#WeNurses - Thursday 19th September 2019 8pm (GMT Standard Time) Nights !!!!

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Just because the sun goes down it doesn’t mean that people don’t need nursing care; we all know nursing is a 24 hour profession … however working the night shift can bring it’s challenges.

Keeping noise to a minimum and working in dim light can be tricky not to mention struggling to stay awake and alert in the early hours of the morning. In addition to this there are the perceived ill effects from working night shifts and being able to eat healthily and get enough sleep during the day …. There are a whole lot of issues surrounding nights!

Some of the hot topics, with links to further reading, we have found associated with working nights are:



Working the night shift is something we have tackled before via #WeNurses but we get many tweets around surviving night shifts so we thought it was about time we tackled it again, so this #WeNurses will focus on the following questions:

  • What are the challenges of working nights as a nurse?
  • How can we ensure we get our work done whilst at the same time ensure the people we care for get adequate sleep?
  • How do we stay healthy on nights?
  • How do we stay awake and alert?
  • What does the evidence and research say about night time working? How does this affect our practice?
  • What are your top tips for surviving the nightshift?





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 #WeNurses transcript

 
@WeNurses
19 September 2019 20:01
Hi everyone ... welcome to #WeNurses ... tonights topic is "The Night Shift" Please tweet us a "hello" if you are joining us and let us know when was the last time you worked nights ... and how you feel about them ! https://t.co/ACvePIpuus
@AgencyNurse
19 September 2019 20:02
Helloo Teresa here .... I never minded working nights but its always caught up with me a few days later and made me proper grumpy ! #WeNurses
@AgencyNurse
19 September 2019 20:02
RT @WeNurses: Hi everyone ... welcome to #WeNurses ... tonights topic is "The Night Shift" Please tweet us a "hello" if you are joining u…
@debscooper131
19 September 2019 20:03
@WeNurses Hi all I'm Debs. I'm currently on secondment so no nights for me for a year but I was doing nights regularly up until mid July. I'm normally ok on nights themselves but struggle to swap back to days #WeNurses
@WeNurses
19 September 2019 20:03
Gosh wow .... is that a personal choice to work nights and do you prefer it ?? #WeNurses https://twitter.com/lill_gemma/status/1174760619758800896
@WeNurses
19 September 2019 20:03
Hi Debs and welcome #WeNurses https://twitter.com/debscooper131/status/1174760827423023105
@AgencyNurse
19 September 2019 20:04
@debscooper131 @WeNurses yeah that was me too .... nights were ok ... a few days after were not ! #WeNurses
@WeNurses
19 September 2019 20:05
QUESTION 1 What are the challenges of working nights as a nurse? #WeNurses https://t.co/QncHggHZ4n
@mynameisAndyJ
19 September 2019 20:05
Just lurking and interested in the chat and what facilities teams need to do #WeNurses
@WeNurses
19 September 2019 20:05
Thats great to hear Su #WeNurses https://twitter.com/SuHickman/status/1174761259872464902
@WeNurses
19 September 2019 20:05
Nice to have you in the room Andy :D #WeNurses https://twitter.com/mynameisAndyJ/status/1174761419390296072
@debscooper131
19 September 2019 20:06
@AgencyNurse @WeNurses It's just trying to get yourself back to a day time sort of routine, it was migraine central sometimes #WeNurses
@AgencyNurse
19 September 2019 20:07
1 - staying awake 2 - staying quiet 3 - sleeping the next day 4 - balancing peoples need for sleep with other care needs #WeNurses https://twitter.com/WeNurses/status/1174761391527550977
@CalvinMoorley
19 September 2019 20:07
I would always be off sick by night 3 so I was sent to OH who listened (amazing) and recommended I do only 2 nights kept my sanity and health #WeNurses
@AgencyNurse
19 September 2019 20:08
@debscooper131 @WeNurses poor you - i never suffered form migranes but was Mrs Grumpy #WeNurses
@debscooper131
19 September 2019 20:08
@WeNurses Challenges are making sure you're doing your jobs quietly to try minimise disruption to patient's sleep, getting yourself into a good routine, not snacking on ALL the sugar/carbs/naughty things, sleeping between shifts and getting yourself back to being day shift ready #WeNurses
@lill_gemma
19 September 2019 20:08
@WeNurses I think nights is a great shift for new nurses. The pace is different and often there is a lot of experienced staff on the shift. #WeNurses
@mynameisAndyJ
19 September 2019 20:08
I would add keeping your food and drink balanced as eating habits change when doing nights - something we forget #WeNurses
@CalvinMoorley
19 September 2019 20:08
