Does any other night shifters feel like days has no idea how nights works? - page 2
does anyone else on night feel like days thinks we do nothing? Often when I give report I end up feeling like I've done nothing all night when I didn't even have time to eat my lunch. No I don't know... Read More
Dec 13, '07Occupation: RN Specialty: * Cardiology * Oncology * Medsurge RN ; Joined: Dec '06; Posts: 1,220; Likes: 855Here is the rub: when I go to the floor during the daytime just to check my schedule, put in for some vacation request and I'm there just doing whatever and I look down the hall. It's around 1000, early in the day shift and I see no body coming in and out of rooms, no blessed soul working. I wonder to myself, what's going on!? I work myself some nights to the bone with no breaks and most of the time spend it in the hall charting and here it is days and where are they!!!???
And another complaint, when I get to the floor to give report at night, the day people are all scurrying around finishing this and tidying up that; I'm waiting around to get report...waiting around for them to finish their act and please go home!!! And the the morning comes and guess who's late arriving to work? Yep, those day creatures who think we enjoy being at work so much, to have them arrive late and complaining of being tired is a pure joy!! Not!!!!
Dec 13, '07Specialty: med/surg, telemetry, IV therapy, mgmt ; Joined: May '05; Posts: 15,027; Likes: 8,983i worked the night shift for many years and i am very much aware that some day shift people had a very skewed idea of what the night shift did. it is due to a negative attitude and a lack of practicing teamwork. what i used to do was make a big point of going to all the day shift people, who, by the way, were also my coworkers, and make a point of interacting with them. i would ask them if i was leaving my shift with things in order for them. was there something i could be doing to help them get their shift going easier or better? was there something i was doing they didn't like? was there something they felt i should be doing? what kind of problems did they have that maybe i on the night shift could help them out with? and, i listened and did my best to accommodate them. we are all a team and unless we feel we are treated as team members then the lines of division start to get drawn. i also did the same with the people on the evening shift. the communication has to start somewhere and it might as well be with each of us. a good eye opener is also for one shift worker to work another shift here and there to experience what goes on. back in the very old days nurses were required as part of their jobs to work all three shifts in a rotation. they had a very good knowledge of what each shift duties were. it's too bad that this practice hasn't continued. it was a requirement when i worked at a military facility. it might make for better staff interaction.
Dec 13, '07Occupation: currently in Home Health as per diem Specialty: 6 year(s) of experience in Cardiac/Telemetry, Hospice, Home Health ; From: US ; Joined: Dec '04; Posts: 222; Likes: 189Daytonite - I WAS going to give you a big fat "THANK YOU" until you got to the part about bringing back rotating shifts! Chuckle Chuckle. No, seriously - I LOVE your approach to bridging the gap between shifts. I too am a graduate of communication 101.
I am very new, not even off orientation yet (orienting on days still, soon to go to nights) however I think this is about needing to trust that your colleagues are doing as much as they can - period. There is always the slacker but for the most part we can't keep approaching shift changes with an air of distrust and always trying to judge whether they really had time or not. I hear my day shift coworkers complaining about night shift and it seems so futile. I wonder what I will find when I get to night shift? It is so easy to assume - and assuming can be so destructive to communication. I am sure I will fall prey to complaining here and there and I certainly am not immune to contributing to the problem BUT I want to contribute to what works and be professional. Are my above ideals showing off my rose-colored glasses? or is it possible to make this work?......
I also feel kinda thin-skinned with being new. The other day I came in to a nurse telling me I had left her with a mess. In trying to talk about it I realized she was basing her impression on some things that were assumed and not true at all. I couldn't get though to her and I could see she just wanted to blame and such no matter what so I just walked away. grrrrrrr.
Dec 13, '07Joined: Aug '07; Posts: 235; Likes: 176Quote from JKCMomMy favorite is when they say they couldn't get reach of Dr. So-n-so and would we mind doing it? Let me get this straight, you couldn't get ahold of him during office hours, so now you are setting me up to call them at home in the middle of the night or call their partner on-call who has no idea what's going on with this particular patient? And you think I'm going to have time to sit down and make phone calls before 0100? Or, my 2nd favorite is that they, with their four patients a piece and two aids to help, were unable to ambulate a post-op bariatric patient, teehee, and would we mind doing it? Okay, let's see, by the time I've gotten to all 6-7 patients of mine to ensure they're breathing and gotten vital signs entered (because, you see, we have no aids), it's around 10 o'clock....not the time most people are up for a workout. I apologize for my vent, it's just the last two shifts I've worked, I've had patients that I was told were "doing fine" in report, only to walk in the room to a trainwreck and me calling rapid response immediately.
I work days, your vent made me LOL - It sounds like you don't have any trouble the prior shift if you think they are not doing their job.
I try to get everything possible done - sometimes we can't - it's a 24 hr job as my mgr always says. We get along pretty good -days&nights- we appreciate ea other and are always glad when are 'relief' comes in.
The last part of your vent - about patients 'doing fine' about to code - that's happened to me too - cept it's nights to days - it happens and if you trust your coworker than you know sometimes this happens (and it wasn't neglect)
Dec 13, '07Joined: Jul '00; Posts: 11,351; Likes: 388It's a 24 hour job
I have heard a lot of people say nights is easier, slower, quieter, whatever. I always tell them if it sounds like such a great shift to work, they should sign up to do it. Few do. I'm looking forward to starting a day shift job in a few weeks and can't wait to feel normal on my days off!
