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Do night shift nurses try there best



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No. 10
from massrn116
Old Feb 15, 2009, 04:00 PM

Default Re: Do night shift nurses try there best
Jessy RN, wished I worked there. It sounds ideal. Our unit has gone through a lot of changes and several managers and I think that can contribute greatly to the problem. I wish I could bring about change for the better but I work with some hard core nurses. Not to pat myself on the back but when I did nights I washed at least one of my ventilated patients, left the rooms neat and orderly, hung an extra IV bag when I knew the one hanging was going empty and would need changing at change of shift, picked up the work area, emptied over-flowing trash even though "it is not my job."
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No. 11
from Equinox_93
Old Feb 15, 2009, 04:02 PM

Default Re: Do night shift nurses try there best
Originally Posted by gh116 View Post
Jessy RN, wished I worked there. It sounds ideal. Our unit has gone through a lot of changes and several managers and I think that can contribute greatly to the problem. I wish I could bring about change for the better but I work with some hard core nurses. Not to pat myself on the back but when I did nights I washed at least one of my ventilated patients, left the rooms neat and orderly, hung an extra IV bag when I knew the one hanging was going empty and would need changing at change of shift, picked up the work area, emptied over-flowing trash even though "it is not my job."

You sound like a great nurse.
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No. 12
from massrn116
Old Feb 15, 2009, 04:11 PM

Default Re: Do night shift nurses try there best
I must have been a better night nurse than I thought, there were many a patient of mine that felt they slept all night and I was still able to be quiet enough in a room to pick up a little. I am not talking scrubbing floors and at some point whether a patient sleeps or not you have to do some sort of assessment, whether it be at HS or around 6am meds, what's wrong with making a room neat?
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No. 13
from massrn116
Old Feb 15, 2009, 04:15 PM

Default Re: Do night shift nurses try there best
Hey Equinox93, great nurse? I don't know. I do know I love nursing, my patients compliment me and thank me for taking care of them generally on a daily basis. A lot of what I do goes back to nursing school and a lot of what I do still works and makes the patient feel cared for.
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No. 14
from Jessy_RN
Old Feb 15, 2009, 04:18 PM

Default Re: Do night shift nurses try there best
Originally Posted by gh116 View Post
Jessy RN, wished I worked there. It sounds ideal. Our unit has gone through a lot of changes and several managers and I think that can contribute greatly to the problem. I wish I could bring about change for the better but I work with some hard core nurses. Not to pat myself on the back but when I did nights I washed at least one of my ventilated patients, left the rooms neat and orderly, hung an extra IV bag when I knew the one hanging was going empty and would need changing at change of shift, picked up the work area, emptied over-flowing trash even though "it is not my job."

I think many factors play a role in our work unit. We are the only hospital in a 250+ mile radius. It's a small town. Our director instills good behaviour and promotes it. We have mandatory staff meetings once or twice a month, we don't let issues "pickle" and nip them in the bud quick.

Everyone appreciates each other. There's a huge banner at our unit entrance the reads "through these doors walk the world's greatest employees". We believe it.

Outside our locked unit, things maybe much different (and they are). Makes us appreciate what we have even more.

If you aren't a team player or shape up.........you are not welcomed there so solves things easily.
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No. 15
Old Feb 15, 2009, 04:29 PM

Default Re: Do night shift nurses try there best
Lets see......How 'bout a quick run-down over who all passes through a patients room during the day - Doc, Family, Speech therapist, Respiratory therapist, Social Worker, Dietician, Phlebotomist, Physical therapy, Occupational therapy, maybe a rad or nuc. tech or two, HOUSEKEEPING STAFF, maybe central supply, maybe even a pharm tech or two double checking on drips, the Nurse, and for those units lucky enough, maybe a CNA or monitor tech/ward clerk checking in on the patient for whatever reason.

Lets fast forward to the night shift. - No speech therapists from 11 - 7, that's for sure. Sw'r ain't gonna be there, that goes for double for the Dietician, Physical therapist, Occupational therapist. Any family spending the night is more likely to be stretched out on a cot or scrunched up in a chair with as much dark going on in the room as possibly allowed - that goes for the sound level and activity in the room as well. Much more rare to see central suppy, pharmacy tech, rad or nuc tech on nights - usually happens in the bigger trauma 1's and trauma II's. Night shift usually gets shorted the CNA, or the ward clerk doubles for the CNA. The one or two HOUSEKEEPING staff on nights are going from newly emptied room to newly emptied room to get beds ready for admissions during the night.

VERY rare for a patient to go out on an excursion at night. Less of an opportunity to play 'out with the old, in with the new' for odds and end lying around when the bed leaves the room like on days.

In answer to the questions - "Do night shift nurses try their best"? - Yeah....I think they do a pretty darn good job. I never begrudge a rumpled bed or bedside table that needs a little freshening up before the breakfast tray comes in. I just figure that this is part of my AM routine.

I've got bigger fish to fry than a wrinkle here and a water cup (or three) there.

Peace out.
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No. 16
from MultipRN
Old Feb 15, 2009, 05:22 PM

Default Re: Do night shift nurses try there best
I've worked both days and nights. From what I can tell, there are nurses who are excellent in that they do all their work, plus look for ways to improve the patient/work environment in their spare time. Then there are nurses who just don't do any more than they absolutely have to. It would be amazing how much better things would be if everyone worked as hard as each other!

On our unit, we have "side duties" on each shift -- like stocking IV trays, cleaning up the nurses' station/lounge, etc. Some nurses do their duties, and then some extra -- while others just sit and watch the hard workers pick up their slack (sad). When things are ridiculously busy, obviously some things just aren't as important as emergent patient care. Unfortunately, those are the time the nurses on the other shift tend to fuss about what wasn't done. I have found that both shifts tend to do this. Each shift has its difficulties and benefits.
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No. 17
from leslie :-D
Old Feb 15, 2009, 06:04 PM

Default Re: Do night shift nurses try there best
truthfully, i found the question a bit odd.
how does one answer such a general question?
even in the worst of environments, doesn't reflect the work ethic of a nurse.

some will give it 110% whereas others get by with minimal input.
really, it's going to depend on the standards one aspires to...
or not.

leslie
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No. 18
Old Feb 15, 2009, 06:06 PM

Default Re: Do night shift nurses try there best
Question: Do night shift nurses try there best

Answer: Where is there?

Leslie's answer explains it best.
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No. 19
Old Feb 16, 2009, 08:05 AM

Default Re: Do night shift nurses try there best
I've come in plenty of times when day shift has left my patients in dirty gowns, no oral care as evidenced by mucous caked to the patients' teeth and tongue, soiled linens. Lets not for get the rooms. We have carts in each room with dressings, stuff for blood draws and IVs. When I come in, I have to clean the syringe wrappers from the top of the cart, wipe the top down with disinfectant because there are little specks of blood or some random medication. I've also found vigileo monitors laying about the room. I hate tangled cords and I've found many of those left over by day shift. I take them and wrap each cord with a rubber band and keep the separated because I don't have time to untangle them when in a situation. I've also found IV bags such as pressors, with about 10cc left in the bag. It doesn't take but ten seconds to change it. Some people are just lazy. This goes for both shifts.

It goes both ways, if both shifts did their part, there would be less complaints. But I can't stand when day shifters act like the night shifters do nothing but sit on their butt.
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