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Topics About 'Night Shift'.

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Found 7 results

  1. kubelkabondy

    First time working night shifts - advice?

    I just accepted a 0.6 FTE CNA float position at a local hospital. My shift will be 7:00 PM-7:00 AM. It will be my first time working in a hospital, working night shifts, working 12-hour shifts, and working while in nursing school full-time so it's a lot of firsts for me! However my only major concern right now is how plan my sleep schedule so that it's not too crazy and erratic. I have classes on Tuesdays and Wednesdays, so I've requested not to be scheduled on Monday and Tuesday nights. Other than that, I could be scheduled any day of the week. I don't mind sleeping during the day on the two days after I work night shifts but other than that, I want to be on a daytime schedule. I don't know how to make this work. Advice? Thank you.
  2. Mya K. Brewster

    Resting Up For Night Shifts

    I hope you all are staying safe and sane during this worldwide freakout from Covid-19! I'd like to know, do you sleep well enough during the day to be "well-rested" (for lack of better wording) for your night shift? I know coffee is always an option to give you the extra boost if you need but is sleeping during the day time helpful or does it make you more tired when work time comes? If it is helpful, how much rest do you get/need to operate during a night shift? I worry that when I work nights, I'll sleep during the day trying to rest up and end up being super tired and yawning the entire time I work. Thanks so much in advance!
  3. As nurses, we often champion good nutrition for our patients. Unfortunately, we are known to fall short when it comes to our own eating habits. Research shows your risk of being overweight or obese increases by 40% or more if you work night shift. Studies also suggest working the graveyard shift may play a role in the development of certain cancers, type 2 diabetes, heart disease and other illnesses. Night Shift Problems Nurses working night shift face several challenges when it comes to personal well-being. We experience a significant disruption in our natural sleep cycle, which can lead to a sluggish metabolism and weight gain. It is definitely a challenge (if not impossible) to find healthy food choices in a fast food drive thru or vending machine during your 2 AM lunch break. And what about exercise? Good luck finding a safe place to exercise after dark and in the wee hours of the morning. Once you clock out, it usually takes your last bit of energy to drive home, take care of any urgent matters and make it to bed. Meal Planning is Key Eating healthy and even losing weight while working night shift is possible, but it does take effort. Planning is key since your best route to good nutrition on nights is to brown bag meals and snacks from home. Read on for a few good tips to help get you started. Eat Before Your Shift On night shift, your first meal of the day should be your biggest and eaten before you report to work. To keep your energy levels up, start your day with plenty of protein from lean meats, fish or other sources. Eating before your shift will also help you stay in line with your natural circadian rhythm. Be Snack Ready Having snacks readily available is your best defense against the lure of your vending machine’s high calorie and high fat goodies. Examples of good snacks include- fruit with low fat cheese or nuts with low fat yogurt. The Dieticians of Canada Healthy Snacks for Adults factsheet is a great resource for planning your workday snacks. Eat Less More Frequently After eating your first meal, eat small frequent snacks throughout the night. You should alternate a protein with a carbohydrate to keep you alert and satisfied. Sample Eating Plan First Meal 3 to 4 oz of chicken or any lean protein 2-4 cups of frozen or fresh cooked vegetables Snack 1 Apple or other fruit Snack 2 Greek yogurt with handful of nuts Snack 3 1 cup raw veggies with lite dressing as dip Snack 4 3 pieces of string cheese Final Meal 1 oz cereal with skim milk and fruit Eating a large meal during the graveyard shift can cause gas, bloating, heartburn or constipation. Once your shift is over, eating a light meal that includes carbohydrates will help you fall and stay asleep. Pause for Meals Many of us are guilty of mindless snacking as we chart or go about our busy shift. It is important to pause, sit down and take time to eat at a relaxed pace. As nurses, this is not always an easy thing to do, but hopefully, you will be able to carve out a few minutes to recharge. Avoid the “Entertainment” Snack When nurses begin to yawn and eyes grow heavy, It is common practice to visit the vending machine. However, snacking to boost energy levels does not work well and actually contributes to weight gain. Instead, try a ten minute power nap, a short walk or stretching to keep drowsiness at bay. Beware of Caffeine Yes, coffee and other caffeinated drinks can help you stay alert in the wee hours of the morning. But, many of us exceed the recommended daily limit of 400mg of caffeine. Caffeine also hangs out in your system for up to eight hours and can affect your ability to sleep. A good rule of thumb is to switch to decaffeinated drinks (water, juice, herbal tea) at least four hours before going to bed. Outside of Work How you treat your body outside of work will greatly impact your ability to stay healthy on night shift. Practice a healthy lifestyle by exercising, setting regular meal times and adopt good sleep hygiene. Also, don’t forget to step out into the sun to keep your vitamin D levels up. Want to Learn More and Earn CEUs? The National Institute for Occupational Safety and Health has a free on-line 2-part CEU module available on their website: NIOSH Training for Nurses on Shift Work and Long Work Hours. The training provides education about the health and safety risks associated with long hours and shift work and how to reduce these risks. Have any night shift meal tips and tricks worked for you? We would love to read about them!
  4. VivaLasViejas

