Is night shift easier?..... - page 2

by RN1263

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I'm an rn student (6 mos. to go) i can't see myself dealing w/ the total chaos of the day shift floor for very long after graduation? is night shift more tolerable ....pace/choas wise? or is it just as crazy! during my... Read More


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    Edited
    Last edit by NurseyBaby'05 on Oct 9, '06 : Reason: Butchered my thoughts. . . .
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    Night shift can be crazy too. You have fewer resources overall; which means a lot of things that ancillary staff throughout the hospital usually do fall on the nurse. You're doing your own orders. You are often correcting things that were missed in the last twenty-four hours when you redline. It takes a lot longer to get ahold of people/departments and when they do finally call back, you better be waiting by the phone b/c it will be a long time before they call you again. It's not like days and evenings when you can leave the info with the charge nurse or secretary and they can relay it for you. Don't get me wrong. I love my nights, but many times people think it will be a cakewalk "because all the patients are sleeping."
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    I suppose it really depends on the facility/unit. I work on cardiac/tele floor. I've been RN about 7 months now on nights. The more comfortable/confident/faster I get the better. Most nights aren't too bad. However, on my floor we get A LOT of admissions on nights because all chest painers, stable cardiac patients come to our floor. We have a house secretary so we just call them when we get admits and they do all the orders for us.
    I couldn't imagine starting on days and being a new nurse. It's chaotic after 630am when the docs come in early and you have to wait to finish up am charting. I would be too paranoid on days that I would miss new orders.
    Nights- has a little more charting to do, check MARs, carry over plan of care, 24 hour checks and evals.
    Good luck and congrats on almost being done!
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    Nights are less hectic most of the time but it has its own set of challenges. I just hate trying to sleep w/the sun up. I work M/S & really love it...hate nights! I much perfer days & the craziness. I like to be busy all the time, going 90 miles an hour, & doing 5 things a once suits me just fine! I guess I am just weird....cannot stand nights, but love my co-workers.
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    Slightly off topic, but a few weeks ago for some reason none of the night aides who work my Alzheimer's unit were scheduled, so two of the day shift aides worked the night shift. 9 out of 32 residents would NOT go to sleep because they were used to seeing them during the day, so by golly it was daytime! One even said "Well, you're here, so where the hell is my breakfast?" It was hilarious.
    Nola009 and cynforgiven like this.
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    Most of the time the pace is steady where I work and managable of course there are times when just because it's night time doesn't mean anyone's wanting to sleep And maybe this is just where I work at but it seems like patients become more unstable medically (and emotionally) at night. Anyone else noticed this?
    cynforgiven likes this.
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    I just starte working nights, and boy is it easier. There's always work to do in this profession, but you have so much more time to do it. The doctor will hardly ever call in the middle of the night to change orders on someone unless you ask him to. I hated trying to keep up with the ever changing orders, x ray reports, and lab reports that came in all throughout the day. Just get ready for some MAJOR adjustment with your sleep pattern. Good luck to you in school!
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    I love nights for all the reasons mentioned above. Less administration, less doctors, etc.

    It is not *easier* on nights per se, just better, lol. Contrary to popular belief, pts do not just "sleep all night". For the most part though, nights are less crazy than days.

    As far as meds, there are a few less meds to give, but not that much less. Pts still have their home meds, and plus antibiotics and stuff is around the clock.
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    Quote from NurseyBaby'05
    Night shift can be crazy too. You have fewer resources overall; which means a lot of things that ancillary staff throughout the hospital usually do fall on the nurse. You're doing your own orders. You are often correcting things that were missed in the last twenty-four hours when you redline. It takes a lot longer to get ahold of people/departments and when they do finally call back, you better be waiting by the phone b/c it will be a long time before they call you again. It's not like days and evenings when you can leave the info with the charge nurse or secretary and they can relay it for you. Don't get me wrong. I love my nights, but many times people think it will be a cakewalk "because all the patients are sleeping."

    this is what i find to be true as well.

    also, i work neuro, so either it's the pts on the floor wiggin' out or its the intoxicated patients we get from the ER after they've managed some incredible maneuver with a BAL of .2 and pos drug screen. really adds some time onto your admission.
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    I used to work Neuro and night shift is definitely not easier there. Many of those patients don't know the difference between day and night. You also have fewer people to help with turning/repositioning and changing people. There's fewer sitters too; which means that often your one aide for the night is pulled to sit. Or, if you do have sitters, the aide spends 2-3 hours relieving them for their lunches. Idon't miss those days at all.


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