New to Night Shift - How will I survive?? - page 3

Dear Going to Nights, Congratulations on landing your first nursing job! So exciting and I hope you love it. Night Shift is Different... and it Takes Time Everyone is different as to how... Read More

  1. by   JeanneRN83
    Nurse Beth, really, really good article and response to the question of working night shift! I have worked night shift for many years during my 33 year career. Had some daytime jobs also but only for jobs that were strictly days only, such as a research nurse coordinator and an anticoagulation RN job. Always have worked nights though for hospital bedside patient care jobs. Currently working night shift in the ED.

    To Going to Nights, congratulations on your first job!

    My biggest recommendation is to give yourself time to adjust and try not to be panicked if initially you feel like your body is not liking it too much. It does take a little time to adjust to the night time schedule and to discern what works best for you. All the things that Nurse Beth mentioned... for instance, is it better for you to go to bed right away after a night shift or do you need time to wind down.

    My second recommendation is SLEEP. Do not short yourself on sleep which I think can be easy to do. Make sure that sleep is a priority, including having enough hours to sleep, a good sleep environment, no disruptions. The more rested you are, the easier working your night shift will be. Short yourself on sleep and you will not be happy physically or emotionally and also makes for potential for errors when you are way too tired.

    For 12 hour night shifts, I try to make it a rule for myself to not being doing errands or major chores between consecutive shifts, ie, no major grocery shopping in the am after working, no trying to do laundry or getting together with friends for an early dinner before work. With consecutive night shifts, for me, it is easier to work, sleep and eat and a little time for meditation or relaxing before sleeping and that's it. I find that I can then be rested enough on nights that I am working and also rested enough on my days off to get my errands and stuff done when I am not working.

    I am also one that tends to stay on a night schedule on my days off. Not always totally. If I just worked a 12 hr night, let's say Sun into Mon for example, and I am not working again Mon night, I'll go to sleep later in the am after work, around 11 am. Then wake up around 8 pm Mon eve, stay up to 2 or 3 am, go back to bed and get up around 10 am Tues am. If I am then working that night, Tues into Wed, I'll take a nap from 2 or 3 pm until 5 pm before going to work. If I am not working that Tues night, then I'll stay up until 10 pm and then go to bed. Listen to your body and when it's tired and it will tell you what to do. Initially, it may feel like you want to sleep all the time. I think that is just your body saying, "Hey, what's going on here??". So initially, you may need more sleep but after a few months, you'll settle into a routine. Everyone is different, it may take just a month, it make take 2 or 3 months or more. There are definitely a few people that just do not tolerate night shift but I think if you are able to get proper sleep, you will adjust just fine.

    The other thing that I would highly recommend is absolutely do NOT keep your cell phone at the bedside or even in the bedroom. Let your family and friends know that you are now working night shifts and that you will not be keeping your cell phone at the bedside and that the ringer will be off so that you can get some decent sleep. If there is an absolute emergency that they need to wake you, tell them that they will have to come by the house and knock on the door. If you have out of town family, give them the name and phone number of a few neighbors they can contact if they need to get a hold of you emergently and your neighbors can knock on your door to wake you and notify you. I cannot stress this enough. In this age of cell phones, texting and immediate communication, we often take away the time that we need for ourselves to sleep and rest. I used to keep my cell phone at the bedside but would wake up when someone texted or called, even if the phone was on vibrate. Trust me, it's not worth it. If it is not an emergency, it can wait for people to contact you. If your employer tries to contact you and later complains that they couldn't get a hold of you, just let them know that this is what you need to do to get enough undisturbed sleep to provide the absolute best patient care.

    Those are my biggest recommendations. Many more wonderful suggestions have been made by others, including making sure you are including exercise on your days off and also bringing your own food to work with enough healthy snacks to munch on throughout the night. I make sure I have at least one protein bar available in case I'm not able to get to a lunch break at the time I'd like to go to lunch. Small easy snacks, like nut mixes are good to have in your locker. Oh, and definitely invest in a covered water bottle. Most hospitals are ok with covered water bottles at the nurses station. Stay hydrated throughout the shift.

    There are many, many positive benefits to working nights that have already been mentioned. I have definitely found that night shift has a more cohesive staff and generally more supportive of each other. I would not say it is necessarily a "quieter" shift but it's a different flavor when you do not have many visitors, no meals to serve and no consult doctors and ancillary services like PT/OT.

