Night shift -- can you just take it easy, please? - page 7

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  Armygirl7 profile page
    1
    In a professional situation eye-rolling is just childish and unacceptable.

    I like to point that out with a simple, gently delivered, objective observation "I see you're rolling your eyes at me. Is there something you want to say to me, because an eye-roll is too ambiguous for me and I think communication during report should be clear." A lot of PEOPLE in this world (and NEWSFLASH: this includes male nurses!!) are passive aggressive. I have zero tolerance for that because it does not serve our patients.

    Habitual eye-rollers often don't even realize they are doing it. Anyone I've ever pointed it out to in nursing or in my previous profession has never rolled their eyes at me again. I don't have to like all my co-workers - I just have to respect them and work well with them, and that's what I expect in return.

    I am a new nurse working nights and if I am unable to leave a perfect clean slate for the day shifter I will apologize because of course I KNOW I am adding to their burden, but tasks rolling into the next shift are just a fact of nursing life and many, many factors come into play that affect whether I can finish every little thing.

    That's why I never judge the day shift reporting off to me - how the he11 do I know what kind of day they had? I would never presume. I mean - it's WORK - it isn't easy. Most definitely some of those factors are systemic so bickering between shifts just maintains the status quo with no energy put toward real change.

    It's all just common courtesy- stuff our mamas, papas, grannies, grampies, and teachers should have taught us long ago!!! But in my experience I would say approx 30% of people, regardless of their job title, are just plain clueless, rude, inconsiderate and unprofessional. It is what it is.

    Viva the wonderful 70% that aren't!! :spin:
    JRP1120, RN likes this.
  2. Visit  Lynx25 profile page
    1
    Is there a patient ratio that changes between night/day?

    I'm LTC, Day shift has 20-30 patients, and Night has 60. Between all of the bolus feedings that are in our unit, and the jittery rehab patients, I try to never leave night shift anything to do, even if I have to stay a little late.

    There's some days where you just aren't going to get everything done though, and I think everyone should understand that, and be willing to pick up a little slack here and there.
    wooh likes this.
  3. Visit  firstlight profile page
    4
    It never ends. I have heard these comments for thirty plus years.
    Each shift thinks the other is not pulling their weight. Can't we get along.
    I get so tired of it.
    Poi Dog, Esme12, joanna73, and 1 other like this.
  4. Visit  NeoPediRN profile page
    5
    Maybe we should make a thread dedicated to the ways we help each other as a way to spread good morale. Happiness can be as infectious as misery. Today at change of shift we had a baby who became critically ill and had to be transferred to a tertiary care ICU. I stayed to help stabilize and prepare for transfer, and ended up there an extra 3 1/2 hours. I felt really guilty about leaving a mess for the next shift, and rather than stay up thinking about it all night it was just better to stay there and give the oncoming nurse a hand because she still had three patients to care for. Everything went smoothly, she felt better to have help and I left with a clear conscience. Anyone else have a team work moment to share for today?
    WillowNMe, Armygirl7, Poi Dog, and 2 others like this.
  5. Visit  Horseshoe profile page
    2
    I have worked both night shift and days in my unit. Night shift is harder than days in certain ways; just the pure fact of having to work against your body's natural rhythms is difficult. Frequently you do have less support staff on hand and you feel the pressure of having to make good critical thinking nursing judgments so that you either don't call docs unnecessarily in the middle of the night, or worse, overstep your bounds or scope of practice by doing things you shouldn't in an attempt to avoid disturbing your on call docs. A lot of care is by necessity crammed in at the end of the shift-labs, baths, etc. vs. spread out through the night. If you have a patient (or several) who are really hard sticks, or huge code brown right after you've give baths, this can really throw a wrench into your plans to leave the day shift with a clean slate when they come on.

    In ICU, patients cannot travel to tests without the nurse present. This was a huge, huge source of stress on days. While you're in CT with one patient, you are NOT there to take care of your other one. This puts you instantly behind and you can spend the rest of the day futilely trying to catch up. Days involves a lot of traveling around with your patients, something that nights rarely has to do. The docs, the constant new orders, family, etc., yes, in these ways day shift has it much harder.

