Night shift -- can you just take it easy, please? - page 6

I'm a day shift nurse. I usually handle 5 patients on days on a busy cardiac tele unit. On any given day shift, there are usually ten different tasks on 5 different patients, many more demanding... Read More

  1. Visit  joanna73 profile page
    2
    True, but from the OP's posts, it seems as though she feels that nights are easier, which is not true. I agree that it gets annoying when coworkers don't pull their weight. We all work with people like this. These people work days, too.

    The message I take from this discussion is this: nursing is 24 hour care. Sometimes it's impossible for any shift to get everything done. However, a little courtesy goes a long way, and having a war over whose shift is "more work" is pointless.
    wooh and Fiona59 like this.
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  3. Visit  Esme12 profile page
    0
    Quote from SoundofMusic
    Wait a minute. I DO work my a%%$ off, every single shift to "attempt" to provide a clean slate for the next shift. Every shift I do this .. .I'm as efficient and fast as they come ....what a lot of folks still don't get here, is that it's STILL not possible, even at the nursing speed of LIGHT, sometimes, to get it all done!

    This is what I'm getting at .. .it's impossible. I feel many night shifters who work it permanently don't get this. Or they just forget once they move to nights permanently.

    I also worked on the unit where the night shift partied, chatted, laughed, and gossiped a good deal of the time, had pizza parties, etc. loudly, on most nights .... where most patients would complain about the "party atmosphere" all night long. And then we'd come in and would find patients sleeping in poop, IV's falling out, rooms a mess, etc, etc. This same bunch would be as crabby and snotty as all get out, would pass stuff onto YOU, without really saying much about it ...and yet don't EVEN TRY to pass it onto them the next night ....

    I'm really not generalizing ... sorry if MY OP came off that way. Most of the time it's not a problem, but when it is ....it's a definite morale killer. Esp if you've really TRIED to get it all done, as well as TRIED to be good and kind to patients, but the clock just ran out on you.

    And I agree -- we're set up to fail ...by all of them from the unit manager on up.

    Yes, guess I will have to toughen up. Or find another job. I'm in a masters program, so I won't be at the bedside for too many more years .. ..for these very reasons. I'm tired of a job where I'm automatically set up to fail and to be at war w/ my colleagues. It's really wrong.
    Therein lies the problem with nursing........and it makes me sad.....

    There are those nurses that due to whatever reason will continue to do the bare minimum no matter what because they are too overworked, too underpaid, too tired, too busy, too many patients, too hot, too cold, too early, too late.....you get the picture.

    I would tell them....you look, sound exhausted again....I'm concerned for you........ I am so sorry you are having a hard time...would you like a soda, cup of coffee,a piece of gum??? It really has been a long hard day........ That usually sucks the wind out of their sails....then I consider ther source and move on.....
  4. Visit  Jenni811 profile page
    2
    I'm kind of offended by this post. I work Nights and your making it seem like we don't do anything on nights.

    on nights,i have 7 patients. Count em...7. We get just as many admissions and transfers as you do during the days. Codes and MRT's always seem to happen at night, why? because we spend an hour trying to get a doctor to wake their a$$ up to come to the patient.or one that takes us seriously when we call them that early.

    We work just as hard as day shift, so lets not make things like this a "night shift problem" because it isn't. I understand day shift has things to do as well, but keep in mind we have patients going to procedures during the night (when it is needed), i have only 1 aide for 29 patients, so im the one taking these little old ladies to the bathroom 50 times a night.

    And because you, as the nurse, allowed them to sleep during the day they are now awake all night!

    Don't act like you don't know that patients rarely sleep at night. They just don't and anyone that thinks it is easy because our patients are sleeping is wrong. They nap, but they also nap during the day.
    joanna73 and glutton4punishment like this.
  5. Visit  glutton4punishment profile page
    1
    Quote from Jenni811
    I'm kind of offended by this post. I work Nights and your making it seem like we don't do anything on nights.

    on nights,i have 7 patients. Count em...7. We get just as many admissions and transfers as you do during the days. Codes and MRT's always seem to happen at night, why? because we spend an hour trying to get a doctor to wake their a$$ up to come to the patient.or one that takes us seriously when we call them that early.

    We work just as hard as day shift, so lets not make things like this a "night shift problem" because it isn't. I understand day shift has things to do as well, but keep in mind we have patients going to procedures during the night (when it is needed), i have only 1 aide for 29 patients, so im the one taking these little old ladies to the bathroom 50 times a night.

    And because you, as the nurse, allowed them to sleep during the day they are now awake all night!

    Don't act like you don't know that patients rarely sleep at night. They just don't and anyone that thinks it is easy because our patients are sleeping is wrong. They nap, but they also nap during the day.

    Yeah, what's up with them not sleeping????? I am 3 weeks into night shift, and these ppl don't fricken sleep!