    I'm very excited for you that you are starting your first job and wish you many happy years of nursing!
  2. by   NGYSUN
    Quote from JayHanig

    I had a boss who used to call me around 1300 to see if I'd be willing to come in at 1500 and work a double. She invariably would start the conversation with: "Whatcha doing?". "Sleeping", I'd say. "Must be nice to sleep all day", she'd say. Well, that got old in a hurry. I broke her of it by blowing up at her on the phone when she'd done one time too many. I used every cuss word I knew, and coming from a military family, my vocabulary is both vast and varied. She couldn't get off the phone quick enough.

    The next time I saw her, I gave her my usual greeting and a smile. She said she needed to talk to me about what I said during the phone call. "What phone call?", I said, "I didn't get any phone calls. I slept all day without anybody bothering me. And I surely didn't talk to you; I'd have remembered."

    I got away with it! No more daytime phone calls, either.

    Hahahahahaha...... I couldn't stop laughing about this [emoji23][emoji23][emoji23][emoji23][emoji23][emoji23][emoji23]
  3. by   Dafabb
  4. by   Dafabb
    Many of the nurses who come in sick like that will wear a mask (if you can tolerate it). If you do get to that point yo should always take off as it is your health effected....Not many people have this unnatural immune system. I have been blessed and fortunate to be that %. Gone thru entire floor getting sick for one thing or another. No allergies/cold/flu/or flu shots......It's hard when your co workers start getting sick....but it's a hospital.
  5. by   RHC81
    I'm naturally a night person and am rather uncivil if I have to wake before the sunrise, so I work night shift. It took trial and error to figure out the sleep schedule.

    My system: If I work one night but not the next, I take a nap before my shift and then sleep about 5 hours after I get home. So I get up in the early afternoon, visit with my family, then go to bed at 10pm or so. If I'm working two or three nights in a row, I do nothing but sleep between shifts, trying to get as much sleep as possible. Then, on the last night, I do my sleep 5 hours then sleep at 10 routine. I have found that I can function well this way.

    I also take vitamin C and D.
  6. by   SnuSnu82
    Quote from jouRNey8
    Anyone with young kids who work nights? I was offered a night position but don't know if I can keep up.
    I have an 18 month old, been working night shift for 3 years... and am currently seeking a day position.
    the pros: I am home (sleeping) if there is a day-care emergency and can be there if needed; I don't feel guilty about missing out on too much time with my kiddo when I'm at work because he is asleep; I am able to run an errand or two, kid-free, before heading home to sleep bc he is at day care; my SO and I have opposite schedules so we only need three days a week of day care, and someone is always home in case of emergency.

    cons: on my days off I am exhausted from switching from a night schedule to a day schedule in order to spend time with family- sometimes so exhausted, especially the first day after working, that i feel like i'm phoning it in with my kid and not being much of a mom; I am often rushing through the precious little time I have with my family on nights I work to be able to get ready and leave for my shift; NOBODY "gets" my schedule (especially my family! and I've been on nights for 3 years! Just reverse the times people- would you like being called at midnight? No? Don't call a nightshifter at noon then!); Holidays start and end at midnight so if you "work" Thanksgiving, you only get holiday pay from 1900-2359, nevermind you spent the whole day sleeping and missed the holiday anyway (at least this is true at my hospital- HOWEVER the reverse of this is true- work the night before Thanksgiving, get holiday pay from 0000-0700, and take a nap so you can celebrate). What I'm trying to say is, you may be required to work holidays and miss out on family time, but may not necessarily be compensated for it like a day shift person would.
    Anywho, sorry for the extended post but just some things to think about, hope this helps! I love love love the rhythm of night shift- its generally more laid back and since there's a higher nurse to patient ratio and less staff, the teamwork seems to be better (maybe that's just the units I've been on though) HOWEVER with the kiddo in the mix, I am exhausted, and need the switch.
  7. by   Barbr93
    It does take time. You can do it. Caffeine at night, but I didn't usually drink any after 3am... Normally your patients are settled in and require less than day shift. With that said, all of my emergent situations usually happened right before shift change... ( why is that?! )
    If you have to call a Dr at night...have everything ready and all questions/ requests down. You don't want to call a second time because you left something out. ������������

    Melatonin helped with sleep during the day.
    Get blackout blinds. You can find the inexpensive ones at Lowe's and Home Depot.
    Let family and friends know not to call or text u during the day when you are sleeping. They forget sometimes. You will have to adjust your social schedule, and it will be harder if you have kids, but can be done.