when the day shift arrives - page 2

by nightengalegoddess

6,353 Views | 40 Comments

Just a quirky question. I worked the day shift for years. It made me precise, great at time management, almost a Supernurse....but also almost a total #$%&!.......now I work nights. When the day shift comes in; no matter how STAT... Read More


  1. 3
    Quote from brownbook
    My 5 cents worth.

    Being nice: day shift has a lot more demands on the nurses and patients. Doctors are there asking for results, a lot of "whys", ordering tests, patient needs to be in x-ray, etc. Busier and more stressful shift, families calling and visiting. The nurses want to, need to, know what is going on with their patients. Want a lot of answers from night shift staff, want a lot of the basics already done before they arrive, baths, lab results, etc. and aren't always understanding when these things aren't done.


    Being catty: day shift nurses think they know more, are better nurses, night shift nurses couldn't handle the stress of day shift routine, night nurses have it easier, etc.
    Haha too funny. Kind of true. I worked both shifts. Day shift is usually constantly busy. Nights can get crazy sometimes. Plus, you have to stay awake when it's not normal to be awake, it's much harder on your body. Both are hard shifts. Bottom line, being a RN in a hospital on the floor is hard! lol
  2. 2
    Quote from Pepper The Cat
    Actually, I have worked both sides. I stopped working nights because I couldn't deal with the nurses who refused to care for pts or call doctors.
    And the doctors we work with are great. And get angry when they learn that their pt went 12 hours in pain because a night nurse didn't want to page them.
    That was not night shift- that was incompetent nursing I would say.I work all and just learn to move on. I do my best on either shift, same as I would want or expect of the nurse coming after or before me.
    nightengalegoddess and MomRN0913 like this.
  3. 1
    Quote from Pepper The Cat
    Here's my take as a day shift nurse.

    I come in - Nights say "You HAVE to get a different sedation for Mr X - he was up all night." Did Nights call the MD? No.
    ' You HAVE to move Mr B to room closer to the nsg station". Bed is avaiable - did they move the pt? No. Why not? They don't like to move beds. Newsflash - neither does day shift but we do it. Only takes 2 people to push a bed - you have 4 on nights so there are enough.

    This piece of equipment is broken - an repair order needs to go in. Did they do it? No. Why not? I don't know how.

    Mrs X c/o pain all night - you HAVE to call the MD and get new meds. Did Nights call? No.


    And so forth.
    Anything that went wrong on nights is my fault because I didn't get the right drug ordered, or I didn't do something. I certainly don't think I'm better than night shift nurses but I certainly don't understand how they can let someone be in pain all night because they don't want to call a doctor.
    That sucks. Sounds like overall those night RNs aren't that ballsy. I paged the interns/residents overnight for whatever I felt was necessary to page them about
    nightengalegoddess likes this.
  4. 1
    Many of them were awake all night anyways; we got a lot of night admissions in the hospital I used to work at .
    nightengalegoddess likes this.
  5. 1
    That's such a generalization... maybe it's just specific to your place of employment and the personalities working there.

    Where I work we don't have this issue.
    nightengalegoddess likes this.
  6. 1
    Quote from nerdtonurse?
    My take -- every shift, every floor, every unit thinks they've got it tougher than anyone else. Usually I just let it roll of my back, but they've really gotten on my nerves recently:

    1) Dayshift has at least one person late, every single shift. They come in complaining "you don't know what it's like to get up at 5 am." Uh, yeah, I do, did it for 20 years when I played in computers, and had to be at work when the sites in Europe came on line. And I was on time. And did you have a neighbor cut down a tree or mow the lawn at 1 am? FedEx make a delivery at 3 am?

    2) We had a cardiologist who wanted to know why no one had called him about something. I told him it was because he bit the head off of every nightshift nurse who called him, we didn't like to wake people up, but when you don't give us parameters, you're going to get woke up. He acted like he was shocked. He makes 10 times what I do, he needs to put on his big boy pants and deal with it. I wore a pager for those 20 years, it was part of the job, and I didn't cuss people out when they woke me up. It was what I got paid for.

    3) Dayshift says they're dealing with doctor's orders, families, etc. We have to sort out all those conflicting orders, the meds double ordered, families calling all hours of the night, spending the night in the room where we're basically running an ICU and a hotel. Nothing like tripping over a family member's junk spread all over the floor because they cuss you out when you turn the lights on. And God help you if the patient needs a portable CXR stat, you're going to spend 5 minutes moving all the worldly belongings of the patient's family out of the way.

    4) If a patient goes bad in the middle of the night, we're IT. There's one in house MD, and he's in the ER, that code's either back or not coming back by the time the MD gets upstairs.. There's no CNA, there's one person doing 2 jobs. One week we had 10 patients, 6 were active GI bleeds, 3 were getting GI preps, 4 nurses, 1 tech, and we were all giving blood; I was giving blood to both of my patients. We literally ran out of linen and trash bags, and the first thing dayshift said was, "you didn't take out the trash." We have to bathe every vent patient, document the wounds, restock rooms, reorder supplies, tag defective equipment and haul it to the pickup point, We have to do 24 hour chart checks, finding tests not run, meds not ordered, meds not give, meds that were supposed to be DC'd given...and to get clarification on anything, we have to wake someone up who starts off the conversation with: "Why didn't dayshift call me?"