    Night Nurse: Just Call Me Grace

    I'm not kidding. Now, I have been blessed with a good many talents, but the ability to walk and chew gum at the same time is not among them. My mother used to say I could trip over smoke. I'd walk over to a window to look outside and knock myself half-senseless when my forehead got there a split second before the rest of me. I once even lost my balance in an outhouse and dropped a five-cell flashlight down the hole during my one and only camping trip with friends. It's probably still down there, lit. That little trick earned me hostile glares for the rest of the weekend, as well as the nickname "Grace". So, as the reader may well imagine, nursing presents a wide range of pitfalls for those of us who are 'fluffy' and have never quite mastered the art of proprioception. This particular incident, for which I am still somewhat famous among my former co-workers, occurred during the Summer of 1999 on a sweltering August night. It was the kind of shift every nurse dreads: there was a full moon, and predictably, the ER was getting slammed with the customary assortment of MVAs, assault victims, and the intoxicated. Needless to say, we were running at top speed up on the floors to accommodate the flood of admissions......." running" being the operative term. And that is NEVER good news for someone like me. About four AM, an aide and I went into room 218 to check on one of our more aggressive detox patients, who---after several generous doses of Vitamin "A"---had finally calmed down and gone to sleep. Not wanting to turn on the light and risk awakening him, I used the moonlight streaming through the window to assess his respirations and check his IV while the aide tidied up the bathroom. Unfortunately, I didn't see the full water pitcher perched on the edge of the bedside table........and when I turned around to leave, my elbow knocked it to the floor. SPLASH! I should have known that this was only a sign of things to come. I opened a cabinet to look for some towels I could throw down to sop up some of the water while waiting for the aide to get the mop.....only to have dozens of paper drinking cups tumble out onto my head. In the process of playing 52-pickup, I bumped my head on the corner of the open door, which made me see stars and almost sent me sprawling. Still, my patient snored on and undoubtedly would have continued to do so if I didn't have the bad luck to trip over his catheter tubing while mopping the floor, giving it a good yank---OUCH. I then delivered the coup-de-grace by backing into an enormous flower arrangement, which (naturally) sent it to the linoleum floor with a horrendous crash that woke up not only my patient but everyone on that end of the unit. For some reason, this disaster struck me funny, and I broke up. I couldn't help myself. I laughed so hard that tears actually squirted out of my eyes. This, of course, was appreciated by no one except for my aide, who was also cackling madly as she helped me sweep up shards of glass and mop up yet another puddle. The next morning I was called into the nursing supervisor's office and sternly reprimanded for being the source of complaints about "all the noise and laughing on night shift". But even though I'm older now and have learned to control those rotten giggles a little better---especially when giving in to them would be inappropriate---I still chuckle at the memory of that night, for I know it could happen again, anytime, anywhere. After all, they don't call me "Grace" for nothing! :wink2:
  5. I usually chart "Pt appears to be sleeping, no respiratory distress noted" is this sufficient for charting that a pt is asleep? I heard that we should chart pt IS sleeping as it becomes a legality issue. What do other RN's chart when a pt is sleeping...thanks for the tips!
  6. Working night shift can be hazardous to your life. Here's 5 tips on how to adapt... Paint your bedroom walls black (to sleep during the day)Do not adopt a new pet (you don't want it waking you up while you sleep)Stay away from the coffee (you'll end up in the bathroom every hour if you do)Stay away from the Zombie in room 101Ignore Vlad when he tells you to drink some of his Hawaiian Punch.In the spirit of Halloween, add your night-shift tip below... Click Like if you enjoyed it. Please share this with friends and post your comments below!
  7. VivaLasViejas

