I am agency, so I work all of the shifts.
Last week I worked the rehab unit for the first time on nights. I don't think I will EVER work that unit on nights again.
All of the patients are on PRN pain meds, and for some reason, NONE of them are on even the remotest idea of the same schedule. I was running pain meds every 5 minutes all night, plus trying to do my REGULAR work.
Most of the patients are sorta ok mentally, and ALL of them think they are the only one who lives there.
Most of the other units I work on have at least an hour of time when nobody is on the lights. That is when I get the extraneous charting, other paper work, labs and etc done.
On the rehab unit, I had to wait till the shift was over to do ANY of my regular work.
It was 10:00 before I got out of there, and I was trying to work around the day shift girls.
The unit I normally work on is almost all permanent LTC patients, whereas the rehab unit is almost always patients I have never seen before.
It sure would have helped if the night nurses would have left me some kind of a cheat sheet, like the other units do. At least I would have been prepared for hell.
The other day the unit manager of the rehab unit came up and asked me if I would work another night shift there, and I emphatically told her no. She looked at me and said, "Is it because you won't get any time to knit on my unit?" I almost slapped her. I didn't dignify her statement with an answer, and just walked away.
That shift needs 2 nurses, and more than 2 aides for 32 patients would be nice......
Other units the load isn't nearly as bad. I get out on time on ANY other unit.
I also work days and pms on all of the units, and I don't mind any of the shifts there.
I guess it depends on who is working when, and what kind of camaradarie is on the unit.
I don't mind any of the shifts, but prefer working pms. I am a night person for the most part, but changing shifts all the time gets confusing.