@WeNurses Food never proper dietary provisions for staff #wenurses I still see the delivery man delivering food to night staff
@WeNurses
19 September 2019 20:08
wow great that they took this seriously and found a way to work around it #WeNurses https://twitter.com/CalvinMoorley/status/1174761910748766208
@HCUK_Clare
19 September 2019 20:09
RT @WeNurses: Hi everyone ... welcome to #WeNurses ... tonights topic is "The Night Shift" Please tweet us a "hello" if you are joining u…
@debscooper131
19 September 2019 20:09
@AgencyNurse hehe, this made me chuckle!! #WeNurses
@LeaBasra
19 September 2019 20:09
@WeNurses Hello last night shift i did was january as once i got pregnant they didnt want me on nights much to my relife as my morning sickness was always at night ?? #wenurses will be back to doing them when finish mat leave though ?? i hate them
@AgencyNurse
19 September 2019 20:09
yes indeed .... always found myself craving junk food and sugar at night .... and do you eat breakfast before you go or when you get back ?? #WeNurses https://twitter.com/mynameisAndyJ/status/1174762203699957760
@WeNurses
19 September 2019 20:11
Oh no !!! #WeNurses https://twitter.com/LeaBasra/status/1174762442670399488
@WeNurses
19 September 2019 20:11
RT @CalvinMoorley: @WeNurses Food never proper dietary provisions for staff #wenurses I still see the delivery man delivering food to night…
@CalvinMoorley
19 September 2019 20:11
@WeNurses #wenurses Yes its about being honest and back then my OH listened to me
@WeNurses
19 September 2019 20:11
great points #WeNurses https://twitter.com/lill_gemma/status/1174761838673891333
@LeaBasra
19 September 2019 20:11
@WeNurses Lack of sleep, working in rubbish light and less staff #wenurses plus full moon each month and the dreaded extra hour when the clocks go back always cop that one
@debscooper131
19 September 2019 20:12
@lill_gemma @WeNurses there's definitely advantages to working nights. I like the fact that you get more time to spend with patients if they're awake and you can sit with them. I've had some of the most profound conversations with people at that time #WeNurses
@WeNurses
19 September 2019 20:12
#WeNurses https://twitter.com/tonymcgeown/status/1174761787465621505
@WeNurses
19 September 2019 20:12
RT @LeaBasra: @WeNurses Lack of sleep, working in rubbish light and less staff #wenurses plus full moon each month and the dreaded extra ho…
@MHealthDez
19 September 2019 20:12
@WeNurses I find getting into a decent sleep routine, taking my medication at an appropriate time (is morning now night and night now morning?), and eating a decent diet the biggest challenges! Everything else can fit around those key issues. #WeNurses
@lill_gemma
19 September 2019 20:12
@debscooper131 @WeNurses All of this. The worst is people who have to rotate and flip back and forth between days and nights. Also, I think that working nights has an impact on your relationship with your partner if they work during the traditional daytime hours.#WeNurses
@CalvinMoorley
19 September 2019 20:13
@AgencyNurse Believe it or not I learnt about chips with curry sauce or gravy on nights at St Thomas’ hospital #WeNurses
@AgencyNurse
19 September 2019 20:13
@LeaBasra @WeNurses light is really important .... thanks for mentioning it! I always struggle in poor light ... and this then just adds to tiredness #WeNurses
@AgencyNurse
19 September 2019 20:14
@CalvinMoorley oh goodness me ! Yes i can believe it #WeNurses
@WeNurses
19 September 2019 20:14
Great points .... it's not all bad #WeNurses https://twitter.com/debscooper131/status/1174763088144470017
@debscooper131
19 September 2019 20:14
@lill_gemma @WeNurses Yeah, unfortunately I had a bad run last summer with 2 nights and at least 1 day every week for about 2.5 months, it made my migraines so bad! I'm single so didn't impact any partner but I felt so isolated from friends & family as when I wanted to call they were asleep #WeNurses
@WeNurses
19 September 2019 20:14
#WeNurses https://twitter.com/leatyt_ya/status/1174763668292214784
@WeNurses
19 September 2019 20:15
QUESTION 2 How can we ensure we get our work done whilst at the same time ensure the people we care for get adequate sleep? #WeNurses https://t.co/IktrdA4Uxh
@CalvinMoorley
19 September 2019 20:15
But on nights there are great opportunities for learning, different routine like morning bloods, getting pre op prepared and more time to talk to patients (quietly) #WeNurses
@AgencyNurse
19 September 2019 20:15
@debscooper131 @lill_gemma @WeNurses wow that doesn't sound like a great or healthy shift pattern ! #WeNurses
@MHealthDez
19 September 2019 20:15
@LeaBasra @WeNurses The light is difficult to work in, I find that a challenge... However, I quite like the night shift, once I'm in a routine. I love the extra patient contact and the time to talk to my patients, not just rush a quick chat. #WeNurses
