Help! How do you stay awake on drive home after night shift?

Nurses General Nursing Nursing Q/A

I started as a new RN 10 months ago, rotating 12 hour day and 12 hour night shifts (4 week rotations) in a busy metropolitan ICU. I actually like rotating days/nights and think it has been beneficial to see "both sides" as a new nurse. I get through the 7p-7:30a shifts without a problem, don't have to nap and have a little coffee at 5a which gets me through . . . but . . . the drive home is another story!

I live 50 minutes away from the hospital. The first 30 minutes into the drive are fine, but once I hit that 30 minute mark, bam . . my body just says "nite-nite". The last 20 minutes of the drive are grueling, my eyes are rolling and even though they are open my mind is wandering and I'm not focusing right. I think I have tried just about everything to keep myself reasonably awake during those last 20 minutes including: loud music, windows down/ac on, drinking apple or orange juice, listening to talk radio, talking and singing to myself, slapping myself on the arms, getting out of the car,walking around and starting again(this keeps me reasonably awake for about 5 minutes). I'm so tired when I get home that I have found myself falling asleep in the shower (no kidding!) and fall asleep so hard once in bed that noise and light are no issue at all (I don't think an atomic bomb would wake me up before 3 pm).

During those last 20 minutes I have had several incidences including veering off the road (even in my own development!), almost running into a ditch and falling asleep at stop lights. But, a couple of days ago, I feel asleep at the wheel for the first time. It was only a few seconds, but when I opened my eyes I was way left of center with traffic coming at me head on. I quickly swerved back into my lane and the fear/adrenaline rush kept me awake for the remaining 10 minutes home (whew). That incident scarred the daylights out of me and convinced me that I must find a job within 30 minutes of the house (in my current job there is no way I could get straight days or even evenings).

I'm now in the process of looking for a new job, but in the meantime I'm still on night shift and will work again in 2 days. So . . . any other suggestions from you night shift nurses about staying awake on the drive home?? I have stayed away from using meds or "power drinks" because I don't want to compromise the precious hours of daytime sleep before going back to work at night. I also have not "napped" in the car along the way because I'm not sure it would work and I'm just sooo anxious to get home to my bed. But I want to hear what works for you . . . safety is definitely the issue here.

Thanks!!

Paula

reading this post really scares me. and to think i was worried about drunk drivers. remember kids, dont snooze and drive.

I used to have this same problem. I was in nursing school during the day and working nights. At the same time I was having to go to my spinal doc in Atlanta once a month. Well, on the way back from Atlanta after dark I fell asleep and woke up in a field. With no streetlights. With my cruise control on 70. I had hit some sort of depression in the ground that jolted me awake. After about twenty minutes of slowly driving in circles while crying hysterically from fear trying to find the road, I found it. The realization that I had fallen asleep, swerved across the median and the other two lanes of traffic and off about a half-mile into a field dotted with trees at SEVENTY MILES AN HOUR was enough to scare me from falling asleep at the wheel, and I haven't since.

Now my husband, he's a different story. Nothing puts him to sleep like getting behind the wheel, and we have had several very close calls where I averted tragedy by screaming and waking him up.

Oh my gosh, this scares me to death! :uhoh21:

I never had a problem on nights, but I was only 5 min. from home on a busy day. Evenings werent a problem either though I worked 35 min. from home (long highway miles). Then I went to days. Getting home isn't my problem, but staying awake to GET to work is. I actually have a Dx of excessive daytime sleepiness. I'm ok if I wake up around 7am-7:30am, regardless of when I go to sleep (and I've tried going to bed at like 5pm-6pm and it doesn't help). Ive tried a CPAP (have sleep apnea too), doesn't improve it. Tried Provigil, doesn't improve it. so i'm chronically late to work

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