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shift wars, GRR

Has 25 years experience.

This is a Vent, nothing I can do to fix it, so I'm letting steam off here so I don't say something that might land me hot water. Grrr.

You know how it is in a lot of places, each shift thinks that they are the hardest done by. Often, nights is the poor stepchild of the shifts, stuff gets left for them to do because "we have more time." There's also the misconception that there isn't a lot of work to do.

Add to that some nurses who are very judgemental and feel that you should do things their way, even if they aren't there. Then, add to the mix, the "*I* wouldn't have done it *that* way" when you give report.

Next time, I'm just going to say, "listen, YOU were not there. *I* was. I made a nursing judgement well within the parameters of my job. I chose to follow the course I chose because it was the CORRECT one to do at the time given the circumstances that presented. I don't give a flying fig if the patient never acts that way on days or evenings, HE DOES ON NIGHTS."

Ok, I think I feel better now.

The whole post probably doesn't make much sense, but it was surprisingly cathartic. ;)

UM Review RN, ASN, RN

Specializes in Utilization Management.

Having worked nights for many years, I absolutely understand, and I have said exactly the same thing to day shifters on more than one occasion.

I wish they'd understand that we might have a little downtime between 4 and 5 a.m. because the labs aren't back yet, and the LOL postop fresh hip hasn't decided that, despite the hip and the Foley, she needs to get up OOB to go to the bathroom, while at the same time LOM in the last room down the hall decides he needs a stat neb treatment and cannot breathe.

They don't get that we do not have the staff to handle multiple crises quickly, and they never will.

I absolutely understand also. I think my response would be to shrug and say "Okay, but I did!" No insubordination if the person has seniority, no flippant attitude, nothing you could get "talked to" about.

clemmm78, RN

Has 25 years experience.

I absolutely understand also. I think my response would be to shrug and say "Okay, but I did!" No insubordination if the person has seniority, no flippant attitude, nothing you could get "talked to" about.

We're lucky here. I've never heard of write ups and stuff until I started reading this board. It's just not an issue we have. Obviously, if we do something really wrong, our superiors will act and, if it's bad enough, there will be a letter of discipline, but they are few and far between. This isn't just one place, I've worked in acute care hospitals and rehabs. I was a nursing supervisor for a while, as well as an instructor, so I've seen pretty well all ends of the spectrum.

In the situation I'm in now, the vast majority of us started in the residence when it opened four years ago and there is no seniority. The nurses who started last year are at the same level as those of us who started when it opened.

I work nights and feel that day shift does probably work a little harder with the addition of baths, meals, continuous order changes, ect, but they do generally have more staff as well. I chose nights because being fresh out of school, I felt it may be a little slower in able for me to learn. There are a few nurses both days and nights that continually complain about the other shift but I think that is normal in any occupation. The only phrase I really hate to here day shift say is that nights have more time because pts sleep all night. I have to laugh at times because This must only happen on my nights off because it is rare when I am working.

Respect every shift because the shoes you complain about to day may be the ones you walk in in the future!!!!

all shifts have the pluses and minuses...days go faster, patients frequently go bad in the early morning hours when the staff is at its lowest

if this is a one time thing [i WOULDN'T HAVE DONE THAT] ignore it, if they have a point listen to it..if they are on an ego trip you may have to give them a strong hint that you don't like it

clemmm78, RN

Has 25 years experience.

all shifts have the pluses and minuses...days go faster, patients frequently go bad in the early morning hours when the staff is at its lowest

if this is a one time thing [i WOULDN'T HAVE DONE THAT] ignore it, if they have a point listen to it..if they are on an ego trip you may have to give them a strong hint that you don't like it

No, it's definitely not a one time thing, unfortunately.

aileenve

Specializes in Med-surg,. Has 18 years experience.

Would'nt it be nice if we would just grow up and respect each other?? :uhoh3:

Only thing I'd add to your vent (and I feel your pain!) is the concept of 24-hour nursing being applied EQUALLY. Meaning that when I hear that days didn't have time, so it got left to eves, who didn't have time, so it got left to nights....and NO ONE understands that NIGHTS didn't have time, either! So if it DOESN'T get done on nights, you get skewered. We can NEVER and I mean NEVER leave something undone from nights: we have to stay to get it done. Or, if you happen to leave something undone for the next shift anyway, you get holy hell the next time you're in.

There's no clue that if THEY can't get it all done in their shift, sometimes, neither can WE. Argh.

Only thing I'd add to your vent (and I feel your pain!) is the concept of 24-hour nursing being applied EQUALLY. Meaning that when I hear that days didn't have time, so it got left to eves, who didn't have time, so it got left to nights....and NO ONE understands that NIGHTS didn't have time, either! So if it DOESN'T get done on nights, you get skewered. We can NEVER and I mean NEVER leave something undone from nights: we have to stay to get it done. Or, if you happen to leave something undone for the next shift anyway, you get holy hell the next time you're in.

There's no clue that if THEY can't get it all done in their shift, sometimes, neither can WE. Argh.

Along the same vein, days dumps on evenings and then evenings has to stay late to get it done, can't leave it for nights since night shift is actually the start of another day (at midnight).

HisHands, ASN, RN

Specializes in Rehab. Has 10 years experience.

