Why shift diff nights when days are so busy?

Nurses General Nursing

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I've worked nights for 7 years and only recently switched to days. How many times at night had it gotten a little busy and the nurses complain about the day people : "they think all we do is sleep." The night diff at my hospital is 5 bucks an hour, plus the extra shift bonus is 50 dollars more--200 rather than my 150.

So I went to days. Now for less money I get families, nutritionists, case managers, social workers, doctors, multiple orders that need to be done now, CT and X-ray calling to tell me to change the order because they can't do the exam for reason #12; every manager in the hospital all over the staff, etc etc. Yesterday I had 3 discharges at the same time, and in walks my direct admit for chemo with a portocath that didn't work. A half hour before shift change, here comes my ER admit and a heavy ICU transfer at the same time. The thing is, this is a normal Monday.

And for working my butt off I get less money. I've worked hard at night, sure, but that was my choice. I will testify that the bulk of the night people at my facility put on the ipod at 11:00 and sit reading, or surf the internet, or sit around visiting. A lot of free time in between calls. Unheard of during the day. So my issue is, why should nights be more money? For staying up? I think it's crazy given the workload that nights are given so much more. Obviously I'm going back to nights after the holidays.

Just a consideration, to give money to those who work hardest.

during days the phone will ring and wake you, the mailman will ring the door bell, the jehovah's witnesses will come by and attempt to convert you, the neighbor cutting the grass with a 20 year old lawn mower and broken muffler,( insert problem here why you cant sleep:angryfire),etc.

make sense why night shift should be paid better?

don't forget the ice cream truck with it's dingy-dingy bell that you can hear from 5 miles away!!!!! (wish i had a shotgun:devil:)

ain't that the truth!

i do weekend option days just because there isn't an opening for weekend option nights. i am as nocturnal as miranda. right now i'm working thurs nights, 11p-7a and i love it. i have no problems sleeping during the day and i have tons of energy during my night shift. i like nights better because it seems we are a closer group. everyone helps each other out and there's no attitude. none of the nurses treat me (the aide) like i'm dirt unlike day shift nurses. plus, i get $2 extra an hour for nights. you might not think that's much, but when my base pay is $10 (after working there for 6 years) it means alot.

i feel like i should get paid more on days. responsible for ~12-14 baths, bs, and vitals on my pts. also all beds get changed, turns q2, prep for surgery, and everything else the nurse needs assistance on such as caths, remove iv's and caths, wheeling pts out after d/c. nights can get busy, but there's no accuchecks, no baths or bed changes, no trays to pass.

i have two fans blowing on high when i sleep during the day. i live in an apt building on a very busy street near downtown. i can't hear a thing. and i only use box fans because they provide the most noise.

Thank God for fans :lol2:

Each shift has its own demons. For me, having the suits breathing down my neck all day would make me go postal. I like the fact that working nights allows me to be more independent. I like the teamwork of the night crew--- we don't have the backup available on day shift, so we must depend on each other. I don't like that my manager never seemed to 'get it' that the majority of admits came after 7pm (continuing throughout the night)... and that we did not have a unit secretary... and that for a long time, there was only one RN on nights (and often after 7pm).

Our LPNs were incredible, and could work circles around many of the RNs I've worked with, but by policy they were limited in what they could do. So in addition to doing all the secretarial work, I did all the admits, initiated all transfusions, drew all the central labs and did staffing in addition to carrying a full patient load of my own.

Like Leslie said, I'd love to know where these nurses work that have time to play all night. I did see some of that in a couple of my travel assignments; it wasn't because the nights weren't busy but rather certain nurses were (IMO) lazy as hell. Lord knows I had enough to keep me occupied.

i have been working nights for about 3 months now. granted i work postpartum and usually its not too crazy. but about 50%-75% of the time some mess is going down. the nights i get to socialize with my co-workers are far and few between so i relish in those nights. i chose to works nights b/c 1) more pay to bump up the little bit they give me, 2)as a new grad i need nights to give me a chance to get a grasp on things. days make me crazy. i love nights. i actually dread the day when i have my first child and have to switch to days. (maybe i can find a hosp with 24hr daycare). so i am one of those odd balls who thrives in the dark. i totally agree that days are crazier and busier than nights -atleast they are on my unit. but it all goes with the availability of support staff and amble docs around to help out. nights - its me and my charge nurse and that can get pretty interesting depending on any issues that arise. nursing as a whole needs a pay raise.

Let's see...

I've worked nights for over 20 years now. I come in at 7p and hit the floor running, and don't stop to sit down until 2-3am (if I'm lucky...) Then it's chart checks and paper work out the wazoo, all the while jumping up repeatedly to put out fires. (night shift has always been inundated with paper work and clean up, because it's assumed we have the time--- after all, all we do on nights is eat bonbons and surf the internet, right?)