Dec 13, '07Specialty: ICU/PCU ; Joined: Apr '06; Posts: 487; Likes: 119ahhhh the joys of bickering about who did/didn't do what.
this whole thread could be turned around and written about either shift.
it's just the way it is.
i worked my first 6 months on the job doing NOC shift. i've worked the last 6 months doing day shift.
what i can say about each is that while NOC shift can be hectic at times, for the most part it really is (at least on my unit) an easier shift. like i said, IT CAN BE HECTIC, and IT IS, but in reality, the day shifters get the brunt of the crap. the families, the doctors, the procedures, the crazy busy nurses station/trying to find a place to chart, but mostly in particular the road trips. while on nights, i went to the ct scanner several times a month. on days.. i go to CT, MRI/MRA, Vascular Lab, Cath Lab, Endo, EEG, Neuro Diagnostics, etc.. on pretty much a daily basis. it plays havoc with your shift! if only we didn't have to travel with our monitored pts, i really think the shifts would be more equal.
on nights, i got out on time 97% of the time. on days.. i get out at 2030 a majority of the time.
if my life and child could handle it, i'd work NOCs just because i think it was less crazy. there are always going to be crazy nights, but more often than not, it was easier than days.
Dec 13, '07From: US ; Joined: Jul '07; Posts: 129; Likes: 173Nursing is a team effort and the bottom line is the patient. Each shift has its own pros and cons, as does each department, for getting the job done. I secretly think management staffs us to keep us at each others throats so we can't stand together for the "right" things we need to do our jobs efficiently and safely all in results of what? Taking better care of the patient.
Dec 13, '07Specialty: Critical Care ; Joined: May '04; Posts: 163; Likes: 260I worked nights at first, and then switched to days.
Both shifts have their pros and cons. I love being on days and being able to call a doc and not have them yell at me because they were sleeping. Nights get battered when they call with a patient on multiple drips, who is crashing, and they need an additional pressor! Nights also don't have a pharmacist in-unit. That stinks.
Days are busier in terms of orders and procedures. We have the majority of docs rounding, and radiology/ CT/ MRI/ interventional radiology is hopping. We also have admin on site, which can be both good and bad (I'll let YOU decide which one!).
In my facility, nights and days get along pretty well. We all tend to view nursing as a 24-hour job. This means that if you, on your shift, can't get to it, and you've actually TRIED your best, then guess what? If you can't do it, the next shift picks up the slack with no questions asked. I've picked up slack for night shift when they've been hit hard; night shift has picked up slack for me in the same scenario. This attitude helps to eliminate conflicts between shifts.
Just my two cents.
Dec 13, '07Joined: Jul '07; Posts: 84; Likes: 43I do work days. But I have worked nights. I know it can be busy. However I don't think it is the problem of busy but who you give report to. There just seems to be people that think all the pt care should be done by the shift before them and g*d forbid they might have to do work themselves. Its just some people you give report to, you have to "justify" why such and such was not done. If it was busy, you have to rehash it so they know you were busy and not sitting around. It is so stupid to have to justify it, but some people need to hear it.
Dec 14, '07From: US ; Joined: Jul '05; Posts: 856; Likes: 1,525Quote from RNsRWeThat drives me CRAZY...why oh why oh why should I have to wake an pt on 24 hour obs for ACS III with great renal function, no IVF running and force him to pee.How about "NO, the patient didn't pee last night and NO, I didn't call the doctor; he's a healthy fella with a minor surgery, and no renal issues; how many times a night do YOU get up to pee??"
Now if his BUN/Cr was elevated, that's different, but ACS III, negative cardiac enzymes, great renal function, no IVF, no events overnight...let the poor man sleep.
Dec 14, '07From: US ; Joined: Jul '05; Posts: 856; Likes: 1,525The only comment I hate hearing was from a dayshifter who came in early for no reason.
"well, all night shift does is sit at the nurses station until 0530 and then they scatter because they know the dayshift charge nurse is coming in"
No...the night shift was frantically trying to finish 24 hour chart checks before the docs showed up and took all the charts away...and then we were off to do daily wts, I/O's, chemsticks, 0600 med pass, before giving report at 0630.
Dec 14, '07Occupation: ER Staff Nurse Specialty: 6+ year(s) of experience in ER/EHR Trainer ; From: US ; Joined: Mar '07; Posts: 1,115; Likes: 1,673I never worked nights, and can't imagine it!
I am sorry for all of the floor nurses, those who are not in a teaching hospital, and those who don't have enough staffing. I wouldn't want your job. Especially at night.
My position in ER has physicians and pharmacy available 24/7. We also have testing staff on site-no more beepers. I have never worked any other way. So my view is limited to my immediate experience. I can say without a doubt, that our experienced ER staff has it better at night, how do I know? The group I oriented with, all started nights, when I began the 10a to 11p shift. Those that eventually changed over to days stated it was a fact. Days in ER were much harder than nights due to the crowds of people decending on us, both medical and the general public and their immediate needs. Most patients at night in our suburban er were holds, or out of there by 2a.
What's bad at night? No management. No educators for new orientees. No recourse for bad assignments. Charge nurses with favorites who do not help and let travelers, agency and new (out of the group) nurses sink. Medical residents who disappear and don't answer pages, because attendings are few and far between. I am sure there are other things too!
I have not had the opportunity to read a book, magazine, listen to music, do CE's, play games, text message, surf the net, sleep or anything else during my shift. While this privilage is not extended to all nurses, many do this at night-as reported by their co workers, and commented when you pick up their empty rooms. It seems they transfer patients to make full assignments for those unlucky, unliked few. While I know this is the perception that night nurses don't like to hear, it does happen. I truly believe it was a good thing I never worked overnight...don't think I would have dealt with that crap well! I belive I would have been management's worse nightmare! I believe in sharing the good and the bad.
Dec 14, '07Occupation: R.N. Joined: May '07; Posts: 3,228; Likes: 3,680Quote from MAISY, RN-ERThat's one of the PERKS of working nights, IMOWhat's bad at night? No management.