Lol...patients sleep all night...lol. Sorry- but everybody else is correct. Patients usually do go bad somewhere between 2 AM and the 7 AM shift change...you will get admits...and you wouldn't believe how many visitors try to come up late at night. Here's my typical night shift:
7-7:30 or 8 PM- get report, write down telemetry results, look at charts, labs, etc.
8-9:30 PM- pass HS meds and do assessments, vitals
9:30-10 PM give all the HS Insulins (after Accuchecks, of course), change IV tubing if it's old, change out IV's if their old, etc.
10-11 or 11:30 do dressing changes and other Tx's
12MN- give all the MN meds (usually IV ABT's), and give the q 6h Insulins, and do the q 4h assessments, I & O's, q 4h vitals, telemetry again.
1 AM- order any IVF's, wtc. that I need that we don't have on the floor
2 AM- If we're lucky, the new MARS have come up by this time, and I can do my new MARS and start my chart checks
3 AM- usually I can get my charting caught up at this time (it depends on what my pt load is like, and how many/what kind of admits I've had.
4AM- draw up labs, do sputum cultures, UAs, etc. Telemetry again. Restock pt rooms with drsg supplies, make sure the day shift has everything they need to at least start their shift without running to the stock room every 5 minutes.
5AM- the Docs start coming up about this time, so it's better all around to have as much done on the flowsheets as possible, and have them in the door binder. You'll also spend some time informing the Docs on what went on with the pt during your shift if you haven't had to call them for anything.
6AM- look up AM lab values and compare with their baselines...write down anything that's off, so you can warn the day shift of any impending K Run orders, blood orders, etc...finish chart checks.
6:30 AM- AM Accuchecks, and Insulin for the q 6h's, more q 6h meds
7 AM- give report to oncoming shift
Add all of this to getting admits, pt's crashing, not being able to get supplies from central when you need them, lots of PRN pain/anxiety/PB/ sleep meds, hunting down sleeping or busy Docs, etc. and you will be busy on nights. I have only been bored 1 time at night that I can think of. There is always something to do.
Hopefully, this'll give you a more realistic picture of what it's like on nights. Good luck to you! I like nights myself!