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Specializes in Telemetry.

Hello everyone,

I have been a nurse on a step down telemetry floor for 4 years and a half. I started at my current hospital as a new grad and learn a lot. My career goal is to work in icu but at my current hospital the chance of transferring are very slim

It's a 300 beds hospital with a small icu with a fluctuating census and the icu nurses get cancelled all the time and have to use their pto in order to get paid.

I just got an offer at one of the best hospital in the state and country. It would be for a unit that takes care of people awaiting heart transplant and I'll be dealing with a lot of icu drips, assisted devices, and swanz catheters. The manager told me that ICU always recruit from this unit.

So you are probably wondering why I am asking for advice :) I will have to start on night shift :(

I currently work days. I worked nights when I first started and absolutely hated it because no matter how tired I was, I Just couldn't sleep during the day.

The manager told me she can put me on the waiting list for day shift and currently she only has1person on the list.

I know career wise this is a great opportunity, but I'm scared about going back to night shift. I guess I am looking for some reassurance from you guys.

What would you do? Career or quality of life?

Thank you for any opinions and input you want to give me.

Daniela

Specializes in ICU Stepdown.

If you have trouble sleeping I would take sleep aids until getting used to it or being able to switch shifts. Definitely go for it though. Good luck

Specializes in NICU, ICU, PICU, Academia.

I would scour the threads here for all of the night shift advice I could find. There ARE proven, evidence-based strategies to help you sleep during the day. Most people who don't adapt well to nights won't try them.

Specializes in Trauma, Orthopedics.

Your quality of life can be just fine when you adjust. I'd take the new job. If you wait to transfer into an ICU with consistent low census, what kind of experience would you even be getting?

In my opinion, people really over reaction and are really dramatic about night shift ruining their lives. If you have the day off, come home, sleep from 9 to 1, and force yourself to get up. It is not that awful.

I'd pass if I were you. You're already qualified for ICU so there's no reason to take yet another step down position with an off shift to boot. This stuff about putting you on a list may be genuine in intention, but it's all smoke up your ass if don't have seniority.

Specializes in Telemetry.

Yes I have been thinking the same thing. But this is a much better hospital with lots of growth opportunities. They have training programs for their icu's (they have specialty icu like medical, surgical, neuro, trauma, cardio thoracic). It's one of the best hospital in the country for cardio thoracic and heart transplant which is what I am interested.

I wouldn't accept a night shift position at any other hospital but I have a hard time letting this opportunity passing me by.

How long were you previously on night shift? Was the only issue that you could not sleep during the day? If so, was it because of kids, noise, etc.?

Personally I cannot work nights. I slept during the day just fine. Still felt lousy all the time. My circadian rhythm just can't tolerate night shift. You will be starting on nights.. with no real promise to transfer to days.

Good luck whatever you decide, keep us posted.

Specializes in Telemetry.
How long were you previously on night shift? Was the only issue that you could not sleep during the day? If so, was it because of kids, noise, etc.?

Personally I cannot work nights. I slept during the day just fine. Still felt lousy all the time. My circadian rhythm just can't tolerate night shift. You will be starting on nights.. with no real promise to transfer to days.

Good luck whatever you decide, keep us posted.

I was on nights for a year and a half. No reason in particular I just couldn't sleep during the day. I will be learning a lot of new things and skills I don't currently do at my job. This is more of a real cardiac step down unit than the unit I a working on now.

Also I am starting an online bsn program in February and maybe working nights will help. It's a difficult decision and I'm really not sure what to do.

Specializes in ER, Pediatric Transplant, PICU.

I was in a similar position as you and hated the idea of going back to nights. But I'm SO GLAD i took the jump and went to the ICU. The sleep sucks and I felt lousy, but was actually excited (and terrified) to walk into work for the first time in a long while. If theres only 1 person ahead of you and its a largish unit, that could really only mean 6 months of nights before you go to days.

Really those odds don't look so bad. Good luck to you - nights sucks sometimes but I was also happy to be able to focus on learning my work and not being interrupted as much like when working dayshift.

Specializes in Telemetry.
I was in a similar position as you and hated the idea of going back to nights. But I'm SO GLAD i took the jump and went to the ICU. The sleep sucks and I felt lousy, but was actually excited (and terrified) to walk into work for the first time in a long while. If theres only 1 person ahead of you and its a largish unit, that could really only mean 6 months of nights before you go to days.

Really those odds don't look so bad. Good luck to you - nights sucks sometimes but I was also happy to be able to focus on learning my work and not being interrupted as much like when working dayshift.

Thank you! Yes it's a large unit. They actually just expanded. It's a 56 beds unit. I'm excited about this job and everything I'll be learning. If this was a day shift position it would be almost my dream job at my dream hospital. I've been trying to get a job at this hospital since I graduated :)

Night shifts are tough! I think if you are young and don't have a family yet, it's do-able. As an older nurse who recently started home health and had to do some night shifts, I had the hardest time adjusting and finally told my supervisor that I couldn't do them anymore. I was a mess the day after. Best of luck in whatever decision you make!

Specializes in Interested in Hospice.
Yes I have been thinking the same thing. But this is a much better hospital with lots of growth opportunities. They have training programs for their icu's (they have specialty icu like medical, surgical, neuro, trauma, cardio thoracic). It's one of the best hospital in the country for cardio thoracic and heart transplant which is what I am interested.

I will be learning a lot of new things and skills I don't currently do at my job. This is more of a real cardiac step down unit than the unit I a working on now.

I'm excited about this job and everything I'll be learning. If this was a day shift position it would be almost my dream job at my dream hospital. I've been trying to get a job at this hospital since I graduated la9MFCKoIaKIlaHjVuttgx238A8l+oISTPknrAAAAAElFTkSuQmCC

You are speaking in present tense when you explain the position. Sounds like in your heart you have already made your decision :). Good luck at your new job!! :up:

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