Nurses and 12-Hour Shifts - How to Make the Best of Them

Twelve hour shifts have been gaining popularity with nurses and hospitals for some time now. The 12-hour nursing shift began in the 1970's when it was implemented to retain staff during the national nursing shortage. Twelve- hour shifts allow nurses more time at home, however there are some who are not in favor of working these long hours. If you are a 12-hour shift worker, read about how you can make the most of your long shifts. Take the poll at the end of the article to let us know how you feel about 12-hour shifts. Nurses Announcements Archive Article

  1. Which do your prefer?

    • 803
      12 hour shifts
    • 341
      8 hour shifts

111 members have participated

Whether you love them or hate them, 12-hour shifts are here to stay. For many new nurses, the thought of working a 12-hour shift can be overwhelming, intimidating and nerve-racking. But don't panic. Here are a few things you can do to make the most out of your 12-hour shift.

Get Enough Sleep

Sleep is one thing most nurses don't get enough of, and yet it is one of the most important things a nurse should do. Getting adequate sleep will make you more alert, recharged, and feel better all around, which will make your 12-hour shift a lot easier to manage. Adequate sleep is a key part of a healthy lifestyle, and can benefit your heart, weight, mind, and more.

Eat a Nutritious Meal

Whether your 12-hour shift begins in the morning or at night, eating a nutritious meal before your shift is vital. It is also important to remember to eat a meal during your shift instead of just snacking. Make sure your meals consist of foods that give you energy with healthy carbs and lean proteins such as Greek yogurt, whole grains, blueberries, eggs, nuts, and lean meats. Don't forget about vegetables. Dark leafy greens are a great source of vitamins and fiber.

Drink Enough Water

Because you are constantly moving, it is easy to become dehydrated during a 12-hour shift. Although your bladder may not appreciate this, it is important to drink water throughout your shift . With all the hustle and bustle of being a nurse, it might be hard for you to find the time to drink water, so we recommend that you keep a water bottle near by if you can.

Buy Good Shoes

Although good supportive shoes do cost a pretty penny, your back and feet will thank you for investing in a good pair of shoes! Healthy feet are among a nurse's most important assets. Working long hours on your feet make proper footgear not only helpful, but essential. Do your research before buying shoes. Ask your fellow nurses what brand and type of shoe they like best for work. When shopping for shoes, go to a shoe store with knowledgeable staff such as Scheels, Sports Authority, Dick's Sporting Goods, or Foot Locker. Sometimes, gel inserts or orthotics are necessary for comfort as well. This is especially true if you have flat feet, pronounced arches, or bad knees. The right shoes can help nurses focus solely on their patients instead of on tired and achy feet.

Take Breaks

One of the biggest concerns over the length of a 12 hour shift is fatigue, and its effect on safety and patient care. To alleviate fatigue, make sure you take your breaks. Sometimes, it is difficult to do, however, simply walking outside around the block, going off the floor and doing deep breathing, grabbing a yogurt or a protein snack, all helps to keep you alert.

Look on the Bright Side

You are doing the career of your dreams - the career you worked hard for in nursing school. Most of all, you are helping people that need your care. Let the knowledge that you are caring for people who are in great need of the skills that only a nurse can provide carry you through your shift. For those 12 hours they are under your care, be proud of the fact that you are their nurse.

Your first 12-hour shift may be a lot to handle at first but if you follow these tips, you may find in the future that you prefer 12 hour shifts over 8 hour shifts.

Do you have any advice for a nurse that is new to 12-hour shifts?

Specializes in Emergency Nursing.
At a hospital in CA there are nurses that do 24 hour shifts (a 12-hour double). I am pretty sure that is illegal. Should I notify the state or and/or JC?

Doesn't sound legal but who knows! I know my personal nursing only covers up to 16 hours...

12 hours is worth it for the days off. 8 hours is less exhausting, but part of the reason I chose nursing was for the extra days off. 10 hours feels just right, but I can tough out an extra 2 hours to earn one more day off!

I agree they should make 10 hours the new 12. I want to be in tip top shape not burnt out or too tired.

Ten hours is great- and lots of 8's end up being 10's anyway. Twelve hours is too much, more so for night shift- each shift in effect ruins two days of your life. I vote for 4 hour shifts, but being paid for 8?

