Do Nurses eat their....lunch?

Nurses Relations

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Just out of curiosity I am wondering how many nurses get an assigned lunch break and how many actually take it.

I work in a small community hospital, a ten bed ICU. It can be somewhat busy some days but then there are days when if lunch were assigned and my co-workers could organize themselves, we could all have a 30 minute break on our 12 hour days. Instead everyone decides at the last minute they are going to "run and get something" (our cafeteria closes at 1pm) they then bring it back to the station and eat while answering call lights, the phone, charting and letting visitors in.

When I am in charge I post a lunch break schedule for people to fill in the time they would like to go, based on what they feel may come their way during the shift. It is my attempt to get them organized. There are many days when others are in charge that no lunch break is even thought of till almost 12:30 or 1pm. I then ask if anyone has thought of lunch and I get a "roll of the eyes." People seem pretty content to eat on the run but I feel like an outcast because I need a few minutes to decompress during my shift. Another "no-no", is that if I am not assigned lunch and I have no opportunity to take 30 minutes, I put in for "no lunch", to get paid for it. In reality we should get three 15 min. breaks and a 30 min lunch. (We sign in 15min before our shift and out 15min after because we do not get a paid lunch break) Thoughts?

Yes, I take my full 30 minutes every time, even though actual lunchtime varies day by day depending on what's going on. Our unit is well run when it comes to lunch breaks. I hand my pagers over to my lunch buddy for that day and get off the unit. If something urgent happens during the half-hour, my lunch buddy takes care of it just as I take care of things for him/her--no biggie. I don't mind to clean up my buddy's Pt., give a prn med, or hang a new IV bag while s/he's gone...it's just 30 minutes. In my jobs prior to nursing, we took an hour for lunch. Half an hour is a short break, the least each of us deserves. I am not working for 12+ hours without a lunch, and I sure as heck prioritize voiding my bladder when the time comes, because I must take care of numero uno.

I resent that nursing instructor's philosophy (mentioned in one of the above posts). Our instructors emphasized the need for a break. I refuse to be a martyr. No staying 4 hours late beyond a 12-hour shift when I have to be back the next morning (I'm sorry, I don't operate on 4 hours of sleep), no skipping lunch and bathroom breaks unless there's an emergency, no getting called in for extra shifts, no coming in to work sick as a dog, no pulling and lifting pts. by myself without help (and I am always glad to help out a CNA...NOONE should be breaking their back). I am nice, but firm about saying no and asking for help. We deserve respect, and we owe respect to ourselves.

Specializes in Pediatrics, Med-Surg.

I work in a pediatric emergency room and with the execptions of an emeregency going on I and my collegues always get a 10-15 min break for breakfast, a full 1 hour lunch, and if need be a 10-15 min coffee break to decompress in the afternoon. Are there times where one or the other is unable to get a break, yes emergencies have happened after one of us has come back and the others are not able to go but does that mean that they dont get something to eat, no as soon as thing settle down someone will offer to go and get them something quick so they can at least have some type of nourishment. When it is hectic we may decrease our breaks but if we are not fed and hydrated we will be crabby and our patients and our care are what suffers.

Specializes in Cardiac Telemetry, ED.

What can we do?

I let my charge nurse know I'm too busy to take my meal break, and he'll either get me some help to cover my patients, or tell me to take the overtime. I usually take overtime. If everyone would honestly document their lack of breaks, then all of the overtime will draw the attention of administration to the matter of understaffing.

Specializes in Public Health, TB.

mamafeliz made some excellent points and it definitely takes a change in culture. Our unit struggles, but most of us take our lunch breaks.

Just a couple more points to ponder:

1) I suggest reading this WSNA White Paper on Fatigue and perhaps posting it in your breakroom, or discussing at a unit meeting. It discusses the risks and implications of missing breaks. http://wsna.org/Topics/Fatigue/documents/Fatigue-White-Paper-7-21-08.pdf

2) Can you think of any other profession that thinks it's ok to work 8-12 hours without a break continuously? Especially one where peoples lives are at risk?

3) Picture Nancy Nurse testifying in court. A patient in her care received aspirin, although they had an allergy to ibuprofen. The patient went into anaphylactic shock and died.

Complaintant's lawyer: Ms. Nurse, is your unit busy or hectic on a regular basis?

Nancy: Yes, it is.

CL: Are you required to take regular breaks on your unit?

Nancy: No one has time for a break.

CL: And how long are your work shifts?

NN:12 hours.

CL: So you work 12 hours without a break on a regular basis?

NN: Everyone does.

CL: So the answer is yes?

NN: Yes.

CL: Do you contact your supervisor when you do not take a break?

NN: Well... she...

CL: Yes or No?

NN: No.

CL: Are you aware that your hospital policy dictates three 15 minute breaks and a 30 minute lunch break as well as being required by the law?

NN: Yes.

CL: And you ignore this policy and the law on a regular basis? Is this how a safe and prudent nurse practices? Is it possible that behavior led to fatigue and caused you to be negligent when caring for your patient?

Specializes in ER.

I work 12 hr nights in a VERY busy ED. I get two 30 minute breaks by law/contract, and I actually get them 97% of the time, as do my coworkers. I don't understand the mentality of a unit that accepts no breaks day in and day out. No breaks=me eating at my station=Joint comission violation+ 1 hour of OT every shift, none of which makes management particularly happy.

Specializes in Acute Care, Rehab, Palliative.

I get 2 30 min breaks and one 45 min lunch during my 8 hr shift.ALWAYS. We have first and second coffee and lunch break. One half of the staff goes while the rest cover and then we switch.

Specializes in Cardiac/Tele/CVICU.
I get 2 30 min breaks and one 45 min lunch during my 8 hr shift.ALWAYS. We have first and second coffee and lunch break. One half of the staff goes while the rest cover and then we switch.

Wow. I've never heard of that type of breaktime in any job I've ever had. Especially in an 8 hour shift. We used to get a 15 min break and an hour lunch. Two 30 minute breaks is huge!

I had jobs that we never got a lunch. When I worked in the OR the majority of time we did not have anyone extra to relieve for lunch. Most of us did not mind but we had to grab something to eat on the run. It was generally a bite of food. The staff rather have no lunch than down a sandwich or food in 5 minutes. I had another job on a hospital floor that we were assigned a lunch time. That worked pretty well and it was encouraged to take a lunch. If you were busy at your assigned time, we adjusted the time and you took your lunch when you were able. :mad:

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

We're relatively flexible with our lunches but everyone I work with takes their lunches between 12p and 14:00. Rarely does someone miss lunch. I work a busy med-surg floor and lunch is priority. Each nurse can not go to lunch unless someone is covering their patients.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

I met a nurse while on vacation from Toronto. She works 12-hour night shifts in an ICU and says she gets a 2 hour break. She goes home to take a nap or to play with her dog and watch TV. I didn't believe her. Crazy.

Specializes in Acute Care, Rehab, Palliative.

Yeah I have heard of that. I had a classmate that worked 12's just outside of Toronto and she slept for about 2 hrs every night.That was all of her break time taken at once

Specializes in Hospice/Palliative Nursing.
I get 2 30 min breaks and one 45 min lunch during my 8 hr shift.ALWAYS. We have first and second coffee and lunch break. One half of the staff goes while the rest cover and then we switch.

Where do you work? Are they hiring? Sign me up!!!:eek::smilecoffeecup:

:hhmth:

GOOD FOR YOU!!:up:

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