentation generally after your handover and put up with the rolling eyes when you may comment about the night itself and the restless residents -

    yes that is what we were there for however it is the best outcomes for everyone if the residnts have a 'good' night - they are better rested and then the day shift have better day

    It would irritate me no end if l went into work during the day for an inservice to find residnt sleeping in a chair and staff refusing to wke then and give then some stimulating activity - yes l know they need rest during the day but not all day - quote - oh its better when she sleeps then she dosnt wander all day - so it OK that she wanders all night when there is less staff to watch them !!!!
    (This would be often when you are supposed to be sleeping - they never have those at night -or the staff meeting)

    Anyway l am sorry that l have become a little passionate about this subject - maybe someone should (or has and l havent seen it) the subsequent problems associated with night shift both permanenet and rotating

    Sleep well everyone
    Tookie
  11. by   Tookie
    Boy on rereading that there are some mistake - l apoligise for that but l think the message is there - However l would be interested if any night duty nurses or anyone know of any good sites to go to that discusses the problems and side effects of night work
    Thank you
    Tookie
  12. by   misti_z
    I'll start by saying I work nights, 12 hour shifts.
    Both shifts are busy. Last night I did not finish passing 8pm meds until 2330. And I often here the same story from day shift.
    We get alot of direct admits after 7pm as well as post op pts and families calling to check on how mom is doing after they left this afternoon. There are probably more quieter nights than there are quiet days....which is why I choose to be on nights. But by no means do we ever get bored because all the patients sleep at night.
    And I will gladly do what ever I can to cover your ass because I know that there are times when I will need you to cover mine :roll
  13. by   CEN35
    well without reading everything that has been posted here, i can say a few things.


    i think primarily where i work, the dinosaurs on day shift have this attitude for a reason. despite the jurassic attitude/memory of:
    "not being able to handle a few patients at night? then unable find time to stock, and clean up after the rest of the dayshifts/evening shifts dinosaur dung is lying around all day?"
    i think they just don't realize, that from their jurassic nights, things have changed much since.
    it is much busier now than then, and almost always full at night.
    forget the nights of being full until midnight, down to half capacity at 0130, and only two patients after 0200.......those nights are over.
    our dayshift needs their 15 minute break twice a day, and half hour lunch everyday. something many of us never get. yet, there is always time to complain? go figure

    don't complain, get off your butt and do something about it! as albert einstein said:
    "two things are infinate.............
    the universe...........
    and human stupidity........
    i'm not so sure about the universe"





    me



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