    And sorry guys, but night shift is waaaaay easier for ME than days, and I really don't care what anyone else thinks about it. I can finally have a moment to process information without a doctor, family member, ancillary staff, or patient simply talking to me. It's physically less demanding at night, as well as mentally. I can hear myself think! It's soo awesome. I wish my day girls could have the same experience. Oh what a relief it is!
    Esme12 likes this.
  6. Visit  SoundofMusic profile page
    0
    Ok, with all the night shifters chiming in, perhaps I should amend my post.

    Just, whatever shift your'e coming off of -- or coming onto -- be NICE to your fellow nurses. I dont' think I've met YET one single nurse who purposely put off tasks to night shift .. .I've never seen that done by nurses. I've seen it done by techs all the time ...but not Rn's. The rule is -- you know about it, the order is in on your shift ...it's yours.

    You truly won't get sued, and I doubt the patient's stay will be affected by ONE lab, ONE urine ...or one med not delivered, or one order not put in. Try to keep in in perspective. Try not to ruin a nurse's evening (or morning) w/ your comments, your facial expression, your attitude. They likely really tried hard that day .. .and were having a good day .. .until you came along and p*ssed on it.

    Of COURSE --if I've passed on an order I received at 8 a.m., that's really wrong. But if I just got the patient, and each and every order isn't in yet, each and every task not done ...well, try if you can to just remember -- I did my best -- for you as much as I could, yes, but I may have also being doing my "best" for the patient -- by spending a little time listening to them, holding a hand, turning them properly, changing them, whatever .... and maybe as a result, I didn't get the tasks done, but the patients are alive and happy -- that stuff not documented ...it also matters.
  7. Visit  amarilla profile page
    1
    Quote from SoundofMusic
    I dont' think I've met YET one single nurse who purposely put off tasks to night shift .. .I've never seen that done by nurses. I've seen it done by techs all the time ...but not Rn's. The rule is -- you know about it, the order is in on your shift ...it's yours.
    I read the OP but didn't respond, shift wars being what they are. Seeing this, I have something to say: the reason why your post strikes a chord with many night shifters is exactly because we do have things routinely passed on with the attitude, "well, it's night shift...I was busy all day, you have all night to get it done." I routinely get 3+ admissions with two techs to help the entire floor (if that). I'm not reading magazines all night and to imply that one shift's work is more effective or important than the other is insulting.

    Try out my workplace: our dayshift has no hesitation passing on orders written between 1500-1900 with just a shrug. Oh well. I have worked days and nights and don't appreciate when I come in (early) to prepare for a shift, see people carousing at the desk an hour before shift change only to come on to find, say, 1800 meds not given to any patients and orders from 1500 onwards picked up but not done. Some of these things are write-up worthy: blood not given, CEs not drawn, bowel prep for AM surgery not started, etc. These are not things that someone got 'too busy' to do, and frankly, it's a burr on my behind to hear people say, 'eh, leave it for the next shift.'

    I realize your workplace is different, but you do understand that it happens to those of us elsewhere, right? JME.
    wooh likes this.
  8. Visit  joanna73 profile page
    4
    Right. As a permanent nighter, I get tired of certain people always passing off work, or purposely leaving things for me because the assumption is "she has all the time in the world." So in those instances, I often miss my break, when I know that person had theirs because I have even more to do.

    But, I don't complain. I get the work done. Why? Because it's for my residents. And, the myth that people sleep at night is just that....a myth. Many of them have insomnia, and if they've napped all day, they are surely awake again by 0200a.
    anotherone, Tweety, wooh, and 1 other like this.
  9. Visit  Esme12 profile page
    0
    Quote from glutton4punishment

    Yeah, what's up with them not sleeping????? I am 3 weeks into night shift, and these ppl don't fricken sleep!

    And sorry guys, but night shift is waaaaay easier for ME than days, and I really don't care what anyone else thinks about it. I can finally have a moment to process information without a doctor, family member, ancillary staff, or patient simply talking to me. It's physically less demanding at night, as well as mentally. I can hear myself think! It's soo awesome. I wish my day girls could have the same experience. Oh what a relief it is!
    ....NO they're sleep all day because they are up all night!
  10. Visit  Tweety profile page
    2
    I like my unit. 90% of the time we get out work done on time and go home leaving the next shift with a fresh start. 10% we help each other out without complaint as it should be.

    I did two admission data bases the night shift left for me to do and they started an IV I couldn't get at shift change.

    I agree with the sentiments of the original poster sometimes it would be nice to have a friendlier attitude from the oncoming shift because you never know what the person has been through.