And you know all those people surrounding you on day shift? The ones you can simply walk up to and ask for assistance? The ones who will help you extinguish those sparks before they become a raging inferno? Well, while I'm working they are at home sleeping. I'm expected to take care of these issues on my own or with the limited resources available in the middle of the night.

This is a 24/7 job; patients don't stop having crises when the sun goes down. And as much as I've tried telling them they aren't allowed to be in pain, or go septic, or develop respiratory distress, or bleed out, or code, or [whatever] until the sun comes up... well, that just doesn't seem to work.

This post says it perfectly.

I just want you to know that I always read all of your posts and I always agree with every single thing that you say!

Specializes in Med/Surg, Psych..

I worked all three shifts, now I work days. In our hospital all three shifts are hell shifts...busy, short staffed, nasty families, grumpy docs, too many discharges during the day, too many admits in pm, no lift team at night..so and so forth!!!. I like days because I get eat dinner with my family, I dont miss the differential...I can make it up by working a 2nd job plus doing overtime. However I also dont like getting up so early in the morning....but see I can not have it all....so I am hoping oneday I will just be able to quit nursing:lol2:

Specializes in Everytype of med-surg.

As someone who has worked equal amounts on both shifts, I totally agree that day shift is horribly busy. However, I still would not work the less hectic night shift if there was no differential, and I believe that to be true for most other nurses. I am currently working nights and it seems that no matter how much I sleep, I walk around exhausted. My body definitely does not agree with night shift. If night shift was so great, and the suits didn't have to pay differential, do you think for a minute they would?!

Specializes in Peds Cardiology,Peds Neuro,Pedi ER,PICU, IV Jedi.

Why night shift diff?

Simply put - we have to rearrange our lives to work nights. It takes a physical toll on everyone I've ever worked with (in the 12.5 years of working straight nights). Some people can do 3/4/5 in a row. I can't. But regardless of our schedule, we end up having to sleep when our bodies "need" to, but not necessarily when we "want" to.

During the day is when everything needs to get done...gotta pay this bill, go here to pick up some pants, take this to the cleaners, go by the kids' school to talk to the teacher - all the while I'm supposed to be sleeping. Add this to the incessant interruptions while trying to sleep during the day - kids playing outside, lawn mowers, sirens, sunlight, and you truly can't get a glimpse of this unless you've lived it. To say "night shifters have it easy" is incredibly naive (not that anyone has, I'm just making a point). Research indicates that night shift takes a toll on us physically, too...possibly leading to cancer :o

It also can leave us with less time for our families - think about it. Everyone else in the world has a nice, normal job working during the day when our bodies are accustomed to being awake. Our spouses work during the day, our kids are doing things then too - and if we are to do anything with them, it has to be at night, when we're rested and available.

I agree with others, day shift is hard because it's so busy. You've got a ton of people wanting you to do things "right now" and no help to do it with. I know it can be crazy. But after your shifts, you can go home and sleep - and maybe even have the next day completely off. Me? There are times when I come to work twice on the same day!! I just left at 0730 and now I'm back at 1900.

And as my friend Emmanuel G said - we don't have the backup that you guys do during the day. There's not an attending physician down the hall to come and help should there be a code or a patient needing intervention. We have to be on guard all the time...for the worst to happen. And we have to know whom to call pronto when they are needed...and hope someone responds in a timely manner.

vamedic4

;)

Specializes in LTC, Med/Surg, Peds, ICU, Tele.
This post says it perfectly.

I just want you to know that I always read all of your posts and I always agree with every single thing that you say!

[bANANA]Hey Goldstein, you have a fan!!![/bANANA]

(what about me, do you like my posts too? :mad: )

I work in SICU. When we transfer out patients on day shift, guess who will be filling those trauma beds on a Saturday night.

For some reason, many times a patient that was agitated all night is zonked out all day and starts up getting restless towards the end of my day shift. Guess who will have to wrestle them all night?

i too think it depends on where you work. we are always short staffed on nights, usually the less experienced nurses work this shift. so, it gets really crazy at times. i have been a nurse for 30, years, each shift has it's ups and downs. butt, from a management prospective, nights and evenings are always more difficult to fill. i work 3-3 now in an er, love it , it's the best of both worlds. i get the diff and have somewhat of a normal life. however, when my kids were small i would have missed out on a heck of a lot. so back then day shift was better, then i went to week ends so i didn't have to pay day care costs. it will always be a fact of nusing that day shift hates nights, evening gets caught between the two and nights hates days.

[banana]Hey Goldstein, you have a fan!!![/banana]

(what about me, do you like my posts too? :mad: )

As a matter of fact, I do!

Whether they sleep or work night shifters get a differential just because they are willing to work that unpopular shift. For the record, I have almost exclusively worked night shift, and have yet to find an employer that pays a differential for this shift. So not all night shifters get to reap the benefits of a nice differential, just like not all night shifters get to sleep most of the night away.

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