@debscooper131
19 September 2019 20:15
@LeaBasra @WeNurses yup, I copped that one, but made sure I then worked the shorter night in the spring! #WeNurses
@LeaBasra
19 September 2019 20:16
@lill_gemma @debscooper131 @WeNurses Oh yes forgot about the transition from day shift to night shift and vise versa being a issue especially when they only give you 1 days off (that techically have worked 8 hrs of) then back on a day shift so tiring and draining #wenurses
@debscooper131
19 September 2019 20:16
@AgencyNurse @lill_gemma @WeNurses it wasn't the best!! I was getting far too many migraines & my mood/anxiety levels were dreadful #WeNurses
@debscooper131
19 September 2019 20:17
@LeaBasra @lill_gemma @WeNurses yup, that's always been a bone of contention for me that your "day off" is technically a sleeping day that you've already worked a good chunk of. #WeNurses
@JFr4ser
19 September 2019 20:17
@WeNurses Haven’t worked nights in my current role for 13yrs. It’s a daytime post. Having been in an ITU setting beforehand with 50% nights I had lost the ability to sleep. Going back to nights is something I’d have to weigh up over a new post #wenurses
@AgencyNurse
19 September 2019 20:17
@WeNurses it's a balance ... sleep is so important, so you do have to ensure that every intervention is needed at that time. Keeping lighting low, keeping voices soft ... little things help #WeNurses
@MHealthDez
19 September 2019 20:17
@WeNurses I find it's about risk assessing the situation and making a decision about whether or not the person either needs waking or not. Sleep is so vitally important in a persons mental health and recovery. #WeNurses
@AgencyNurse
19 September 2019 20:17
@debscooper131 @lill_gemma @WeNurses :( #WeNurses
@WeNurses
19 September 2019 20:18
well said #WeNurses https://twitter.com/MHealthDez/status/1174764489771819009
@thesismum
19 September 2019 20:18
RT @WeNurses: Hi everyone ... welcome to #WeNurses ... tonights topic is "The Night Shift" Please tweet us a "hello" if you are joining u…
@tonymcgeown
19 September 2019 20:19
@WeNurses My patients weren’t asleep often , worked in emergency surgery / theatre , Prioritise work, ensure the immediate things need done and prioritise what needs done in hours . #wenurses
@LeaBasra
19 September 2019 20:19
@WeNurses By prioritising what actually needs doing asking can it wait until morning. Stuff that cant wait by being as quiet as possible but its difficult not to disturb pts sleep #wenurses
@debscooper131
19 September 2019 20:19
@WeNurses I would try prep as much away from the bedside or with minimal light and when planning my jobs if a patient needed IVs/chemo/bloods at specific times in the night I would let them know so they could plan & maybe get a slightly earlier night to compensate etc #WeNurses
@lill_gemma
19 September 2019 20:19
@debscooper131 @LeaBasra @WeNurses Well, that's because it isn't a "real" day off...and really annoying! You don't want to "waste" your day off, except you are a human and sleep is a physiologic requirement. #WeNurses
@WeNurses
19 September 2019 20:19
great tips here #WeNurses https://twitter.com/debscooper131/status/1174764869977071619
@CalvinMoorley
19 September 2019 20:20
@AgencyNurse @WeNurses Lots of studies done on noise at night Sleep deprivation in hospital is real for patients and nurses #weNurses
@debscooper131
19 September 2019 20:20
@lill_gemma @LeaBasra @WeNurses Yes! Most definitely. When I had lots of nights or switching I would feel like I was wasting my days off as I'd just need to relax & recuperate a bit. and I get more than a little grumpy when I don't get enough sleep! #WeNurses
@AgencyNurse
19 September 2019 20:21
Important point ... don't some hospital now have things like earplugs and eye masks to help with this ? #WeNurses https://twitter.com/CalvinMoorley/status/1174765119970205699
@CalvinMoorley
19 September 2019 20:21
There is literature to show high suicide and mental health issues in nurses who do permanent night duty #WeNurses
@WeNurses
19 September 2019 20:22
something to remember >> taking care of our health on nights is so very important #WeNurses https://twitter.com/CalvinMoorley/status/1174765466532945921
@debscooper131
19 September 2019 20:22
@WeNurses it was helpful for me to spend a bit of time at the start of each night shift looking at all the chemo rotas & what other things which might require me waking the patient up so I was aware and could prepare myself & my patients #WeNurses
@AgencyNurse
19 September 2019 20:23
@debscooper131 @WeNurses yes planning always helps ... also just mentioning to people that you may be in and out in the night but you will try to be as quiet as possible helps sometimes #Wenurses
@debscooper131
19 September 2019 20:23