    I did 13 years of nights and so far 7 years of days.
    Poi Dog and joanna73 like this.
  11. Visit  anotherone profile page
    3
    I work both days and nights currently. If any thing the permanent days/evenigns people are the ones who don't get the reality of nights for the most part. Some don't understand that the doctor on call is the cross covering intern who might not order or change any order until discussing it with "the primary team." which leads to some nurses thinking we are turfing more work onto them. Where I work at least, night shift gets more patients with less cnas if any. Both are busy and we seem to rarely have a quiet night. When I work days I am suprised sometimes at all the people around to help in an emergency.
  12. Visit  anotherone profile page
    0
    Quote from SoundofMusic
    Just to remind night shifters, think about the following very time consuming tasks we are required to do that you are not required to do, or are usually unnecessary on nights:

    1. Provide a daily report to case managers and/or attend rounds.
    2. Walk patients off the unit at discharge and/or when needing to be accompanied to test and RN to leave the floor to go with them.
    3. Arrange for diets, re-enter diet orders, take away trays, fulfill diet requests, fill pitchers, grab coffee, grab condiments ...generally play waitress for THREE meals on your shift.
    4. Receive calls from family members wanting updates, or just wanting to talk to a nurse -- sometimes as often as every 2 hours. Call them if requested. Connect them to doctors for updates. Generally fulfull every request they make concerning your patient. Daytime is when they do this ...nights they go home to sleep. Usually. (I realize SOME do spend the night and then they can be a pain to you -- but it's not as often).
    5. Tests, tests, tests. Patients who return from tests ...needing frequent vitals, needing tele on, tele off, needing boots, transfers, etc, etc.
    6. Orders non-stop. Most orders are put in on days ...docs don't like being called at night and we all know it. They do their orders early and you have to get most of not all of them done on your shift.
    7. Admissons (yes, you do them on nights), but most discharges on are done on days. Discharges come with: med reconciliation/education, getting signatures, more education, taking out IV's, helping pts get dressed and ready to leave.

    This does not include the occasional code, elopment, fall, or whatever crisis might happen on any given day. Doesn't inlude arguments, difficult patients, or having to explain and educate on each and every med given at 1000.

    Need I go on? And let me ask you this ..what happens when your tech staff is short or unwilling to helop ...now we dayshift nurses get to add baths, filling water pitchers, and vitals/sugar checks to our lists . . .

    How do you think we can get it all done??? It's not possible. It just isn't. I wish more night shift would realize this.

    I have known many a day shift nurse who burns out and goes to nights because they can't stand families, docs, managers, and all the rest of the people we deal with on days ...many of those nurses seem to become some of the most demanding and uncompassionate nurses towards the day shift, from my experience.

    Remember, please ..what is is like to work the day shift, before you criticize.

    I'd LOVE to do nights if I could, but my body can't do it for some reason. And I really appreciate night shift people who do this, because I can't. But I wish they'd appreciate ME and all i do on days ...and try to take it a bit more easy on me at 1930 at change of shift.
    1. No one does that at my hospital.
    2.we have transport on days NONE at nights. we get plenty of admissions at night with STAT ct scans, mri, etc..... we have to take them and even LESS staff is on the floor.
    3.Diets not arranged on days means a call to the CROSS COVERING surgery resident who will raise hell for paging him/her for a diet order at night. lol (it has happened)
    4.for the most part accurate but at least the primary dr is there. it is a pain when they do this at night and the on call person is not going to come up to speak to the family and then it rolls onto me ............
    I realize it because i work both at the same place. Days are more hectic but many people seem to think we operate at night with the same staff but a lot less to do. we have a lot less to do but the staff is bare minimum. if we have to change an incontinent patient, half the staff may very well be in that room, with no one by the desk to answer the phone, or go to a bed alarm etc.
  13. Visit  Poi Dog profile page
    2
    Quote from Tweety
    I like my unit. 90% of the time we get out work done on time and go home leaving the next shift with a fresh start. 10% we help each other out without complaint as it should be.

    I did two admission data bases the night shift left for me to do and they started an IV I couldn't get at shift change.

    I agree with the sentiments of the original poster sometimes it would be nice to have a friendlier attitude from the oncoming shift because you never know what the person has been through.

    I did 13 years of nights and so far 7 years of days.
    I agree wholeheartedly with the bolded.
    mbbysea and Tweety like this.
  14. Visit  RNdiva505 profile page
    4
    Wow! Whining and complaining just is not going to get the job done....These are human beings we are taking care of...If you day shifters can not get the job, I personally dont mind picking up some of the things that didn't get done...Not to say that the important things you should have taken care of on your shift...Minute details or orders that day shift could get done usually gets caught at night....And no biggy!

    You signed up for day shift....Complete day shift stuff that we should not have to complete at night.....Such as consults, calling the doctor because the patient hasn't pooped in a week, etc.....Help us out too, dayshifters!


    Hospital is 24 hours/ 7 days a week! Work together people...Thats is how it is at my hospital! Thank you Baby Jesus!
    anotherone, wooh, JRP1120, RN, and 1 other like this.


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