Posts Tagged ‘nursing’

the end of night shift

This one deserves a giant picture and few words.  My last night shift sunrise!  After just under four years watching the sun rise to signal the end of my shift, I finally get to head over to the land of the living.  At least the sun setting on day shift is just as pretty!  Day shift, you’re mine all mine.

But first, a nap.

06

08 2014

so long night shift, hello DAY SHIFT. forever ever.

If you’ve been around this blog for at least a little bit, you’ve probably heard me complain about night shift in one form or another.  If you’ve been around since the beginning (2008, yikes!), you heard about starting my nursing career on evening shift…which allowed me to sleep at night, but didn’t really allow for any sort of social schedule.  I am excited to say that for the first time in my nursing career, I have made it to the illustrious day shift.

DAY SHIFT.

You heard that right.  When I talked to my manager last summer, he seemed to think that I’d move to full time day shift this summer.  Then half of my unit closed, so the next conversation made it sound like full time day shift might not happen until next year.  I wasn’t thrilled about the idea, except there isn’t really much I could do that about…if I went to another unit, I’d be at the bottom of the totem pole again, and I don’t actually want to leave my unit.  But I was getting tired of night shift.  Actually, I was just tired of being tired.  (I said the same thing when I had mono.  So exhausting.)

Anyway, my manager called me last week to ask if I would shift my weekend night shifts to day shift, which I politely declined since I have lost the ability to fall asleep before 4am.  (It’s fun, really.  I’ve seen every episode of House Hunters and Brother vs. Brother at least twice.  You would think I’d be able to renovate things by now, but no.)  The next on the agenda was the day shift discussion, and not only would I not have to wait until next year, but I only have to wait until next month!  (When our next schedule comes out.)  So as of August 10th, I will be on permanent day shift.  No more rotating, day shift is MINE ALL MINE.

Pretty sure my body did a collective sigh of relief.  I have some mixed feelings about going to day shift, although I am mostly excited.  Most of my time is spent on nights, so it’s what I’m more comfortable with.  While there are something I will miss about night shift, there are many things I won’t.

I will miss the people.  And the lack of people.  The people I work with at night are quite awesome, and since I spend the most time with them, I’m more comfortable being and working around them.  Not that the day shift people are bad, but it takes me a long time to get comfortable with people.  Additionally, many fewer people are around on night shift…it’s basically the nurses, the covering PA and fellow, housekeeping, and a nursing supervisor who covers the hospital.  Compared to day shift when alllll the disciplines are around, it’s much quieter.  And if people exhaust you, it’s must more tiring to be on day shift.

I will miss being more autonomous.  Since no one else is really around at night, you basically set your own schedule.  We don’t have to time dressing changes around when the attendings are available or when anesthesia might show up or when physical therapy is planning on coming.  While these things are all important, it is nice to set your own work routine with your patients.

I will miss not setting an alarm.  When I’m on night shift, I don’t set an alarm all that often.  Well, I do set one, but I’m usually awake before it goes off.  On my days off, I’ve basically given up on trying to have a normal schedule, so get up when I want.  This is often closer to noon.  I’m basically the opposite of a morning person, so waking up at 6 or 6:30am for work is going to be a struggle, but hopefully it will become more routine once I know I’ll be doing in permanently instead of two months at a time.

I will miss the night shift differential.  We get paid about $3 more per hour to work night shift, which doesn’t sound like a ton, but it does add up over time.  However, lifestyle and not feeling like death definitely wins on this one, so I’ll take the pay cut.

I will miss seniority on nights.  I’ve been on my unit for almost four years, which is laughable compared to the nurses who have been there for over 20 years, but plenty of people have started after me.  This is nice when it comes to holidays and sometimes scheduling, as I have the seniority card on my side.  Back to the bottom of the totem pole on day shift.

image

I will miss seeing the sunrise.  Seeing the sunrise is the ultimate sign that a shift is almost over.  We have a great view of the Queensboro from my hospital

I will not miss planning to sleep.  Sometimes people don’t think about how night shift people sleep.  When normal people sleep, they probably think, “Okay, it’s nighttime, and I have to wake up at XX, I should probably go to bed at XX.”  Or you just go to bed when you’re tired.  If I’m heading back into night shift, I’ll try to stay up as late as I can the night before and then try to sleep in as late as I can that day.  After my last night shift into a few nights off, I try to wake up at a reasonable hour so I’m not staying up all night.  (For the record, this is all a plan, and sometimes doesn’t go according to plan.  Sometimes I fall asleep at midnight and other times I sleep until 6pm.  Fail.)

Me everyday.

I will not miss being tired all.  the.  time.  I’m basically nocturnal these days and can’t sleep at night anymore.  But that doesn’t mean I don’t hit a time of night at work where I just want to fall over.  The walk home is brutal and I don’t know how people drive safely after working nights.  I’m often just tired all the time.  I actually went to my doctor earlier this year (on month seven out of eight months of nights) and told her something had to be wrong with me.  I got my iron/hemoglobin/thyroid checked, but basically she was like, “Um, you work nights…so it’s probably that.”  And she was probably right because I felt so much better when I rotated to day shift.

I will not miss taking my medication inappropriately.  I was diagnosed with subclinical hypothyroidism about 2.5 years ago (recently found out I have Hashimoto’s, so that’s cool?), so I was started on Synthroid.  Synthroid is best absorbed on an empty stomach (aka don’t eat anything for either one hour after taking it or four hours before)…and is generally taken in the morning (or at least at the same time each day).  The problem is that there’s not a consistent time of day when I have an empty stomach.  Either I’ve eaten at work (if I wanted to take it in the morning) or I’m living like a normal person and eating dinner or afternoon snacks (if I wanted to take it in the evening).  So I’ve been taking it in the morning and my dosage has continually increased.  Hopefully we can stabilize that now that I will be on a regular schedule.

I will not miss the 3am night shift life crisis I create for myself.  Usually when I can’t sleep at home and it’s the middle of the night or in the middle of the night on a painstakingly long shift, I wonder what I’m doing with my life.  Therefore, I think of every possibly option to do something else.  I’ve researched business school.  I’ve researched how to become a travel blogger.  I’ve googled how to marry rich.  Started a Peace Corps application.  Used the words “I hate everything” repeatedly.  These are usually resolved by getting some sleep.

I will not miss trying to figure out training.  I don’t think any combination of 12 hour shifts is all that great for training purposes, but I think it will be a little easier on days rather than trying to figure out flipping back and forth.  Plus, I usually have more motivation to go to the gym or run after day shift than I do on nights.  So that’s nice.  PRs here I come!

The only good thing about working overnight is that's socially acceptable to put vodka in orange juice at 10am.

I will not miss eating on a weird schedule.  Is it breakfast?  Dinner?  Why are you drinking coffee at 2am?  Waking up after night shift and then have a beer basically means I will fall asleep soon.  (See:  The Super Bowl when I fell asleep at a bar.)  Also, I’ve been eating ice cream when I get home from night shift…it’s only a little weird to eat ice cream at 8am.

I’m sorry to those of you who may enjoy my delirious 3am tweets, but thank you to those people who are on the west coast, Europe, or Australia for keeping me entertained at times.  Everyone says that coming off of night shift feels amazing and gives you a new lease on life.  I don’t know if that’s being dramatic or not, but I know that I physically and emotionally feel a bazillion times better on day shift, so I’m looking forward to that.  HOORAYYY!

Tell me how glorious it is to sleep at night, for I’ve forgotten.  Nurses – what shift do you work?  Is day shift as glorious as I’m hoping it to be?

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07 2014