@AgencyNurse we have theses, they can even be prescribed as "sleep packs" on our electronic prescribing system to prompt the nurse to check the patient has their eye mask & ear plugs ready to go #WeNurses
@MHealthDez
19 September 2019 20:24
@LeaBasra @WeNurses I can imagine that'd take a lot of courage to do, if the right culture isn't fostered. I've never liked the night shift / day shift division. Staff end up doing things, just to stay on the right side of people, over prioritising patients and their quality of sleep. #WeNurses
@AgencyNurse
19 September 2019 20:24
oooh fab #WeNurses https://twitter.com/debscooper131/status/1174766014908772352
@WeNurses
19 September 2019 20:25
QUESTION 3 How can we stay healthy on nights when mealtimes and exercise regimes are often all skewed ? #WeNurses https://t.co/lplYF3uBvU
@debscooper131
19 September 2019 20:25
@AgencyNurse @WeNurses Yup, especially as part of my ward allowed one family member to stay at the bedside overnight (teenage/young person's unit) so I'd also try make sure I knew which side of the bed they were on & that it was as tidy as possible so I didn't trip over & make loads of noise #WeNurses
@debscooper131
19 September 2019 20:27
@WeNurses I would batch cook a health chilli or stew or something before night 1 so that I had a good healthy meal to set me up for a night. But lack of healthy food to purchase on site & struggling to find energy to exercise before/after shift was tricky #WeNurses
@lill_gemma
19 September 2019 20:28
@debscooper131 @WeNurses @AgencyNurse We use these also. I find about half of the patients will try them. #WeNurses
@AgencyNurse
19 September 2019 20:28
really hard ..... but being organised helps. taking in your own food, keeping it healthy. fitting in exercise is tricky due to tiredness on days off ... but little and often good #WENurses https://twitter.com/WeNurses/status/1174766378731155457
@AgencyNurse
19 September 2019 20:29
ace #WeNurses https://twitter.com/SamIAm_UK/status/1174766576119308288
@AgencyNurse
19 September 2019 20:29
RT @lill_gemma: @debscooper131 @WeNurses @AgencyNurse We use these also. I find about half of the patients will try them. #WeNurses
@monireuter
19 September 2019 20:29
RT @WeNurses: something to remember >> taking care of our health on nights is so very important #WeNurses https://twitter.com/CalvinMoorley/status/1174765466532945921
@AgencyNurse
19 September 2019 20:29
@lill_gemma @debscooper131 @WeNurses half is great ! #WeNurses
@LeaBasra
19 September 2019 20:29
@WeNurses This is something i always struggle with as my appetite goes awol i can go the whole 3 nights with no food at all or i just cant stop eating junk no balanced diet at all ??. I guess taking vitamins would help and maybe a short walk before or after shift #wenurses
@MHealthDez
19 September 2019 20:30
@WeNurses It's all about discipline and planning. I use the @Headspace app to unwind, have a shower and get some food. I tend to keep easy to cook things in the freezer for ease. Lots of home smoothies to keep the fruits coming. #WeNurses
@thesismum
19 September 2019 20:30
RT @WeNurses: QUESTION 3 How can we stay healthy on nights when mealtimes and exercise regimes are often all skewed ? #WeNurses https://t…
@debscooper131
19 September 2019 20:30
@lill_gemma @WeNurses @AgencyNurse I'll always offer them. As our patients came back regularly for their chemo cycles I would try remember if they used one and if they'd forgotten to bring it back I'd grab them another one. I know how important sleep is to how I function so I know it's important to them #WeNurses
@WeNurses
19 September 2019 20:31
gosh .... yes we agree shift work can be awful #WeNurses https://twitter.com/allalonebert/status/1174767692932354049
@WeNurses
19 September 2019 20:31
Great tips here #WeNurses https://twitter.com/MHealthDez/status/1174767667250679808
@WeNurses
19 September 2019 20:32
good points ... access to good food at night can be challenging #WeNurses https://twitter.com/lill_gemma/status/1174767958960300032
@CalvinMoorley
19 September 2019 20:32
@WeNurses it would be good to hear what support nurses would like around night duty #WeNurses
@debscooper131
19 September 2019 20:32
@MHealthDez @WeNurses @Headspace ooh, that's a good thing. I am hoping to develop some good habits this year that I'm on secondment, I think it'll be easier to keep good habits rather than make new ones while I'm switching between nights & days #WeNurses
@lill_gemma
19 September 2019 20:33
@AgencyNurse @debscooper131 @WeNurses It improves things for them, but they still aren't getting fantastic, restorative sleep, unfortunately. #WeNurses
@WeNurses
19 September 2019 20:33
great question ... what support do you have ?? #WeNurses https://twitter.com/CalvinMoorley/status/1174768167404679169
@AgencyNurse