Specializes in Cvicu/ ICU/ ED/ Critical Care.

I miss my 24s. But ill accept 12. They frown on us doing 16s or I would do them in a heart beat.

12's forever! 12's feel like I'm working to live, whereas 8's would make me feel like I were living to work. Life's too short to have over 70% of it being workdays.

Go to work to work, give it your all for 12 hrs, and enjoy the rest of your life. It's easy for me to get enough rest, because I dedicate my 3 days to working. Even if I need a day to recover, it's better to use 1/4 of my time off instead of 1/2 of my time off, because I'd still need to recover from 5 days of working.

As far as getting stuff done, it's soooo much nicer feeling like you've got the town to yourself on a weekday off and getting things done in a relaxed manner. Who in the heck would want to go to the dentist after a nursing shift?!

Specializes in Oncology, Ortho/trauma,.

I enjoy the 16's myself.

For those who don't know how to get through a 12 change your perspective. break your day up into three 4 hour increments. example the first four dedicated to assessments and morning meds and a mid morning 10 minute break also do half your documentation. second 4 hours to wash ups, walks, some more meds and lunch break, last four to finishing meds, documentations last 10 min break and prep for report. This is the ideal and it is not always possible but if you break any shift into 4 hour chunks no matter what area you are in, it makes it more doable.

And when I am saving up or trying to pay off debt I am one of the crazy ones that will work 6 12 hrs a week for a couple weeks, but that is what is awesome about being an agency nurse, you can work as much or as little as you like.

Specializes in Oncology, Clinical research.

I just started a new job, and the 12s were part of the draw. I'm only working 24 hours a week while my kids are tiny, and while it means that I barely see them on those 2 days, I get 5 days off. The two days on isn't even enough that I feel I need to recover. Even better, the new job is only a mile from my home, so my commute is basically nonexistent. 12 hours is long, but I feel that I actually have time to get all my assessments and charting and meds/treatments done.

Specializes in Gerontology RN-BC and FNP MSN student.

I love 12s ?.....

On work days....that is the only thing I do. I give that day over to my job and usually go right to bed after work if I'm due back for the next day or if it is my weekend. I wake up and give my self time to have 15 minutes at work to eat my breakfast usually a sandwich and coffee to unwind from my hour drive...and to have a solid start on my day.

If and when you get lunch make it a light one so you don't get the afternoon drowsies.

I agree with Brians post and he really did hit the most important areas!

Specializes in LTC, med/surg, hospice.

I like 12s but like the option of mixing 8s in.

12a can suck if they schedule you poorly.

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

There are some great suggestions in the original post. But some unrealistic ones as well.

Taking breaks is a wonderful idea, and I urge everyone to do so. Going outside to walk around the block may not be a viable suggestion -- some of us aren't allowed to leave the floor during the night shift. Others work in high crime areas, in enormous hospitals where it could take a LONG time to get outside and walk around the block (or in my case, several city blocks to get around the hospital) or in areas where the weather isn't conducive to mid-shift ambulations.

Hydration is essential, but not everyone can keep a water bottle near them. Instead, they may be using all their break time running off the unit to hydrate.

And shoes -- PLEASE don't go to a chain sporting goods store to buy shoes unless you've already been to a quality running store to be fitted and gait tested and know exactly what you need. (And I'm not talking Foot Locker!) Those big box stores don't have the expertise to advise you on the best shoes. My personal advice would be to go to The Walking Company or Nordstrom's and try on Danskos, Birkenstocks, and other sturdy walking shoes with solid arch supports. Orthotics can be life savers, but gel inserts probably aren't going to be very helpful.

The hardest part of the 12hr shift is my 3-day weekend on: Friday, Saturday and Sunday. I've found that the best way to deal with it is to have easy meals, forget the dishes, unwind, shower and get to bed before 10, and up at 6. Don't have to bathe, just put on a little makeup, dress and go. I usually sleep late Monday, then get caught up on housework and enjoying my time off. Of course, I'm single. If I were married my husband could do the dishes.

DANSKO SHOES!! Is all I can say...they saved my feet and back! Invest in them, you will love them, Totally worth the price.