    Hot August Night

    It all started with the patient in room 222. Jenny was a 94-year-old, feisty, and very demented lady who wandered the halls of our Med/Surg unit like a restless ghost, whom we had placed nearest the nurses' station to keep an eye on her. We couldn't keep her in bed even with q15 min. checks and were not allowed to use geri-chairs or medication to contain her, nor was there a sitter available. It was a busy night---a hot Saturday full-moon night---and we nurses were inundated with admissions. So it wasn't surprising when we lost track of Jenny...until we heard a scream from down the hall. It was the gentleman in room 216, and suddenly Jenny appeared, holding up a Foley catheter and drainage bag as if it were a prize-winning fish! We ended up calling Jenny's family to come sit with her, as we could NOT watch her every second. Thankfully her daughter was willing to come in, but as we put out one fire another arose; four admissions came up almost at the same time. One had a broken arm from falling out of a tree, two had been in a motor vehicle crash fueled by beer and machismo, and the other had a gunshot wound...to the scrotum The latter came up from the ER with a story that was almost as colorful as the wound to his manhood. Apparently he had shoved his loaded .38 in the waistband of his jeans and sat down in his car, just like they do on TV. It never occurred to him that this might not be the brightest idea. Naturally, the gun discharged and blew off his testicles, and now the guy was facing surgery as well as the prospect of never being able to reproduce. He reeked of alcohol and was obviously in pain, so he was not the most cooperative of patients; he didn't grasp the concept of the call light and when he wanted more pain medication he would holler "NURRRRSE!!" The fellows who had been in the MVC were put in the same room, where they proceeded to argue loudly about who was responsible for the accident. We ended up separating them when they woke up half the floor with their cursing. Meanwhile, one of our patients decided to crump just as another came up from the ER; the dude with the GSW was yelling "NURRRRSE!!"; one of my own patients' IV blew; and Jenny escaped again when her daughter fell asleep in the pull-out chair in her room. I was my usual graceful self and knocked over the flowers in room 201 with a loud crash as the glass vase shattered into a thousand pieces, causing the patient to wake up and cuss me roundly. And on top of all that, we had to deal with one of our frequent flyers, who came in roughly every 5-6 weeks to detox. This man was somewhere north of 400 pounds, strong as an ox, and routinely required restraints. I'd taken care of him before and seen him march his bariatric bed clear across the room while in 4-point leathers. This time he had drunk a case and a half of beer according to his wife, and she couldn't handle him anymore so she called an ambulance to bring him to the hospital. He was not in DTs yet, but he was already agitated and belligerent, and we started the CIWA protocol. I don't believe any of us had the chance to pee all night, let alone eat. But we worked together as a team, and eventually that hot August night ended and the day-shifters came in to a bunch of sleeping patients. Even Jenny had finally gone to sleep after eating three cups of custard and some graham crackers (why didn't we think of that first?) I don't think I've ever been as tired as I was that morning, but as hard as the shift had been, I was proud of us, and proud to be part of a team that pulled together when all hell was breaking loose. And we came back for another round the next night, because that's what nurses do.