hmm.. let me break this down..
1. provide a daily report to case managers and/or attend rounds. i have to give daily report to the charge nurse and then to the nurse supervisor, two things that aren't done during the day.. soo...
2. walk patients off the unit at discharge and/or when needing to be accompanied to test and rn to leave the floor to go with them. ? are there suddenly no discharges/tests at night? i rarely have a shift that there isn't at least one or two discharges waiting for me, and my hospital does mri's, echo's, ect at night too.
3. arrange for diets, re-enter diet orders, take away trays, fulfill diet requests, fill pitchers, grab coffee, grab condiments ...generally play waitress for three meals on your shift. yes, and i play waitress at a time when the kitchen isn't even open... so, thats fun.
4. receive calls from family members wanting updates, or just wanting to talk to a nurse -- sometimes as often as every 2 hours. call them if requested. connect them to doctors for updates. generally fulfull every request they make concerning your patient. daytime is when they do this ...nights they go home to sleep. usually. (i realize some do spend the night and then they can be a pain to you -- but it's not as often). i think you must be joking here... i get at least 5-6 calls a night from family members.. "i just want to see how their day went". like i have any clue how their day was, hello i wasn't there!
5. tests, tests, tests. patients who return from tests ...needing frequent vitals, needing tele on, tele off, needing boots, transfers, etc, etc. again, all these things are done at night...i'm confused by your post!
6. orders non-stop. most orders are put in on days ...docs don't like being called at night and we all know it. they do their orders early and you have to get most of not all of them done on your shift. most docs at my hospital round at 5pm or later because they have office hours. so i do most the orders...with no secretary.
7. admissons (yes, you do them on nights), but most discharges on are done on days. discharges come with: med reconciliation/education, getting signatures, more education, taking out iv's, helping pts get dressed and ready to leave. 80% of admits come at night...and ironically the admission/discharge girl leaves at 7pm. she is scheduled from 7a-7p so she does all their admits and discharges.
i hate the "this shift is harder" stuff. nights and days are equally hard, in different ways. i have worked both, i like nights better because i am a night person. i dislike all the docs during days, and i dislike the lack of staff at night. who cares? it is a 24/7 job, there should be no complaining about "well this shift dropped the ball". just do it and shush about it!