12 hour shifts...dangerous?

Nurses Safety

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This is a general question, but I was talking to a nurse and was shocked to find out that nurses can be forced to work four hours overtime on top of their twelve hour shifts for a total of sixteen hours. To her, she says this can happen as once a week. I was shocked.

Even though I like the *idea* of working only three days a week, I have heard that twelve hour shifts are dangerous, and more errors occur from such long, exhausting shifts. On top of that, many hospitals only allow a thirty-minute break for twelve hours. I feel that nurses working twelve hours should get AT LEAST one paid hour break and that hospitals should not be allowed to force nurses to work four hours overtime unless in a severe emergency.

With that being said, would you support more hospitals instituting 10 hour shifts? They seemed to be a happy medium between five eight-hour shifts and 3 12-hour shifts.

I'm not saying to eliminate 12 hours all together, but I find it repulsive that hospitals can force nurses to work FOUR HOURS longer than their shift, but won't dare to give them longer and MUCH needed breaks.

What is your opinion on twelve, sixteen hour shifts? Should sixteen hour shifts be eliminated? Which shift do YOU prefer? And do you find it more dangerous to work a twelve than an eight?

http://www.medicalnewstoday.com/releases/191236.php

"Most recent studies cited in the article point to an increase in patient care errors related to successive 12-hour shifts. Geiger-Brown cites one study of 393 nurses on 5,317 shifts who were surveyed anonymously. The odds of making errors by those who reported working more than 12 hours in shifts was three times greater than nurses who reported working 8.5 hour shifts."

Specializes in Psych ICU, addictions.

Having worked 8s and 12s...I wouldn't say 12s are dangerous. I know that I don't function at my best at the end of a 12 hour shift, so I prefer not to work them if I can help it. But that is me. Some people do 12s and thrive. Some people do 16s and thrive. I thrive best on 8s so I lean towards working 8s.

IMO, if you're not suited for working 12s (or 16s), then yes, it could be dangerous. Anything over 16 is definitely dangerous IMO no matter who you are.

If I were to work 12 hours at my hospital, I would get two 30 minutes breaks. I am required to take at least one of them, because according to state law, if I don't take it they have to pay me an entire hour of extra pay for skipping a lunch...so they will move heaven and earth to make sure I take that break. I can opt out of the second break if I chose to without penalty to the hospital--apparently a lot of nurses do--but if I wanted it, the hospital would have to give it to me.

Specializes in LTC Rehab Med/Surg.

I've always worked 12s. They work for me.

I've never seen any nurse be forced to work past her/his scheduled shift. Eight hrs or 12.

There have been a couple of times after a grueling 12 hrs, when I've sat down to chart an entire nights events, and I couldn't put two words together in any kind of legible way. Scary.

Just jumping in, haven't read the 5 pages of comments prior,

but, TO THE OP,

and your shock :confused:at nurses being ordered in 4 hours early, or ordered to stay 4 hours or more later,

than their scheduled shift---------

DO READ POST #91 on this thread

https://allnurses.com/collective-bargaining-nursing/top-10-reasons-456405-page10.html

(some further discussions on my experience follows after post #91, when an incredulous nurse did not believe me, had questions, which we talked about for a page or two afterwards)

Specializes in Family Medicine.
Where I was working, they took the half hour break out of the 8 hr shift pay automatically. But, you weren't REALLY allowed to take the time off during the shift. Legally they had to show that a break was given on paper. Does this happen everywhere?

This does not happen everywhere. Do not work for free. If you don't get your 30 minute, uninterrupted break you should punch "no lunch" and get paid for your time.

They might pull the "you need to work on your time management" card so encourage your coworkers to punch this way also when they don't get their breaks. On my floor, we pact to punch "no lunch" when we don't get out breaks so no one gets singled out. Works quite well.

Hijack over. Wish my workplace offered 12 hour shifts. I'd punch "no lunch" BID.

I've worked twelve hours. I can do day shift (easy peasy), but I cannot do a twelve hour night shift. It is too brutal for me. But I could not do a sixteen hour shift and the thought of being forced to work four extra hours makes me cringe.
12 hour nights is a breeze for me. I HATE staying but have done it. i would quit if forced to do five 8s or four 10s. one of the biggest reasons i went into nursing was for three 12s

Frankly the 30 hours of work and call of the residents worries me maybe more than a nurse doing 16. some services you can sleep all of your call hours but not many of them. in seeing consults all night than to the OR in the a.m..... To those that have never been forced to stay thats great! not like that everywhere.

As someone who is going to be entering this field, I am interested to know if the more experienced nurses feel that if the charge nurse, or nurse supervisor, etc. stepped up, would you be able to take breaks and or lunch? Or is it a case of everyone just being stretched too thin? Is this better in a Not For Profit, or is it worse? Just some things that I wonder about. Thanks everyone.

I worked both eights and twelves. I HATED the twelves. It made family life very difficult, esp. when my husband had travel. Then there were the holidays...which on twelves I totally missed. As I got older, the twelves were just too taxing, esp. in the intensive care unit.

I worked 10 hr shifts. It was great!! There were two 10s and a 5 hr pm shift in a day. It allowed for shift meetings, staff education, and also extra help during visiting hrs and dinner. The 5 hr shift never had a problem with staffing because the hospital paid for 40 hrs, even though only working 25. Was great for students.

I work 12.5 hr shifts on a busy Tele floor. It can be brutal or a walk in the park. It truly depends on the patient acuity on that particular day. I have done 4 hours additional on my shift, only when I have patients that are pretty stable and are ready for discharge the next day. 12.5 hours are the best, 3 days on and 4 off. BTW, I am not a young new nurse, I am a middle aged new nurse. I have the drive and the aches and pains afterwards as well. LOL

Specializes in Surgical, quality,management.
As someone who is going to be entering this field, I am interested to know if the more experienced nurses feel that if the charge nurse, or nurse supervisor, etc. stepped up, would you be able to take breaks and or lunch? Or is it a case of everyone just being stretched too thin? Is this better in a Not For Profit, or is it worse? Just some things that I wonder about. Thanks everyone.

I have 6 nurses working and I am charge. We work a buddy system 3 teams of 2. So nurse 1 goes to tea and nurse 2 covers her bells. Swap over 30 min later. I could not physically cover 6 tea breaks. That's 3 hours of my day. As charge I have a different role. I am a resource, discharge co ordinator after 5 pm ward clerk organising admissions, if someone is confused suddenly I am usually trying to organize a behavioral nurse and watching them myself if I can't get one.

I certainly will cover someones break if their buddy and themselves are flat out.

Mind you I work in Australia in a very pro union hospital. Look up Australia nursing federation Victoria branch to see what we did at the beginning of the year

*** I see they failed to take into account the errors that will result from the exoudous of the most experienced and skilled nurses from the bedside if you take away one of our primary benifits.

Usually the "12 hour shifts are unsafe!" studies also fail to take into account that shorter shifts mean more errors caused by miscommunications during more frequent handoffs.

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