19 September 2019 20:33
@lill_gemma @debscooper131 @WeNurses no which is why proper discharge planning is so very important .... people can recover better at home in many cases #WeNurses
@debscooper131
19 September 2019 20:34
@LeaBasra @WeNurses yeah, I know that feeling. I walk to & from all my shifts and I did notice a difference when I moved & started doing that vs driving to work. For the most part I would sleep a bit better after a walk #WeNurses
@WeNurses
19 September 2019 20:34
#WeNurses https://twitter.com/kimpangrn/status/1174768188950745090
@CalvinMoorley
19 September 2019 20:34
RT @WeNurses: Great tips here #WeNurses https://twitter.com/MHealthDez/status/1174767667250679808
@WeNurses
19 September 2019 20:35
QUESTION 4 What about staying awake and alert ... what are the challenges and solutions there ? #WeNurses https://t.co/4YiVDNurVB
@MHealthDez
19 September 2019 20:35
@debscooper131 @WeNurses @Headspace It's so hard to make any sort of change while you're in a constant state of flux. However, meditation (I find) helps me to pause, ground myself in that moment and check in with how I really feel and what I need. I found meditation was a good start for any change. #WeNurses
@WeNurses
19 September 2019 20:36
wise words #WeNurses https://twitter.com/4c732c34bfa84f4/status/1174769175543394307
@debscooper131
19 September 2019 20:37
@WeNurses some people caffeinate themselves ++ but I would have maybe 1 or 2 cups of tea or coffee towards the start of the shift. But I think drinking plenty of water, washing your face & brushing your teeth about 3am and walking up & down (to check on your patients) helps #WeNurses
@debscooper131
19 September 2019 20:37
@MHealthDez @WeNurses @Headspace that's fab advice, thanks for sharing #WeNurses
@debscooper131
19 September 2019 20:38
@4c732c34bfa84f4 @WeNurses Yup, I'd do this. If someone needed 4 hrly obs overnight but had a chemo bag due or something like that I'd combine the two even if it meant the obs were done a little early #WeNurses
@MHealthDez
19 September 2019 20:38
@WeNurses Teamwork and making sure breaks are taken are the big things. If I am ever flagging I talk to my colleagues, let them know and visa versa. I also found "chunking" helps - breaking the shift down into sections, checking them off as I go. Step-by-step onto morning. #WeNurses
@AgencyNurse
19 September 2019 20:39
@debscooper131 @WeNurses ooh yes brushing your teeth always help with that early hours slump ... also keeping busy on quiet shifts helps (not that there are ever many of those) #WeNurses
@WeNurses
19 September 2019 20:39
Amazing tweet full of advice here #WeNurses https://twitter.com/MHealthDez/status/1174769852856381440
@LeaBasra
19 September 2019 20:40
@wenurses whoops forgot the #wenurses https://twitter.com/leabasra/status/1174769409388417025
@WeNurses
19 September 2019 20:40
#WeNurses > https://twitter.com/LeaBasra/status/1174769409388417025
@CalvinMoorley
19 September 2019 20:40
@LeaBasra @WeNurses That is such a simple and practical request why is it not being considered #wenurses
@lill_gemma
19 September 2019 20:40
@WeNurses Ideally you have slept adequately before shift. If not, I find I need to keep moving! I try not to drink too much coffee, but think a small cup and then closing your eyes on your break for 20 minutes (if your facility allows this) can work wonders! #WeNurses
@debscooper131
19 September 2019 20:41
@AgencyNurse @WeNurses haha, what's that naughty Q word you mentioned? I like being busy, you want a balance of being busy enough that the shift keeps ticking over nicely but not so busy that you feel like you're rushing important tasks or not able to give your patients the time they need #WeNurses
@LeaBasra
19 September 2019 20:41
@CalvinMoorley @WeNurses Not sure. Probabaily financial #wenurses
@AgencyNurse
19 September 2019 20:41
@lill_gemma @WeNurses ooh interesting to nap or not to nap on your break .... i always felt worse for a nap so often chose to read instead #WeNurses
@lill_gemma
19 September 2019 20:42
@debscooper131 @WeNurses Yes! Also sometimes a little fresh air does the trick. #WeNurses
@debscooper131
19 September 2019 20:42
@MHealthDez @WeNurses I do that, and I allocate tasks to certain blocks of time so that I know I've got things to do. It's a bit like pacing yourself when running or something like that #WeNurses
@AgencyNurse
19 September 2019 20:42
@debscooper131 @WeNurses hehehe yep but i felt i was safe as it wasn't in relation to any particular shift ;D #WeNurses
@charlottebcafc_
19 September 2019 20:42
@WeNurses #wenurses - balance! Seeing friends/family, exercising and sleeping. And the transition between night shifts and day shifts afterwards. Oh and the dreaded setting your alarm after your last night shift to wake at mid-day. Getting out of bed is HARD! ????
