Published Mar 28, 2014
bargraphix
45 Posts
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.
Caffeine_IV
1,198 Posts
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.
generalRN2008
164 Posts
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.
nrsang97, BSN, RN
2,602 Posts
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.
nurse2033, MSN, RN
3 Articles; 2,133 Posts
Blackout curtains changed my life...
Elle23
415 Posts
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.
Ruby Vee, BSN
17 Articles; 14,036 Posts
There are plenty of threads about surviving the night shift.
Here is one:
https://allnurses.com/general-nursing-discussion/night-shift-newbies-531465.html
maryen
95 Posts
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.
Baubo516, RN
405 Posts
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?
Pb&j711773
71 Posts
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.
SE_BSN_RN, BSN
805 Posts
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.