I am so tired right now!  I've been on nights now for two weeks and it's been a difficult transition so far.  It's 11:45am right now and I got off work at 3:30am.  I was up at 9am.  And I haven't been back to sleep.  So here I am, staring bleary-eyed at a computer monitor in an almost catatonic state.  I was on the day shift for four months and detested getting up before the sun came out.  I never really got used to that at all.  I had the opportunity to switch to nights at the end of April and I jumped at it.  I'm used to late nights in a hospital.  There is a different atmosphere on nights, I guess.  For instance, the lights are turned down low, patients are bathed and readied for bed, and it's quieter.  Most nights. 

For me, nights are the best time to learn as a new nurse because you have time to sit with your preceptor and pick their brains.  You can gain so much knowledge from your preceptors and co-workers because nights are so much more relaxed (for the most part)and you don't have to worry about catching the doctors or dealing with visitors or the regular hustle and bustle that exists during the day.  At night you can sit back (if your patients are stable) and discuss your patient with your preceptor and really get a grip on the whole critical thinking aspect of nursing. 

In two weeks on nights I have learned how to view brain hemorrhages on a CT scan, how to draw blood off of an arterial line, how check a cardiac index on a Swan, what a proper CVP waveform looks like and how to troubleshoot a bad waveform, how to recognize an aortic aneurysm on a CT, what a procedure called a Whipple is, and how to call doctors on the phone and not make them upset because I'm calling about something little.  I've also perfected the art of giving a bed bath in under 15 minutes while completing my midnight assessment.  What accomplishments!

I also like nights because that's when I think a lot of excitement happens.  New admits come in who aren't stable, and the unit I'm on now gets the traumas, surgeries, and just about anything else that is critical.  The patients could potentially crash at any given moment and to me it's all very exciting--I like the adrenaline rush of having someone's life in your hands.  It's very fast-paced when a new admit comes.  There are about 10 people helping out, with someone documenting, someone else is getting supplies, several people are getting the patient moved onto the bed, and various people are hooking the patient up to the monitor, changing the linens, running the ventilator, cleaning up messes, hooking up IV lines and drips, and so on.  There's a lot going on in a limited amount of space and it's all exciting to me.

There are other nights when nothing is going on and it's all I can do to stay awake.  I've developed a caffeine habit that consists of Red Bull and coffee.  I hate coffee.  But it keeps me up as long as I put in a boat load of cream and sugar.  I get the yawns around 3am.  Between 3 and 5 I am a zombie.  I caught myself nodding off while charting my assessment last week.  In order to stay awake, I take a brisk walk down the hall or I do a few jumping jacks (not in front of everyone, but I go to the bathroom or the supply room and do them).  Then there are some nights that, regardless of what I do, I am either wired or exhausted and there's no way around it.  Nurses have it rough at night because we are constantly fighting our own bodies' response to Circadian rhythms.  Most people's bodies are not used to staying up through the night, and mine is certainly no exception. 

So while I love nights I hate the fact that I am not sleeping a lot during the day.  It'll take some time to get used to, but I can deal with it.  I'll have to regardless because almost all new nurses get put on the night shift after orientation anyway. 

Time to get back to bed.

Saturday, May 03, 2008 11:05:06 AM (Eastern Standard Time, UTC-05:00)    Comments [0] |