Day shift vs Night shift...the battle continues???
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I have been a nurse for 26 years. I have worked nights and now I work days. I am not sure what the mentality is on my floor but I am very disheartened with some of the people I work with, mainly the night people. They seem to expect that the "norm" in our 10 bed ICU is that the patient should sleep all night. Vented patients always seem to need lots more sedation than during the day. Confused, elderly always seem to get maximum doses of ativan and haldol. I have had the occassion to have to rotate to nights with this group of nurses. The work load on days is much more than on nights. When I worked nights I would do am care on at least one of my patients because I knew what the day shift was facing.
My biggest disappointment in one of them came this week. I had a patient going to the OR at 8am and I knew she would be called for at 7am, I passed off the information in report and knowing that the patient would not receive morning care unless perhaps I asked for it to be done, I did and it wasn't. The unit that night had 8 patients, four nurses and one tech. When I arrived for my shift, the tech was sitting back in a chair with her eyes closed, the whole "air" in the unit was quiet and tranquil. When I asked the nurse why she could not freshen up the patient (PM care is also lacking where I work) she said she "forgot." No, I think she is was just lazy. Why is it that we on days with 4- 5 nurses, ten patients and one tech we can manage to wash two patients a piece, do the EKG's, go for tests, handle 98% of the orders, the families, weaning patients from vents, transfer and admit, etc and nights thinks a busy night is when their patient calls more than once? Do others have any of this going on?