    Point being, each shift has their challenges. Which is why I think all nurses should have to work a week on their opposite shift. I believe this would be a big educational experience and would cut down on some of the "I have it worse" attitudes-walking a mile in someone else's shoes is always a good thing, imo.
    DeLanaHarvickWannabe and Esme12 like this.
  6. Visit  yousoldtheworld profile page
    3
    Quote from tma0312
    I completely agree with OP! At my last job, I did half days, half nights every 6 weeks. Day shift was insanely busy and totally exhausting. Night shift was, well, easy as pie, even when the staffing wasn't great! And those night shift nurses were sooooo mean to the dayshift nurses when stuff didn't get done. I mean, seriously, I KNOW you are not doing anything important between the hours of 12am and 4am! I work that shift, too! I know how you all sit there at chat and gab and laugh so loud the patients complain!
    Um, where are you working? Because I work (as an aide) with some night shift nurses who would LOVE to have the luxury of chatting and gabbing for 4 hours a night, instead of running their butts off all night...
    pumpkin455, wooh, and joanna73 like this.
  7. Visit  joanna73 profile page
    2
    Tma0312, I find your post very insulting. "I know you don't do anything between 12 and 4 am." Excuse me, but since when are you the expert? I work my tail off at night, as I'm sure many others do. Perhaps where you work, it is quiet at night. However, generalizations need not be made.
    Armygirl7 and Poi Dog like this.
  8. Visit  Poi Dog profile page
    5
    Quote from joanna73
    Tma0312, I find your post very insulting. "I know you don't do anything between 12 and 4 am." Excuse me, but since when are you the expert? I work my tail off at night, as I'm sure many others do. Perhaps where you work, it is quiet at night. However, generalizations need not be made.
    In the wee hours of 1200 to 0400 it is party time: we start mixing drinks, smoking weed, and blasting music over the intercom. Isn't that doing something?


    I am kidding, so no one better start in on me. Those hours are usually when every disoriented resident decides that climbing out of bed is an awesome idea. Bed alarms are going off...pure madness. I love it!
    Last edit by Poi Dog on Sep 2, '11
    WillowNMe, wooh, Esme12, and 2 others like this.
  9. Visit  wooh profile page
    5
    Quote from Poi Dog
    In the wee hours of 1200 to 0400 it is party time: we start mixing drinks...
    We have to do our liquor straight, the blender in the break room kept setting off the yakker trakker.
    WillowNMe, pumpkin455, anotherone, and 2 others like this.
  10. Visit  DeLanaHarvickWannabe profile page
    5
    Quote from Horseshoe
    A lot of care is by necessity crammed in at the end of the shift-labs, baths, etc. vs. spread out through the night. If you have a patient (or several) who are really hard sticks, or huge code brown right after you've give baths, this can really throw a wrench into your plans to leave the day shift with a clean slate when they come on.
    Word.

    I have said it, and I'll repeat it - "Nothing good happens after 6 AM." Just when I think I have everything wrapped up neatly...the crapeth hitteth the faneth...
    WillowNMe, wooh, Horseshoe, and 2 others like this.
  11. Visit  Mulan profile page
    0
    Quote from NeoPediRN
    Maybe we should make a thread dedicated to the ways we help each other as a way to spread good morale. Happiness can be as infectious as misery. Today at change of shift we had a baby who became critically ill and had to be transferred to a tertiary care ICU. I stayed to help stabilize and prepare for transfer, and ended up there an extra 3 1/2 hours. I felt really guilty about leaving a mess for the next shift, and rather than stay up thinking about it all night it was just better to stay there and give the oncoming nurse a hand because she still had three patients to care for. Everything went smoothly, she felt better to have help and I left with a clear conscience. Anyone else have a team work moment to share for today?

    Did you get reamed out by your NM for having 3 1/2 hours of incidental overtime?

    Just curious.
  12. Visit  NeoPediRN profile page
    0
    Quote from Mulan
    Did you get reamed out by your NM for having 3 1/2 hours of incidental overtime?

    Just curious.
    Nope, I called her at change of shift and told her we had a kiddo crashing and I was going to stay to help and she said do whatever you have to do. It's not OT for me since I'm per diem there.
  13. Visit  chevyv profile page
    0
    Have to admit that I don't give a hoot if something did or didn't get done. I'm there to work and will get done as much as I can. Days gets crazy and so does pm's, I don't even want to think about the crap that noc's has to deal with. I like it best when the nurse passes on what needs to get started/finished from their shift. I hate when I find something out after hours and have to deal with less docs on, no manager, and a pharmacy that switches to some bizarre service that takes forever to call back. We're all in this crayz place together

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