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Oh, you rode your high horse to work today

Posted

Venting: I'm so tired of the day shift nurses coming in and during report sneering or making demoralizing comments regarding the night shift nurses' actions. I oriented on day shift and I understand it's busy and demanding. I have never, ever, given a second thought to passing meds you didn't get to or cleaning up a patient's room. Nursing care is 24/7. And when I try to talk to you about it, you become defensive. I'm exhausted and sick of your attitudes!

"Oh, so have you checked the 0530 labs?" Mind you I've been passing meds since routine lab draw and haven't had time to check. They didn't even get processed until 0630 and now it's 7. You have a computer too...check it.

"Why didn't you [insert verb]?" Let's see, I didn't wake Ms. So and So at 2am and bladder scan her because the poor agitated lady was finally sleeping for the first time in days and besides it would interrupt my bon bon eating schedule.

I'd hate to ruin your delusions about what night shift is like, but really we don't sit around all night. When I have four or five patients, three of which are total care I'm running to provide for them. So don't come in all bright eyed at 0700-or 0730 since you're late ALL THE TIME and think you have all the answers. And if you roll your eyes when I try to explain why something was done or not done, don't think we don't see it. Take the freaking chip off your shoulder, wipe the condescending look off your face, and try a night shift sometime so you know what it's like. Oh, you tried night shift and couldn't take it...I see.

nurse_mo1986

Has 3 years experience.

LOL. been there, done that...I have worked eve/noc shift at my hospital, even tho i'm routinely a day shift worker. I have seen both sides of the coin. I try to be understandin with night shift when they've had a bad night, and know just what you mean. I work with some day shift nurses that always make snide comments about the noc shift ppl, but they sure don't wanna come in and work a noc shift themselves LOL.

Ha! I swear you have been sitting in on report on my floor. I work WEO days and regularly pick up extras on nights so I can relate to bot sides. I'm and OT hog so I like to do my 3 reg days and 2 xtra overnights. I think alot has to do with the nurse. There are some I just hate to follow on days and nights because they leave you hanging 85% of the time. I know nursing ins 24/7, but just let me know what didn't get done so I don't have some prick of an intern or God forbid MS4 in my face. And whats up with people not reading the previous 24 hours orders?

Can I get a big Hell Yeah? I couldn't have given a better rant myself. There is a reason the night shift gets paid more- BECAUSE IT SUCKS AND YOU GUYS DON'T WANT TO DO IT. I spend more time trying to organize absolutely all of my cares and tasks so as to get it all done and NOT have to wake people up at 0100, 0230, 0400, 0500, etc., when they are invariably crabby and angry at you for the interruption. I won't even go into what this shift is doing to my mental health. So funny that this issue- day shift being snotty with the "lazy" night shift- is so universal. Maybe everyone should be required to work some of the other shifts to see what it is like. Now THAT would get everyone's panties in a bunch.

Three snaps for the ladies (and men) of the night.:w00t:

ghillbert, MSN, NP

Specializes in CTICU. Has 20 years experience.

I think that's a whole other topic!@!

TrickieTam

Has 9 years experience.

I have worked all shifts available and to be honest evenings and nights work just as hard as days. I currently work 2nd shift and it just gripes my nerves when day nurses say they couldn't do this or that because it was so busy and could I do it. Wow amazing how when I come in at 2:30 you're sitting at the desk chatting it up with each other and you have an order that was written since 11a.m stat but you pass it off to me at 3 and tell me its a stat order!!!!! Ugh the nerve!

NurseLoveJoy88, ASN, RN

Specializes in LTC. Has 6 years experience.

Noc nurses are wonderful! I bet its a job just trying to stay awake and function. My mother is a rn on noc and she tells me how busy it can get. I'm sorry you are treated badly.

katkonk, BSN, RN

Specializes in Occupational health, Corrections, PACU. Has 25 years experience.

loved what you wrote! not that it makes any difference, but i worked in another business before becoming a nurse 15 years ago. i worked in many different departments in that business. no matter what business you are in, it is always the night shift against the day shift....always. the two shifts both think that they are carrying the largest part of the burden, and always want to snipe about the other shift. it always irritated me when, on those many years of night shift work, the day shift said we didn't do .....whatever...fill in the blank. night shift people everywhere are under-appreciated!! not to mention that you don't have easy access to the docs who, during the day, have their office staff to pass along your call and answer urgent requests. you go girl!

I absolutely despise eye rolling. I consider it a form of lateral violence. I don't mind at all when someone takes me to task for something. At least I know what they are unhappy about. Eye rolling leaves me asking myself, "am I imagining it or did I see Sue roll her eyes, is there something I could have done differently, is she unhappy about something?" It the same as those people that get mad at you because you didn't read their minds. They really leave you out there.

Rabid Response

Specializes in ICU/CCU. Has 5 years experience.