@AgencyNurse
19 September 2019 20:43
ooh nice #WeNurses https://twitter.com/CalvinMoorley/status/1174770875603836931
@debscooper131
19 September 2019 20:43
@AgencyNurse @WeNurses thin ice there I'd say ;-p #WeNurses
@bir_hemsiree
19 September 2019 20:43
RT @WeNurses: QUESTION 4 What about staying awake and alert ... what are the challenges and solutions there ? #WeNurses https://t.co/4YiV…
@MHealthDez
19 September 2019 20:43
@debscooper131 @WeNurses The amount of people drinking high sugar, high caffeine, energy drinks is unreal. The come down off them must be rough. I have one or two cups of coffee (I'm a mental health nurse after all), then water, a walk around the ward and then tackle the list the day team left. #WeNurses
@WeNurses
19 September 2019 20:43
yep ! #Wenurses https://twitter.com/charlottebcafc_/status/1174770883216498688
@AgencyNurse
19 September 2019 20:44
@debscooper131 @WeNurses ;D #WeNurses
@G_ONeill10
19 September 2019 20:44
@WeNurses I haven't been on nights for a while but the nausea coming off night shift was awful. Three nights on is plenty and quality day sleep is essential #wenurses
@LeaBasra
19 September 2019 20:44
@WeNurses Challenges is working in dark with little noise makes more sleepier. Solution adequate breaks plently of water to drink fresh air and keep moving as sitting down easy to fall asleep at desk #wenurses
@debscooper131
19 September 2019 20:44
@CalvinMoorley @AgencyNurse @WeNurses ooh, how nice! I have a great barabrith recipe and a slice of that or banana bread was the perfect snack for the wee hours when you're flagging a little #WeNurses
@WeNurses
19 September 2019 20:45
QUESTION 5 What does the evidence and research say about night time working? How does this affect our practice? #WeNurses https://t.co/GAmbMhopMY
@CalvinMoorley
19 September 2019 20:45
@AgencyNurse @lill_gemma @WeNurses I used to go running on the Thames when I worked at Tommy’s then told I had to stay on site - in case needed #wenurses
@AgencyNurse
19 September 2019 20:45
@lill_gemma @WeNurses ahh now that was probably my problem .... once i shut my eyes i would want to sleep for much longer ! #Wenurses
@MHealthDez
19 September 2019 20:45
@debscooper131 @WeNurses Absolutely... I'll try and load up the 0400 - 0500 hour as that's the one that gets me. It's probably the longest hour of the night. Definitely like pacing, just a shift and not a marathon - although they do feel the same. #WeNurses
@AgencyNurse
19 September 2019 20:46
LOTS of evidence on shift work here > https://www.evidence.nhs.uk/search?q=shift+work+and+health #WeNurses
@debscooper131
19 September 2019 20:46
@MHealthDez @WeNurses oh I know! High sugar/high caffeine have never been good for me as that's a migraine trigger (as well as transitioning from nights) but some people seem to be rattling they're on so much sugar etc. #WeNurses
@mynameisAndyJ
19 September 2019 20:46
Dare I ask about meal provision for those working nights? Experience suggests what sold was chips #WeNurses
@LeaBasra
19 September 2019 20:46
@AgencyNurse @lill_gemma @WeNurses I nap on break makes me feel refreshed most of the time occasionally it makes me feel worst ive learned when not to nap on break so watch tv instead as we have tv in pt lounge that is empty during the night #wenurses
@thesismum
19 September 2019 20:46
RT @WeNurses: QUESTION 4 What about staying awake and alert ... what are the challenges and solutions there ? #WeNurses https://t.co/4YiV…
@AgencyNurse
19 September 2019 20:46
Recent study finding no link between working nights and breast cancer ..... so some good news there > https://www.nhs.uk/news/cancer/major-study-finds-no-link-between-night-shift-work-and-breast-cancer/ #WeNurses
@debscooper131
19 September 2019 20:48
@sammyjb75 @WeNurses yeah, I know the "1 more thing" vicious cycle. You end up being less productive and those few minutes to stretch your legs, drink some water and even have a chat with a patient etc. can make such a difference #WeNurses
@lill_gemma
19 September 2019 20:48
@CalvinMoorley @AgencyNurse @WeNurses Hmm. Well, is that really a break then, if you are technically "on call" during your break? #WeNurses
@MHealthDez
19 September 2019 20:48
@WeNurses There's a lot of damning evidence about night shift working. However, I chose to work in this field and need to "suck it up" in some respects. However, that isn't an excuse for letting go of healthy habits. Self care is so important for us and patient safety. #WeNurses
