Working Nights On Med-Surg

  1. What is it normally like on a med-surg floor at night, 7am-7pm.
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  2. 12 Comments

  3. by   classicdame
    I think you mean 7p-7a. The same work goes on at night as in the day. Patients may be moving around less, fewer MD's and students on the floor, but the work is the same.
  4. by   vanlo001
    7-7:30 report
    8-9 gathering meds begin assessing patients.
    9-10 round on patients
    10-11 patients getting ready for bed.
    10-12 round on prs who are usually asleep.
    12-2 vs round on pts
    2-4 vs round on pts draw labs
    4-6round on patients.
    6-7 total Is&Os. Gather report finish charting.
    Thays a general idea
  5. by   jorjaRN
    7p-8p: get there, get report. go in and check on all pts, ask about pain, etc.
    8p-10p: gather PM meds (ours are due at 2100), administer meds, get people settled for bed, start assessments, clear IV pumps
    11p-1a: charting assessments, 0000 meds, reassess for pain, check vitals
    1a-5a: chart checks, read H&P, check Q4 vitals
    5a-7a: I&Os, labs, end of shift notes
  6. by   NightOwl0624
    Some nights may be nice and peaceful... then other nights...

    1. we get lots of admissions at night. Since we are staffed at the census at 2100, we are often short nurses and very busy admitting new patients. It's what I hate most about nights (the staffing, not admitting).

    2. Sundowners.

    People think nights are easy, but they can be chaotic and unpredictable!
  7. by   donsterRN
    Quote from vanlo001
    7-7:30 report
    8-9 gathering meds begin assessing patients.
    9-10 round on patients
    10-11 patients getting ready for bed.
    10-12 round on prs who are usually asleep.
    12-2 vs round on pts
    2-4 vs round on pts draw labs
    4-6round on patients.
    6-7 total Is&Os. Gather report finish charting.
    Thays a general idea
    This is very similar to my experience on nights. Nights also tends to get lots of admissions; days tends to get the discharges.
  8. by   fiona1968
    nights=days works
  9. by   fiona1968
    Quote from donsterRN
    This is very similar to my experience on nights. Nights also tends to get lots of admissions; days tends to get the discharges.
    i wonder why nights get the admission though we seldom have discharges too
  10. by   MntnGirl
    My Surgical night shifts are very similar to what's been posted but I would like to add that a benefit of this shift is that I have more time to focus on individual patients when situations arise; there also seems to be more time to seek input from the other nurses, when needed. I can look up Policy and Procedures and review standing orders without feeling like I have to rush to get to my next task. We also tag-team admissions, one nurse will enter orders, another will do admission history & assessment - this is very helpful. My night shifts are busy but are in no way as hectic as my day shifts. This is my situation......
  11. by   Ace587RN
    Quote from newtothecrew
    My Surgical night shifts are very similar to what's been posted but I would like to add that a benefit of this shift is that I have more time to focus on individual patients when situations arise; there also seems to be more time to seek input from the other nurses, when needed. I can look up Policy and Procedures and review standing orders without feeling like I have to rush to get to my next task. We also tag-team admissions, one nurse will enter orders, another will do admission history & assessment - this is very helpful. My night shifts are busy but are in no way as hectic as my day shifts. This is my situation......
    im worn out on days, and i hope that i encounter the same when i finally switch to nights. got 5 weeks more before i transfer to nights. and i cant wait
  12. by   spongebob6286
    yeah i wonder why most of the admissions are during the night when you know pt is about to get some rest and sleep
  13. by   Miss Kitty00
    Oh the joys of sundowners! LOL
  14. by   skyQ
    Sometimes pts are waiting in the ER for the doctors to c and waiting for consults and admission or transfer orders, so they will just come anytime whenever they r ready. Hospitals are 24 hrs 7 days.
    The good thing about night shift is that most of the time it's more quiet compare to day shift. In day shift the doctors, family, physio, everyone is there, asking questions, rounds, etc.
    But the down side is that when there is an emergency u get less help, and a good team is crucial, so everyone works together and helps each other.

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