I work 11-7 in LTC. We have two nurses on duty at night, each with approx. 60 residents to care for. We most certainly do not have time to get bored, and we never take our "lunch break". We eat at the nurses station while we are charting. Here is a typical night for me:
11-12 PM - shift change-over, initial rounds, report, narc count, making note of who has to be charted on, flushes on the tube feeders.
12-2 AM- med pass, syringe and tubing changes for tube feeders, humidification for the 02 concentrators, a couple of bolus feeds, a few of glucose checks, vital signs on those who need them.
2-4 AM- making rounds, charting on everyone who needs it, can be as few as 6 medicare residents or up to as many as 20 with declining status, falls, etc. Faxing med refills to pharmacy, accucheck controls, refrigerator temps, crash cart checks, restocking.
4AM flushes on the tube feeders. Taking a couple of feeders down prior to giving dilantin at 5 AM. Any tx/dressing changes that have to be done.
5-7 AM- med pass, glucose checks, final charting. Any incident reports, any non urgent calls to physician. Outgoing report and narc count.
Granted, there are not nearly as many meds to pass on graveyard, but don't ever let anyone tell you there are no meds to pass. This simply is not true, in addition to the PRN meds, I have quite a few scheduled meds to give, and we have quite a few tube feeders that require q4h care that is rather time consuming.
We have several residents who sleep during the day and stay up at night. One requires constant supervision, so on nights when we are short staffed (regularly, LOL) he poses quite a problem for just two nurses.
All in all, I love my job, and I've filled in on 7-3, and I'd never consider going to day shift permanently. There are days when I feel rushed, but most often, I have a steady pace that allows me to give quality care to my residents. Yet, I still have enough going on with my residents that I'm constantly learning through my assessments.