@AgencyNurse
19 September 2019 20:49
A review here cites links between shift work and accidents, type 2 diabetes, weight gain, coronary heart disease, stroke and cancer > https://www.ncbi.nlm.nih.gov/pubmed/27803010 so it's ridiculously important that we take care of ourselves #WeNurses
@CalvinMoorley
19 September 2019 20:49
@WeNurses Well we know in terms of patients more falls occur for numerous reasons, including disorientation and reduced staffing #wenurses
@AgencyNurse
19 September 2019 20:50
@CalvinMoorley @lill_gemma @WeNurses gosh wow that is brave ... yes lots of places now require nurses to stay on site ... can make it trickier #WeNurses
@MHealthDez
19 September 2019 20:50
@WeNurses I understand that my focus slips when I'm tired, hungry - I also get a bit grumpy. However, that level of self-awareness means I plan my diet, make sure I turn my phone off and sleep. It's not just about me, but ensuring I'm at my best for my team and patients. #WeNurses
@aliceonthehill
19 September 2019 20:51
Three hugs. One sweetest kiss & a good wedding wish. Cups of tea. Homemade cranberry cookies. Sunshine & light. Umpteen IV cannulas sliding in. Blackburn chemo unit. #Wenurses
@CalvinMoorley
19 September 2019 20:51
@WeNurses #Wenurses It would be good to see how many Datix are filled in looking at pt vs nurse. I mean do nurse ever fill in a datix raising their health or lack of support on Datix
@WeNurses
19 September 2019 20:51
eek .... anyone have experience of staff canteens at night ?? is there any meal provision where you work ? is it adequate ? #WeNurses https://twitter.com/mynameisAndyJ/status/1174771730214260736
@lill_gemma
19 September 2019 20:52
@WeNurses Of course someone needs to be on duty at night. That said, it isn't doing anything great for our individual health (mental and physical) or longevity. #WeNurses
@WeNurses
19 September 2019 20:52
anyone ?? #wenurses https://twitter.com/CalvinMoorley/status/1174773042322530304
@MHealthDez
19 September 2019 20:52
@debscooper131 @WeNurses Yeah, tiredness is a huge migraine trigger for me too, on both days and nights. I really need to make sure I sleep! #WeNurses
@lill_gemma
19 September 2019 20:52
@AgencyNurse @CalvinMoorley @WeNurses I wonder if they require day staff to stay on site?? #WeNurses
@WeNurses
19 September 2019 20:53
yes indeed ... we agree on all counts #wenurses https://twitter.com/amberswing/status/1174772438447640578
@sammyjb75
19 September 2019 20:53
@debscooper131 @WeNurses Spot on - vicious cycle describes it perfectly - because there is always 1 more thing - and you know the efficiency is going down....... just 10 minutes, water & snack is like a reboot. #WeNurses
@MHealthDez
19 September 2019 20:53
@sammyjb75 @debscooper131 @WeNurses I just don't get it. They're horrific! The smell like absolute (swear word), but people are throwing them down. #WeNurses
@AgencyNurse
19 September 2019 20:53
I don;t know .... #WeNurses https://twitter.com/lill_gemma/status/1174773367787970561
@WeNurses
19 September 2019 20:55
QUESTION 6 What are your top tips for surviving and thriving on the nightshift? #WeNurses https://t.co/8Hd4tIgEny
@debscooper131
19 September 2019 20:55
@MHealthDez @WeNurses Yup, I have to admit it's one of the great things about my new routine on secondment at the moment, I'm sleeping so much better and my migraines have dropped in frequency thankfully! #WeNurses
@LeaBasra
19 September 2019 20:55
@WeNurses We have a vending machine that has sandwiches in aswell as the usually crips chocolate and fizzy pop #wenurses.
@lill_gemma
19 September 2019 20:55
@AgencyNurse I will hazard a guess: probably not. #WeNurses
@CalvinMoorley
19 September 2019 20:55
@AgencyNurse @lill_gemma @WeNurses Omg I remember Issac at Kings on nights he used to snore so loudly! #wenurses
@AgencyNurse
19 September 2019 20:55
@MHealthDez @sammyjb75 @debscooper131 @WeNurses energy drinks and the health risks are well known ... definitely not something i would ever advocate for a nurse working nights #WeNurses
@WeNurses
19 September 2019 20:56
interesting #WeNurses https://twitter.com/BACCNUK/status/1174774012255322112
@WeNurses
19 September 2019 20:56
RT @LeaBasra: @WeNurses We have a vending machine that has sandwiches in aswell as the usually crips chocolate and fizzy pop #wenurses.
