1- choose your own attitude towards your patient each shift. Sometimes the difficult patient described in report can be fine for you. 2- be a sponge and learn when you can, no patient is the same. Learn learn learn 3- take it one moment at a time, you will make it through the shift. 4- keep yourself healthy, eat before shift and utilize your break to eat healthy. 5-stock your pockets in the beginning of the shift with things you know you will need.