Oh night shift, night shift! I have such a love/hate relationship with night shift. One of my favorite things that happens on night shift has been happening big time on my unit this week. Sundowning! Day shift will give report that patient is A&O x 3 or 4, a veritable JOY to be around. By 2200, the patient is antsy and forgetful. By 0100 the patient has jumped out of bed and is wandering the halls with foley bag draped over her arm like a purse and trying to hail a taxi. By 0400, she is screaming old lady obscenities at you and the poor intern you've woken up to assess her. Usually you will get an order for Haldol after she has actually smacked someone. By 0700, she will finally be asleep, tucked in her clean bedding with the two new IVs you've had to start (they always begin the fun by ripping out IVs).

When you give report to the day shift nurse, she will demand a sitter for the patient. Based on your report and the poor intern's notes, a sitter will be ordered. The joke is on you, though, because when you come in at 1900 the order for the sitter will have been discontinued--the patient has been FINE all day, a JOY to be around, and anyways we don't have enough staff at night for something as extravagant as a sitter.

Around 2200, the patient starts to get antsy and forgetful...

Lather, rinse, repeat!

There is so much to love about night shift!

DLS_PMHNP, MSN, RN, NP

Specializes in Psychiatry. Has 11 years experience.

There is a reason the night shift gets paid more- BECAUSE IT SUCKS AND YOU GUYS DON'T WANT TO DO IT. I won't even go into what this shift is doing to my mental health.

Agree 1,000,000%. Especially about the mental health part...:eek:

PureLifeRN

Specializes in OR. Has 4 years experience.

As a day shift nurse I understand that nursing is a 24/7 job, but when you get to the floor at 7am and take report on a patient and there are tons of stuff still left to do....guess who gets yelled at by the doctor at 8am because the low potassium/H&H etc. wasn't addressed at 5:30am. Just like you dont like the eye rolling and sighing of day shift nurses, we also dont like that from doctors....but they rarely are as polite as that.

But I do understand that there are nights that are very crazy and I think both shifts should be patient with the other. It's not that I am upset I have to do the work, its that I have a very limited time before our docs round.

PostOpPrincess, BSN, RN

Specializes in M/S, MICU, CVICU, SICU, ER, Trauma, NICU. Has 19 years experience.

Woot to the night shift peeps!

november17, ASN, RN

Specializes in Ortho, Case Management, blabla. Has 9 years experience.

guess who gets yelled at by the doctor at 8am because the low potassium/H&H etc. wasn't addressed at 5:30am.

If you're getting yelled at over goofy labs not getting addressed at 5:30am and it is now 8am then it sounds like the physician is a lazy jerk. Just my humble opinion.

And you also maybe only have a limited time before physicians round but at least day shift has physicians easily available. Night shift gets to deal with the "on call" physicians that know absolutely nothing about the patient if something happens to go wrong or needs to be addressed. It can be a real pain in the ass, especially if there are serious issues that need to be addressed (I honestly don't consider a K+ of 3.3 or a HGB of 8.0 a serious issue that can't wait 2 hours but maybe I'm a little too cavalier:P)

PedsDrNurseTheo, ADN, BSN, MSN, DNP, RN, EMT-P, NP

Specializes in Pediatric Critical Care, Cardiac, EMS. Has 22 years experience.

If you're getting yelled at over goofy labs not getting addressed at 5:30am and it is now 8am then it sounds like the physician is a lazy jerk. Just my humble opinion.

Then YOU tell that to God's gift to Cardiothoracic surgery when he rounds at 7:45 - 15 minutes after I've finished getting report - and throws lab sheets at me demanding to know what's going on with his patient.

Let me know how that works for ya.

'Cause I just say "I'm sorry, what? Did you just throw a chart at me, doctor?" And then I tell him that we'll be addressing those labs just as soon as other priorities are met.

But it would be nice not to have the conversation in the first place.

And yeah, I've worked night shift, and day shift. If I didn't have a wife who wants me home and kids that like having Daddy tuck them in at bedtime, I'd be back on the dark side - because I wouldn't have docs rounding all the time and visits from various and sundry administrative honchos. It'd be me, the patients, the night attending, and my shift diff. I used to love that - but I'm a day shifter now. And no, I don't :uhoh3: - I don't think I sigh. I know I've handed off my share of mop-up jobs, and I'll get my share handed to me. It's the job - we're a team - and getting ***** about it just poisons the well for everyone.

Just tell me you didn't get to it, please? That way Dr. Supercilious doesn't sandbag me, and we're all happier.

november17, ASN, RN

Specializes in Ortho, Case Management, blabla. Has 9 years experience.

Then YOU tell that to God's gift to Cardiothoracic surgery when he rounds at 7:45 - 15 minutes after I've finished getting report - and throws lab sheets at me demanding to know what's going on with his patient.

There's a difference between labs not getting drawn and labs not being addressed. I'm just sayin. If gods gift cant read lab values, or he can't figure out what's going on based on the labs and his or her assessment, then I think there's a bigger issue going on than a lack of communication between night and day shift.