EXACTLY!!! I work afternoons. We get well over 50% of admissions (which is a lot... each nurse usually has at least one per shift), but have lower staffing than day shift. We have two large medpasses like days. We have a relatively equal number of txs to do. But, if day shift doesn't get something done, then they pass it off to us. However, afternoons can't pass things off to nocs because they will blow a gasket. I don't get it.

Oh well, I suppose the OT will pay off eventually. :uhoh3:

I worked nights for years and still do nights prn. On days, people will tell me "nights have it so easy. All these pts are sleeping." Yeah, they close ER and OR so the pts can sleep. People's IV's beep, people get sundowner's and climb out of bed, and guess what???? People use the br in the middle of the night! Betcha didn't know that.

I've worked every shift. IMO, day shift is the easiest shift for me. LOTS more help. Nights get a skeleton crew and evenings are busy with vitals, accuchecks, backrubs, teeth brushing, assessments, etc. It never fails, when I work med surg there are the same times where people get call light happy: breakfast, lunch, dinner, 2000, midnight- 0100 and 0600 when you're getting ready to leave. I can get my stuff done on time when I work days, but if I do evenings or nights I know I'll be staying an extra 2 hours.

chenoaspirit, ASN, RN

Specializes in Med/Surg, Home Health.

Would'nt it be nice if we would just grow up and respect each other?? :uhoh3:

Well said! But sadly it probably will never happen.

EXACTLY!!! I work afternoons. We get well over 50% of admissions (which is a lot... each nurse usually has at least one per shift), but have lower staffing than day shift. We have two large medpasses like days. We have a relatively equal number of txs to do. But, if day shift doesn't get something done, then they pass it off to us. However, afternoons can't pass things off to nocs because they will blow a gasket. I don't get it.

Oh well, I suppose the OT will pay off eventually. :uhoh3:

I have noticed that evenings and nights get alot (if not most) of the admits. I did alot of days during the week over summer, and I rarely saw an admit from 7-3. After that, the floodgates would open. But it makes sense: no doctor is in their office at 8p or midnight so they go to the ER. And where I work, you can get admitted for a cold - last weekend we admitted a whole family with colds.

EXACTLY!!! I work afternoons. We get well over 50% of admissions (which is a lot... each nurse usually has at least one per shift), but have lower staffing than day shift. We have two large medpasses like days. We have a relatively equal number of txs to do. But, if day shift doesn't get something done, then they pass it off to us. However, afternoons can't pass things off to nocs because they will blow a gasket. I don't get it.

Oh well, I suppose the OT will pay off eventually. :uhoh3:

LOL, reading your post and the one before yours, about not being able to leave anything for nights, makes me want to work at YOUR facility ;) Here, nights starts at 11pm, and believe me, it's not considered a new day, NOR does "blowing a gasket" help us any. We know full well that the boluses not given, the blood not given, the meds left unclarified or on hold fall to us to do, no exceptions. There is never an excuse for NOT giving the piles of meds and treatments that didn't get done on days or eves, no matter how short-handed we are.

I'm not saying that nights is harder, blah blah blah, just that it would be nice if days and eves recognized that when THEY dump on US, there isn't a "next shift" to dump onto. Leaving it for days = not doing your job around here :(

I have noticed that evenings and nights get alot (if not most) of the admits. I did alot of days during the week over summer, and I rarely saw an admit from 7-3. After that, the floodgates would open. But it makes sense: no doctor is in their office at 8p or midnight so they go to the ER. And where I work, you can get admitted for a cold - last weekend we admitted a whole family with colds.

Amen! People who have been stacked in the ED starting in the late afternoon will end up being admits from midnight to four a.m. Puking gives you a bed, even if there's no dehydration. Abdominal pain of any type? Better get a room ready.

Sometimes it's so bad that the few poor souls that are working the shift alternate admits with a "whose turn is it for the next one?" being called out from the station!

Off topic, but we've had people come into the ER with complaints of diarrhea. Asked how many times they've had it they answer once. They get a bed.

Where I work there are only 2 shifts and no difference is made between the two' each shift is expected to do half of the work. When I worked night shift we made sure we did at least half of the baths but most of the time did at least 75% of them because you never know what is going to happen on the next shift. If ther was an order for an off unit procedure we were written up if we didn't have it done when day shift came on. Now that I am on day shift I find that no baths are being given on nights and they never take a patient for a ct scan or off unit procedure. Yesterday while I was playing catch up for what night shift did not do my co worker is having to

manage a patient that just coded on med=surg and the orientee working with me got thrown to the wolves. I have come to realize that there are people on days and nights that are going to leave things undone and I consider them as being lazy and lose all respect for them as a nurse.

TheOneWithGlasses

Has 5 years experience.

At our facility one of the big things is that day shift doesn't really understand how dramatically the residents' behavior changes in the evenings--the whole sundowners thing. So evening shift is continually writing behavior reports and the day shift's attitude is *shrug* "Well they're fine for us" and it seems pretty clear they think we've gotta be exaggerating. One day we were short-staffed and a CNA from days stayed over and was absolutely flabbergasted at how the residents were acting. She kept saying, "Wow, they act so different at night" and I was like "THANK. YOU. Now tell everyone what you've seen here tonight" lol.

Where I work we all have to do our share of days, evenings and night shifts. Everyone has to change between all 3 shifts all the time. You might spend a week doing days and evenings, then you do nights the next week for 4 nights then you are back on days and evenings.

Everyone has to do one week of nights per month. It sucks but we don't have any shift wars. Everyone understands every shift.

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