Night shift help

Nurses General Nursing

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I just started a 11p-7a shift in a LTC facility and I am having a hard time adjusting. I am always tired and can't seem to get into a routine. I have only been working for about a week but I don't know how I can go on. I said when I started I will do this for a year and then look for a new job in a hospital, but I don't know if I will last a year. I can use any suggestions you may have for surviving the night shift.

Specializes in LTC, med/surg, hospice.

What is your sleep schedule? There is a learning curve for our bodies when adjusting to night shift. A month or so more or less depending on the person.

Do you have family to adjust time for or live alone? If alone sleep 8 hours with black out curtains or foil in the window. If family, you may have to do broken sleep schedules.

right now I sleep from about 9-3 or 4 but I am always tired so I think I need to change it. I do have family but they usually don't bother my sleep schedule.

Specializes in Neuro ICU and Med Surg.

Since you work 11p-7a you can try to go to sleep a little later. Instead of going to bed at 9a go to bed at 10 or 11a.

Specializes in ER, ICU.

Blackout curtains changed my life...

It might help to lay down and take a nap before you go in.

I currently work 8 hour nights, and though I sleep some during the day (usually around 5 hours), the most refreshing sleep I get is those few hours before I go to work.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

There are plenty of threads about surviving the night shift.

Here is one:

https://allnurses.com/general-nursing-discussion/night-shift-newbies-531465.html

I really don't have any advice because I am a complete failure at working night shifts! I had no problem staying up and alert during my shift, it was getting sleep afterwards that I just could not adjust to. The most I ever slept was 9a-1p. I tried everything, even taking 1/2 sleeping pill. I felt exhausted all the time. It didn't help that I also did some day shifts too. I lasted 6 months. My body just couldn't do it! Give it a few more weeks and see if you can get in a better routine. Exercise and eat healthy! All the best to you.

Specializes in Skilled Nursing/Rehab.

I work 10pm-6:30am every other weekend. I have to stay on a "day" schedule for school, so the first day I have to work the night shift, I take a 2-3 hour nap before going in so that I won't be up for 24 hrs by the time I get off.

I have blackout curtains on my windows, and a sleep mask and foam earplugs at my bedside. I only use the mask and/or earplugs if I need them - i.e. noisy neighbors or nieces coming over to the house. I take 2 Tylenol PMs and usually get into bed by 7:30 or 8am. My intention is to sleep for 8 hours, but for some reason I usually wake up after 4 hours and have to go pee. I just go do it, then get back in bed. I usually sleep until 3 or 4pm. Even though my hours of sleep are briefly interrupted, I feel pretty good when I get up. I think it is better for you to sleep 8 hours in a row than to take 2 separate naps, although I know many people do this due to family commitments, etc.

After I get up, I eat and have time to hang out and see my hubby before going in to work. I drink 1-2 cups of coffee and the beginning of my shift and then I am good to go.

I guess I should cut back on the acetaminophen... for some reason taking just the diphenhydramine HCl doesn't seem to work as well as it does in combo with the acetaminophen... I have not tried melatonin yet.

This is what works for me! What have you been doing to get your sleep?

So this is what I've heard.. Your circadian rhythm can be manipulated by your eating schedule. Stop eating during the 12-16 hour period before you want to be awake, once you start eating again your internal clock will be reset again as though it is the start of a new day. Your body will consider the time you break your fast as your new "morning".

Not sure if this works.. But it's worth a shot :) good luck.

Specializes in LTC, Agency, HHC.

I work 10p-6a four nights a week. I am home by 0630, I sleep until noon, get up, shower, eat, stay up til 4 or 5 then go back to sleep til 9, get up, eat, and leave for work. If I don't follow that routine as close as possible, I get tired around 2am.

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