I'm PRN, I work both shifts so I definitely see both sides of it. If night shift doesn't like what I did or didn't do, they can lick it. Same goes for day shift. I answer to my manager, not the physicians. I'd never let a physician get away with throwing crap at me, personally. It has never happened (except the "banana incident*" and after a bunch of us hanging bananas all over the unit, sticking pictures of bananas in his charts, and pictures of bananas at the nurse station the physician in question never said another damned unprofessional word to me). I act professionally and expect everyone else to act the same, I think that comes across laterally between myself, the nurses I work with, the physicians, and their PAs/NPs. I'm also a male nurse, btw.

*The banana incident-There was this little old confused lady that had been admitted at around 3am on a Thursday night. This lady had managed to fall down and break the head of her femur off, so she needed to have it replaced (a "total hip arthroplasty", in medical terms).

I came to work at 7am. Anyways, this little lady was scheduled to have surgery at 9am that morning. I barely even saw her. I went in, said "hello!" made sure she was doing okay and then they carted her off to the operating room. At about 8:30am I got a phone call from the pre-operative nurse,

Pre-op nurse:"This lady is saying she had a banana for breakfast." (this is a big deal, because you can't eat for awhile before you have surgery otherwise the anesthesia department flips the **** out)

Me-"Uhhh...she's been NPO (nothing by mouth), I don't think she had anything for breakfast. She's a bit confused. Maybe she had a banana for breakfast yesterday or something."

Pre-op nurse:"Okay, thanks"

I started flipping out. So I quizzed the lady's daughter who had been in the room. She said, "No, my mom didn't eat anything." I asked the dietary people, they said, "No we didn't give her any food."

I called the operating room people and told them that "NEGATIVE SHE DID NOT EAT!"

So it's like the mystery of the banana that came out of nowhere, right? Like, the lady happened to have a banana in her pocket when she fell down and broke her hip..

About 30 minutes later I get another phone call. This time it's the ******* surgeon on the phone.

Doc-"I need to talk to the nurse for Mrs. X RIGHT NOW."

Me-"Well, that'd be me."

Doc-"Who the hell gave her food!?"

Me-"Doc, she's confused, she didn't eat anything. There was no banana."

Doc-"WHAT ? How did you know about the banana? Tell me what you know about this banana. "

Me-"Uhhh...well..ermm..The operating room nurse just called and asked me about it. I'll just tell you, as far as I know, she didnt eat a banana."

Doc-"Who the hell gave her a banana???? WAS IT YOU!!!?!?!??"

Me-"No it wasn't me. Nobody did. Seriously, she probably ate it yesterday and lost track of time."

Doc"I want to know RIGHT THIS MINUTE WHO GAVE HER THE BANANA!"

Me-"Can you hold for a minute I can ask around..."

Doc-"NO!!! I want to know right now!"

Me-"Doc, no one gave her a banana."

Doc-"I'm not getting off the phone until I find out who gave her a banana!"

Me-"Doc, no one gave her a banana. Seriously. Let me double check with everybody and if someone did I'll call you ok?"

Doc-"You're gonna tell me who gave her the banana."

Me-"Doc, I asked the lady's daughter, the dietary, no one gave her a banana. I don't carry bananas around in my pocket and give them to patients."

doc-"You do realize now she won't be able to have her hip replacement until monday, right?!?"

Me-"Seriously, nobody gave her a banana I'm 100% positive"

Doc-*CLICK* (hung up on me)

true conversation, based on an old lady that couldnt even remember her address, nonetheless the last time she ate a banana (she did end up having the surgery that day and there was a happy disney-style ending to it all)

Edited by november17

PedsDrNurseTheo, ADN, BSN, MSN, DNP, RN, EMT-P, NP

Specializes in Pediatric Critical Care, Cardiac, EMS. Has 22 years experience.

There's a difference between labs not getting drawn and labs not being addressed. I'm just sayin. If gods gift cant read lab values, or he can't figure out what's going on based on the labs and his or her assessment, then I think there's a bigger issue going on than a lack of communication between night and day shift.

OK, I think I'm seeing the disconnect here.

We have protocols in place for a lot of things in the ICU that maybe aren't in place on the floor. So for us, a K+ of 3.3 better be addressed. And the physician will be snotty if there's not a reason why it wasn't.

And yes, he did throw a chart. Once. With the resulting conversation. I'm 6'3" and 220#.

"Did you just throw a chart at me, doctor?"

"Um. Sorry, I meant to set it down there."

"I see."

"I'll just pick that up, ok?"

"Thank you, doctor. Now what labs did you want addressed?"

"What are you doing about the K, and the Mag, and ..."

"The electrolytes are being replaced. Want me to call you with the recheck?"

"Um, no ... I'll look in later."

So yeah, ICU might be a little different - we hang a bag of K and move on with the rest of our tasks. But if the K doesn't get hung - things can get tense.

The point remains - if you didn't get to it, fine, but just tell me.