NIghtshift Begins

I worked night shift as a CNA for a year and a half through nursing school. I was a patient sitter, who sat with 1-4 patients on the nights I worked. 12 hours, in a dark, chilly hospital room, trying to get a patient to sleep is difficult work. You may think it's easy or lazy work, which leads me to say: "You do it!" I have had multiple patients grab, kick, punch, and hit me. Yelling doesn't even count as attacks anymore, but some people come up with some nasty things to say when they are on CIWA (edited from AWA, I don't know what AWA is but I wrote this while tired... my bad) (alcohol withdrawal) precautions and need themselves a little buddy for their hospital stay. I have had to stand in the way of elevator doors and hand on for dear life as a dementia patient was pulling me in then pushing me out in hopes that he could get the elevator to work so he could go home.

It may not sound like much, but I have sat with suicidal 15 year-olds, patients suffering from paranoid schizophrenia, CIWA people, dementia sufferers simply wanting to go home, and with so many confused patients that even the nurse refuses to come into the room because of the tension and stress the patient causes for the patient. And yes, they charted that they had done their assessment... I saw it in the charting system but never once saw the damn nurse come into the room (I would know, I was in that stupid room all night, without a break).

Anywho, I predicted that working nights in the NICU would be slightly smoother and a little less difficult to stay awake during. I was correct... for the time-being. I haven't needed mid-shift caffeine boluses (for myself, we started a couple on the kiddos) just yet, nor have I been nodding off while charting. Granted, I just worked my second night shift last night and I'm still working on staying on-time with meds, labs, and feedings, so I stay pretty busy most of my shift.

First Night in NICU: I show up, bright-eyed and bushy tailed for the first day of night orientation. We get report on our two sweet babies and get started. Everything is chugging along with on kid that was admitted a couple hours before we got them (so they required a lot of extra help), and another little punkin that fought feedings with everything the kid had. My gosh, the baby would cry when not being fed, but refuse to eat when we finally gave the bottle. Hahaha, it happens, in my short amount of working, I have seen a few kids do that. So, we got through to about midnight and got notice that we would be getting another child to our assignment. Praise the L-rd I had a preceptor because I didn't even help with our third baby. Then, around 0430, we got a call that our already short-staffed unit would be receiving another little bundle of joy via surprise c-section! Seeing as I'm still learning, and two... one and a quarter nurses are better than none at said delivery... off we ran not even ten minutes later to a delivery that proceeded much more quickly than we were warned about.

When all the day nurses that had been teaching me for  the past several months asked how my first night-shift was, all I could do was allow my eyes to get really wide and say, "Well, I learned a lot." That's it! My gosh, I did learn a lot and the nurses learned that I could be counted on to do their assessments if I happened to not be crazy busy while one of their little patients decided to go meet Jesus as an inopportune time for us. I know it's all about working with the babies and their schedule, but them leaving us to "go towards the light" is not something we take kindly to.

Plus, I realized at about 0200 that it was the Harvest Moon, which is a full moon that packs in EXTRA "excitement" (edited from crazy, because that's a mean word to use), obviously. The labor board was chalked full, our NICU is full to bursting, and all of the babies (both earth-side and those still earth-bound) were in cahoots. The ones we had were mostly trying to die or crying their little lungs out. While the kiddos still cooking in mamas decided that it's about time they join in with our fun. Well, normally I'm all for lots of babies, but when said babies are just a couple weeks over halfway baked, it causes a bit of stress for the medical professionals committed to trying to make sure living humans remains living.

NICU Night #2: We started with two infants and gave report on only those two infants. Oh my gosh, it was glorious. We had time to help other nurses that were crazy busy, and all of us went home and clocked out on time! Charting completed, meds given, learning opportunities utilized, IV placed on child, and teachings done!

When day-shift nurses came on and asked how my shift went, I couldn't help but beam with excitement. I stayed on-timeish (minus getting behind for pulling an umbilical arterial line (scary) and doing labs at 0500. Besides that, the shift went fairly well. My gosh, I have been so incredibly blessed with good preceptors and my night-shift preceptor is no exception. She is a wonderful nurse, a great teacher, and a really sweet lady. I am very glad to be able to get to learn from her and know that I can count on her when I am on my own drowning in the future.



My orientation is technically over in 4 shifts. That completes my 12 weeks of training and preceptorship and the more I work the more under-qualified I feel. I'm not a parent. I've never breastfed. I am a brand-new nurse that has a college degree essentially giving me permission to begin on-the-job training. In a field that is life and death, that is freakin' terrifying. Throw into the mix that the life-or-death circumstances belongs to people's literal babies, and I'm plumb scared off my rocker.

Between being scared of breaking or killing somebody else's child and being terrified that they think I'm gonna be okay to be on my own soon, there is also the worry of the night shift staff. So many of them are girls that are a year or two out of college, but already thinking they should be charge nurse. However, these girls don't even keep up with the responsibilities they have to keep their babies clean, fed, and organized. I'm so sick of my generation thinking that they are better than other, they are entitled, or that they can climb the ladder just by sucking up to those in management positions while degrading and bullying those of us perceived to be "less than" them. Why am I "less than" you might ask? I don't know. These girls won't acknowledge me, look at me, speak to me, help me, or otherwise respect me as a living being. The only thing that shows that they can actually see me, is that us "less than's" tend to be tucked into various jokes. At least I provide comedic relief to somebody! I'm constantly laughing at myself, but it's nice to know somebody else can laugh with me too.