Help! How do you stay awake on drive home after night shift?

Nurses General Nursing Nursing Q/A

I started as a new RN 10 months ago, rotating 12 hour day and 12 hour night shifts (4 week rotations) in a busy metropolitan ICU. I actually like rotating days/nights and think it has been beneficial to see "both sides" as a new nurse. I get through the 7p-7:30a shifts without a problem, don't have to nap and have a little coffee at 5a which gets me through . . . but . . . the drive home is another story!

I live 50 minutes away from the hospital. The first 30 minutes into the drive are fine, but once I hit that 30 minute mark, bam . . my body just says "nite-nite". The last 20 minutes of the drive are grueling, my eyes are rolling and even though they are open my mind is wandering and I'm not focusing right. I think I have tried just about everything to keep myself reasonably awake during those last 20 minutes including: loud music, windows down/ac on, drinking apple or orange juice, listening to talk radio, talking and singing to myself, slapping myself on the arms, getting out of the car,walking around and starting again(this keeps me reasonably awake for about 5 minutes). I'm so tired when I get home that I have found myself falling asleep in the shower (no kidding!) and fall asleep so hard once in bed that noise and light are no issue at all (I don't think an atomic bomb would wake me up before 3 pm).

During those last 20 minutes I have had several incidences including veering off the road (even in my own development!), almost running into a ditch and falling asleep at stop lights. But, a couple of days ago, I feel asleep at the wheel for the first time. It was only a few seconds, but when I opened my eyes I was way left of center with traffic coming at me head on. I quickly swerved back into my lane and the fear/adrenaline rush kept me awake for the remaining 10 minutes home (whew). That incident scarred the daylights out of me and convinced me that I must find a job within 30 minutes of the house (in my current job there is no way I could get straight days or even evenings).

I'm now in the process of looking for a new job, but in the meantime I'm still on night shift and will work again in 2 days. So . . . any other suggestions from you night shift nurses about staying awake on the drive home?? I have stayed away from using meds or "power drinks" because I don't want to compromise the precious hours of daytime sleep before going back to work at night. I also have not "napped" in the car along the way because I'm not sure it would work and I'm just sooo anxious to get home to my bed. But I want to hear what works for you . . . safety is definitely the issue here.

Thanks!!

Paula

Specializes in Emergency Nursing.

I remember I was driving home after a night shift when I was working as a tech....the drive was 40 miles...even with the coffee, scrambled eggs in the passenger seat, loud music, windows open, etc, my eyes were still crossing because I was so tired.

I will never forget it...it was a Sunday morning, no cars on the road, and I was half asleep driving who knows how fast. All I could think was "is that a deer?" There was something standing in my lane but I couldn't figure out what it was...WELL!!!! Sure enough it was a cop standing in my lane with his hand out signalling me to stop! Yikes!!:nono: Luckliy he wrote the wrong state on the ticket (I had out of state tags) so I just had to pay a fine. But it goes to show that you have to watch out and be careful when driving home...if you don't think you can make it, then pullover!

I am not yet a nurse, but a Telemetry Tech and a Paramedic. The thing that works the best for me after working a evening/night double is a cup of coffee at about 6am. Since I am a caffiene junkie this never disrupts my going to sleep. By the time I get home and take a shower it is lights out...

Try it!

Specializes in Neuro/Med-Surg/Oncology.

I live about 4 and a half miles from work. If I lived any further, I don't know what I would do. I can tolerate from work to home and that's it on most days. If I have to stop, I make sure it's somewhere very close. I drove to our old drycleaners about 10-12 miles out one morning and felt my eyes crossing and head getting wobbly. I made it to my best friend's house after and slept at her house for an hour or two to wait out the inbound traffic. (She lives less than 2 miles from the cleaners.) I would have fallen asleep for sure with that monotony. I can't tolerate caffeine either, so a lot of times I'm really stuck. :(

Your ehausted drive is illegal!!!!!!!!!!!!!! You are a risk to other drivers on the road......the same as an impaired driver. If you do get in an accident, you will be charged.....the same as an impaired driver. You will have no insurance. You could kill people doing this. Whats wrong with you? Would you get in the car and drive impaired. Your a nurse, and should live to higher standards!

I take the bus. Drive? After a 12+ hour night shift? Some nurses do it, but then again, they all seem to have stories about how they caught themselves driving in their sleep/on autopilot. And more than one of my early admits for trauma on dayshifts have been night shifters who didn't make it all they way home that day.