@sammyjb75
19 September 2019 20:57
@GeorgeCadeStN @WeNurses As a general theme morning was good, afternoons had peaks & troughs, late evenings slower & nights started well then reactions became slower over course of shift. It was through Nottingham Uni - probs about 2003 #wenurses
@LeaBasra
19 September 2019 20:57
@WeNurses Even if you dont sleep well in the day by staying in bed relaxing can help if you can do this. Keep busy the shift goes quicker and make sure you have breaks and drink plently water #wenurses
@MHealthDez
19 September 2019 20:57
@debscooper131 @WeNurses That's fantastic news! We've just had a shift change at work meaning I get 3 days off a week now (but one longer shift), so I'm desperately hoping my migraines drop in frequency. I hate taking those sumatriptan's! #WeNurses
@AgencyNurse
19 September 2019 20:57
@CalvinMoorley absolutely not ... which is why it's soooooo important we take our own health seriously too #WeNurses
@debscooper131
19 September 2019 20:58
@WeNurses Eat a good balanced meal before you go to shift, brush your teeth when you hit that 3am slump, walk a bit after shift (if possible, I walk home), stay hydrated but limit caffeine and if you have any worries/struggles talk to your team leader early to get support! #WeNurses
@MHealthDez
19 September 2019 20:59
@AgencyNurse @sammyjb75 @debscooper131 @WeNurses Never! No patients, staff or any member of the public should have these. They're horrific! They should be taxed out of the market. But that's just my own opinion. #WeNurses.
@AgencyNurse
19 September 2019 20:59
@MHealthDez @sammyjb75 @debscooper131 @WeNurses I would have to agree 100% with you #WeNurses
@CalvinMoorley
19 September 2019 21:00
But nights work for some I have seen women raise their families as nights allowed them to do this #WeNurses
@LeaBasra
19 September 2019 21:00
@RL_MHnurse @WeNurses Community in my area is 24hr so they have to rotate #wenurses.
@WeNurses
19 September 2019 21:01
#WeNurses https://twitter.com/RL_MHnurse/status/1174774994531827712
@lill_gemma
19 September 2019 21:01
@WeNurses Excellent! #WeNurses
@debscooper131
19 September 2019 21:01
@MHealthDez @WeNurses I'm doing Mon-Thur 09.00-17.30 & Fri 09.00-14.30. Its fab!! I've even started waking up at the weekends at the same time because I've got a good routine going. I really hope you see a positive change in your migraine patterns soon. Migraines are miserable!! #WeNurses
@clinedFHFT
19 September 2019 21:01
RT @WeNurses: 1/2 an hour until #WeNurses Tonights topic is "NIGHTS" More here > http://www.wecommunities.org/tweet-chats/chat-details/5404 https://t.co/Y7OV8tyXkT
@Paul_Bolton_IPC
19 September 2019 21:01
I could never evidence this but I ways found ginseng supplements helpes3 me in that transition from night to day work #WeNurses
@AgencyNurse
19 September 2019 21:02
great discussion tonight folks - thank you all #WeNurses
@clinedFHFT
19 September 2019 21:02
RT @WeNurses: QUESTION 3 How can we stay healthy on nights when mealtimes and exercise regimes are often all skewed ? #WeNurses https://t…
@MHealthDez
19 September 2019 21:02
@WeNurses Plan ahead... You're a nurse and a professional so use the skills you've acquired. Plan your meals, tell your mates and family to give you a bit of time and... Phones have an "off" switch, use it! It's difficult working nights, so make it easier on yourself! #WeNurses
@WeNurses
19 September 2019 21:02
ahh interesting .... anyone else find this useful ?? or know any evidence ? #wenurses https://twitter.com/Paul_Bolton_IPC/status/1174775608750030850
@clinedFHFT
19 September 2019 21:02
RT @WeNurses: Hi everyone ... welcome to #WeNurses ... tonights topic is "The Night Shift" Please tweet us a "hello" if you are joining u…
@WeNurses
19 September 2019 21:05
That's all from us this evening .... sleep well everyone :D #WeNurses https://t.co/a6VSQma4jA
@LeaBasra
19 September 2019 21:06
@WeNurses What about using a sign like this ?? #wenurses https://t.co/vSqMHodTiI
@MHealthDez
19 September 2019 21:06
@WeNurses Even then... There needs to be a long old wait for an ambulance to warrant waking me up! (Joking... Obviously). Have a great night!!!! Thanks for such a good session. #WeNurses.
@debscooper131
19 September 2019 21:06
@WeNurses Thanks for a great chat folks! Was very interesting #WeNurses
@LeaBasra
19 September 2019 21:07
@CalvinMoorley @WeNurses The sandwiches arnt too bad a mix of filling with salad the rest defo not healthy #wenurses
@CalvinMoorley
19 September 2019 21:07
I need to sign off thank you for having me here’s Gregory Issac Night Nurse #https://m.youtube.com/watch?v=K6oYyG0KcvQ&noapp=1&client=mv-google. #WeNurses @WeNurses
@markclare2008
19 September 2019 21:11
RT @WeNurses: That's all from us this evening .... sleep well everyone :D #WeNurses https://t.co/a6VSQma4jA




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