    5) PACU packs up at 6pm. When we have an emergency surgery, they want us to do the PACU hour, too, where we don't leave the room. That's in addition to my GI bleed with a hgb of 4 or acute MI. If someone needs an emergency CT, off we go with the patient, leaving our other patients as additions to the other nurses, and you know there's only 2 folks in radiology, instead of the normal 10 if something goes wrong.


    6) I've worked days. Extra nurses, at least 2 CNAs, anybody you need to call is awake, you're talking to the MD who actually knows the patient instead of who's on call, tons of spare hands for turns, dressing changes, linen changes, able to call for housekeeping, materials management, plumbers, electricians, MDs are awake and not grouchier than normal. The only reason I don't work days is I can't afford the pay cut.


    Grrrrr. It's been a bad week.....
    My pet peeve is lateness. I am on time for work. I arrive 5-10 minutes before my shift begins. Most arrive 5-10 AFTER the shift begins. I am ready to start at 3pm..because every minute is precious and a fall or a resident being sent out can suck up time like a vacuum.

    3-11 always has parking issues so I don't say anything if they are late. 7-3 CNAs are the worst for lateness. Theres no parking issues so its a personal reason as to why they are late.. whatever it may be, I've stayed charting sometimes from my shift and its 7:25 and they are still strolling in the door.. coffee in hand.. bagel in the other.
    3dayRN likes this.
  7. 3
    i work nights and would not allow a patient to be in pain all night without calling an md. i try to assess my patients and determine if the dr. should be called at the beginning of the shift, to avoid making calls after midnight.

    we have a rule that we must obtain approval from our charge nurse before calling the doctor. i don't agree with this as 90% of the time we are not allowed to call the doctors or anyone else at night. this leads to a major lack of communication between the night staff and mds, the charge nurses feel they can answer all of our questions; however they often do not have an answer or the correct answer. it is very frustrating and our day shift nurses do not understand.
  8. 0
    Quote from NurseSuzann
    Day shift is ready to cannabalize everything because management will do the same to the them and it runs down the line. To think they have it easier is rather ignorant, depending on what type of unit. I find that on nights I am putting out a bunch of fires with less staff, and I find a lot of the patients do not actually sleep on nights and less staff to be there for them/more falls. But other shifts will never try to understand each other *smiley face* is my approach to these people who want to eat me in the morning.


    Somehow management automatically ASSumes that just because we work night shift we don't need an aide or that "extra" nurse. Nights can be pure H3LL; sure you may only have 12 pts on the whole floor that holds 18 but things can go south in a hurry if you half of them are very high acuity pts; all of them are full codes; and about 3 or 4 have the potential to go bad in a hurry. Then if 6 or more of them are total care with runny bowels that's a whole other story; not to mention the family members that stay over night with some of the pts and are at the desk as if their (insert relative) is the only pt you have wanting you to come in every 10 minutes to fluff a pillow, give a sip of water, etc.
  9. 1
    Quote from nightengalegoddess
    Just a quirky question. I worked the day shift for years. It made me precise, great at time management, almost a Supernurse....but also almost a total #$%&!.......now I work nights. When the day shift comes in; no matter how STAT the night has been......the emotional voltage goes up 150%. It is easy to get "waterfalled" into that hard-nosed, frantic energy. QUESTION: Why is it that after a long night of even very eventful negatives...the night shift folks are calm and supportive.....while the day shift folks are ready to cannabilize anything?;...It is an interesting study in human nature....what do you all think? Besides the constant drain of stress with the outer social chaos? Is it really just about "too many rats in the cage".....or what???Blessings!!!!!!
    HAHA that part had me cracking up. You can definitely notice a different vibe between the 2 shifts.
    nightengalegoddess likes this.
  10. 1
    Quote from nerdtonurse?
    My take -- every shift, every floor, every unit thinks they've got it tougher than anyone else. Usually I just let it roll of my back, but they've really gotten on my nerves recently:



    3) Dayshift says they're dealing with doctor's orders, families, etc. We have to sort out all those conflicting orders, the meds double ordered, families calling all hours of the night, spending the night in the room where we're basically running an ICU and a hotel. Nothing like tripping over a family member's junk spread all over the floor because they cuss you out when you turn the lights on. And God help you if the patient needs a portable CXR stat, you're going to spend 5 minutes moving all the worldly belongings of the patient's family out of the way.

    4) If a patient goes bad in the middle of the night, we're IT. There's one in house MD, and he's in the ER, that code's either back or not coming back by the time the MD gets upstairs.. There's no CNA, there's one person doing 2 jobs. One week we had 10 patients, 6 were active GI bleeds, 3 were getting GI preps, 4 nurses, 1 tech, and we were all giving blood; I was giving blood to both of my patients. We literally ran out of linen and trash bags, and the first thing dayshift said was, "you didn't take out the trash." We have to bathe every vent patient, document the wounds, restock rooms, reorder supplies, tag defective equipment and haul it to the pickup point, We have to do 24 hour chart checks, finding tests not run, meds not ordered, meds not give, meds that were supposed to be DC'd given...and to get clarification on anything, we have to wake someone up who starts off the conversation with: "Why didn't dayshift call me?"



    Grrrrr. It's been a bad week.....
    I swear we MUST work at the same place...lol.
    Forever Sunshine likes this.


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