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Discussion

Night Shift Advice

Hello Everyone!

I am a new grad that was just offered a few night shift positions at hospitals i want to work at. I am nervous because i am definitely NOT a night person, but i know i need to do this to start my career. Any advice for a starting new graduate on the night shift? I am much more nervous about working overnights than staring my nursing career!

-M

Featured Replies

Make sure you have a solid orientation period on dayshift, so you can see how things work "normally". When you get onto nights (former night owl, here!) you will have far fewer resources (meaning far fewer staffers who have experience to draw on). You will need to be solid enough to at least handle most of the typical issues yourself. That does NOT mean you can expect to do everything yourself, it does NOT mean that you should expect to hear "figure it out on yourself" (unless you have asked the same thing six times and need to start retaining it better!).

Make sure you'll have a good preceptor on nights, and that you know where to turn for help when it becomes necessary (and it will). You will have more autonomy on nights (fewer people around means more self-reliance) but you should not feel like you're a one-person show. Get help when you really need it, and be prepared to help others. Night shifters really need to pull as a team, or everyone's sunk.

FWIW, I really liked nights :)

Type "night shift advice" in the search box and you will have tons of advice. This question has been asked and answered several times on AN. Congrats and good luck!!!

The job isn't any different at night. You get a lot more admissions, though...

Personally, I had difficulty staying awake. I still do! That is why I knock back a Monster energy drink every night. It isn't the ideal thing to do but you do whatever you have to in order to accomplish the mission.

Make sure you have a solid orientation period on dayshift, so you can see how things work "normally". When you get onto nights (former night owl, here!) you will have far fewer resources (meaning far fewer staffers who have experience to draw on). You will need to be solid enough to at least handle most of the typical issues yourself. That does NOT mean you can expect to do everything yourself, it does NOT mean that you should expect to hear "figure it out on yourself" (unless you have asked the same thing six times and need to start retaining it better!).

Make sure you'll have a good preceptor on nights, and that you know where to turn for help when it becomes necessary (and it will). You will have more autonomy on nights (fewer people around means more self-reliance) but you should not feel like you're a one-person show. Get help when you really need it, and be prepared to help others. Night shifters really need to pull as a team, or everyone's sunk.

FWIW, I really liked nights :)

This is much of what I was going to say. Nights are on average a gentler shift, but they do require more autonomy. I was terrified of nights, especially since I have epilepsy, but actually, I am so much more disciplined about forcing myself to sleep that now I feel less groggy at night than during the day. That's kind of frustrating, actually.

  • Author

Thank you very much everyone!

congratulations on landing the job. I wasn't in your shoes too long ago. I got my first RN job in April of 2013. It was a night shift job.

Once you're on nights, I'd suggest scheduling your days consecutively. I find it much easier on my body to

get onto the nocturnal schedule. i'm at the point now where I can't fall asleep until 5-6 am when i'm off (pain

in the butt). Also whatever you do make sure you get enough sleep. If you wake up early make it a point to go back to bed.

I can't tell you how much better it feels after waking up at 1 pm to get another 2 hours of sleep before a shift.

if you can adjust to nights you'll like it. It definitely has some draw backs (namely on your social life). But the work

load is much easier (in my opinion) and the pay is better

Good luck!

I was a dayshifter up until 2002. I was held over one evening at the hospital (8 hour shifts back then), and when I realized how much less chaotic it became, I decided to hang out on that shift for a while......been on nights ever since. The only differences that I've seen on nights are: (1) there are no managers around trying to crack the whip on textbook theories that haven't a snowball's chance in **** of flying in real-world, skeleton-crew scenarios, (2) instead of being bombarded with admissions and discharges, we are mainly just slammed with admissions, and (3) nightshift pay makes the effort of staying awake a little less painful.

I just started night shift myself and wow what a difference. I enjoy it...I feel like I have more time to spend with my patients which makes me very happy!! Nights can still be busy..just a different kind of busy.

I'm a night shifter who recently got asked to do a partial shift to help out with some extra needs. The first three hours were the end of day shift, and the rest was basically the first half of night shift.

Oh Em Gee...just three paltry hours of day shift were enough to remind me of why I work nights. It seemed so chaotic to me, and way too many people around! I probably seem anti-social, but man, I was jumping out of my skin and hated every minute.

As to advice: invest in ear plugs, blackout curtains, and a fan or white noise machine. Be protective of your sleep time or your health won't last long.

  • Author

Thank you sooo much everyone! You have been so helpful!

I have worked both 8 and 12 hour night shifts. I also started out on nights as a new grad. I found them a better way to learn because there was enough time to actually assess your patient, you learn good decision making skills because you don't want to call a MD at 0200 unless you have to. Patients were usually less stressed at night, they do not always sleep!!! There was less staff, so we did learn to pull together as a team. Getting your sleep schedule straightened out will be the hard part. When I was off I would still stay up at night to keep my body clock in a routine. Congratulations on the position.

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