My drive is only about 20 minutes one-way. I have the exact same problem as you do! I'm not sure how I would stay awake for the 50 minuites. One morning it was so bad that I had to pull over, get out, and run around to wake back up. The thing that only helps me is rolling down the window and letting the air blow in my face.

Specializes in Med/Surg.

I work nights, 7p - 7a. I've been doing it for over 5 years, but only as an RN for 7 months. I was having a very hard time staying awake on the drive home when I started this job (I think because I am so busy all night, and then when I sit, I crash). all the things you describe: eyes rolling, falling asleep at a light. I actually had a fender bender. the driver in front of me admitted to slamming on the brakes but if I'd been more alert, I could have avoided her. what I have found works for me is to eat on the way home. that metabolism kicking in works wonders. so I stop at dunkin donuts and get a bagel sandwich and that keeps we awake for the whole ride. I think the ordering part contributes to waking me up, too (talking out loud, interacting with another human, stopping the forward momentum of the vehicle). that being said, bringing something to eat from home and/or calling home to chat with someone during your ride might help, too. but this works for me, and it justifies one of my favorite treats! ?

now if I can just figure out how to stay alert during those hours between 2 and 5 when I sit down to do paperwork... I just crash... of course my problem is that my alarm goes off at 5:30 on Friday mornings to get the older 2 off to school. my plan is to go back to sleep for a bit, but the younger 2 invariably get up soon thereafter. so then plan b is to nap when the youngest naps, while the other 3 is at school. she naps every day - but almost never on fridays! so it's about 27 hours before I get back to sleep on saturdays. ugh! I've got to figure something out! once I get up and move around I'm fine, but I have to do that paperwork!

sorry I digressed...

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I worked the night shift, from 5pm to 5:30am, and lived 116 miles away from my workplace at the time

Wow! You got me beat regarding driving distance that's for sure! But . . . I got 20 years of age on you (I'm 45), that may be part of my problem with staying awake too!!

I occassionally work with a young 30's agency nurse who does 7, 12 hour night shifts a week so his wife can stay home with their baby daughter. He lives about 80 miles away from the hospital and doesn't have any problem driving home night after night. I guess it's just not a problem for some people!

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
Wow! You got me beat regarding driving distance that's for sure! But . . . I got 20 years of age on you (I'm 45), that may be part of my problem with staying awake too!!
In addition, I had hyperthyroidism during those years. Therefore, I never really became sleepy.
Pick any CD of David Hasslehoff and play it on your way home. The resulting thoughts of suicide should keep you up long enough to reach home. Then have an exorcism to totally rid yourself of the lingering skwish nut jeaned nightmares of David that you might have. WARNING: Pregnant woman should not try this as it often produces children that wear fingerless gloves and lip sync to groups of people that contain 2 or more Germans.

That would make me run off a bridge on purpose just to break the cd player!

Mtnmom replied:

Perhaps get a letter from your doctor about how you are not adjusting to nights...would that help release you from the commitment requirement?

The 2 year "gentleman's agreement" was explained to me by the HR representative but was never once mentioned by the Nurse Manager during my interviews with him, so I don't know how big of an issue (if any) it will be.

Also, the two facilities I am going to look into first (the LTACH 7 minutes away, and a community hospital 10 minutes away) are both owned by the hospital system I currently work for, so if I can find a suitable job at either facililty it will be an intrasystem transfer. I will still be working for the same hospital system but in a different location. This might help ease the transition!

This thread has been such an encouragement to me. I want to thank you all for sharing your experiences and suggestions!!!! :thankya:

Just to let you know, I did find a new job 7 minutes from my home and am in the process of transferring there. It is a straight dayshift position and unbelievably, I will get a pay increase upon transfer (even though it is a regional/outlying hospital). Just 2 more night shifts and then I will be back on days for my final 3 weeks at the current position.

Now that my co-workers know I will be leaving and why, people are opening up to talk about their struggles with nightshift. It seems that just about everyone either has a problem with staying awake on the drive home -or- being unable to fall asleep and stay asleep during the day.

I have shared many of the suggestions given here with my nighshift co-workers. Here's one more I heard last night to add to the list:

A resident once told one of my co-workers to take a 20 dollar bill, roll down the driver side window and put her arm out the window with the 20 in hand the entire drive home. The concentration needed to do that is suppose to keep you awake. I guess the resident had actually done this himself. But . . .I wonder . . . we have some residents who have that sarcastic humor . . .I don't think driving with one hand all the way home is safe either!

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