Published
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I totally agree with zookeeper3. Night shift has less management people who do their rounds and pound on their chests to let everyone know who's the boss!
Night shift also has less docs and less med students who come to your unit to write orders long orders, and then come back half an hour later to change the original orders.
If you have small kids, you could take care of them during the day while your spouse is at work (presumably during the day), then go to work at night... like a zombie! I was like that for many years!
Oh yeah, you could earn a lot more money, but then statistically your life would be shorter compared to day shift workers.
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I'm nightshift, and on our floor, I don't think we do less work at night. Yes, we don't have to deal with meals, management on the floor, etc.
However....
We also have less support, less help, if we call ANYBODY we have to deal with a woke up grumpy person. You have docs where you are trying to get a patient on a pressor drip because their BP is climbing thru the roof and you get, "Hey, Dr. X, this is Nerd and Ms. J's BP is 209/103--" z-z-z-z-z-z-z-z "Dr. X? Dr. X, WAKE UP." We have docs who have small kids who don't want to wake them so they turn off their phones (ever sent the cops to wake up a surgeon on call? I have.). We've got 1 radiology tech for the whole hospital, so a stat portable CXR on the floor has to hold for the MVA in the ER, and you're watching the patient die while you wait for one of the 2 RT to come and give an asthma patient a breathing tx. We've got 1 doc in the ER, and you have to call a code to get him to come into the main body of the hospital for something like a ripped out trach. Often you're also taking turns spelling the telemetry tech, the secretary (if you've got one) and the house supervisor will call wanting a "spare set of hands" to go the ER if they're slammed.
To top that off, you've got all the paperwork for the AM surgical patients, the COBRA packages for the transfers, chart checks and all the normal q2h neuro checks, FSBS, that every other shift has.
But you learn to be a lot more self reliant. For 2 extra bucks an hour.
When you say nights, do you mean exclusively the 11:00 PM to 7:30 AM shift? I am a permanent 3:00 PM to 11:30 PM shift nurse. Do we do more work than day shift? It is comparable. We get the most admissions to do while day shift get the most discharges. Admissions have more forms plus the assessment for the nurse to complete.We pass just as much medications as the day shift. I can only work evening shift because I need the shift differential in order to keep my head above water. In this area shift differentials are between 5 to 8 dollars an hour.
Maco
59 Posts
Thank you all for all the comments.I wanted to just add that the position is flex-meaning I would be working all over the hospital except in the er or icu. I would can tons of experience. I'm hoping maybe eventually I could move to days but there is no promise I could move to days only if a position opened up on days.My manager now did tell me I could come back to days if I didn't like it.