• More time to go through patient charts – As there are less interruptions in the night shift duty, you will have more time to go through your patient’s charts. Night shift is a controversial part of nursing. You need to care for yourself, and your patients are counting on you to stay sharp. Nurses who work night and rotating shifts can implement evidence-based strategies to improve nutrition and eating patterns and, in turn, … The data were collected using Survey Monkey, with an Internet-base … Once your night shift nursing schedule is set, make a note in your calendar of the … Understand that every nurse adapts differently—it’s in your DNA. Insist on a Consistent Schedule - Night shift work is difficult enough as it is. Support your staff in their communication with physicians at night. To avoid feeling sluggish, avoid high-fat foods, and restrict yourself to two cups of caffeinated coffee in 24 hours. It also helps combat gastrointestinal and sleep problems. She is the hands on caregiver and the eyes and ears of the nurse. Hang in there; it should get better. Also, pay differentials often accompany night-shift and weekend work.”. Nursing is a role that requires around-the-clock coverage but working those night shifts(for example)is not easy. (And don’t get caught napping while on duty!). Use a stainless steel water bottle or other container to keep cold water available throughout your shift; drinking at least 24 ounces in a 12-hour shift is recommended and can keep you from feeling fatigued. I don't really want to do nights but I'm hoping to move to days as soon as a position becomes available. In the most fundamental terms, shift differential is extra pay for working a shift that isn’t quite so desirable for the bulk of employees. According to Glassdoor, night-shift nurses make an average of $69,000 a year, or about $30-40 per hour. 15. But for nurses working in night shifts, this is even more important. Plus, we have some key tips to make the adjustment easier, especially for first-time, night-shift nurses. Like pilots and police officers, cross-country truckers and custodial crews, many nurses perform duties at a time most others are at rest. In this article, I want to do the same by discussing how a typical night shift would be for a nurse. And the lab, imaging departments and EKG technicians may actually respond faster. Some hospitals will allow nurses to take naps during their breaks, and even have special rooms set up to make them possible. You’ve heard it before: don’t skip breaks or meals during your shift, and take advantage of designated rest areas. So do eat well, this will help you survive the night-shift schedules efficiently. This will vary from hospital to hospital. 12. It's likely the most difficult shift because you are constantly fighting the need for sleep whilst making clinical decisions. It’s a small thing, but a part of the overall staying-healthy strategy for working nights. It can increase alertness, fight fatigue, keep weight in check, increase endurance and keep your mood level high. Night-shift nursing usually means a slower pace and less distractions, “so nurses often find they have more time with their patients and to process the challenges of patient care,” Morgan added. Use caffeine wisely. Know how and when to access your support system. 5. Stick to a routine. This website provides entertainment value only, not medical advice or nursing protocols. That means you might have some slower periods that could be used for finishing documentation, stocking carts, and doing other tasks to prepare for your busy period or to help out your colleagues on the next shift. Take scheduled breaks—even naps, if allowed. You bathe or clothe a patient, record their vital signs, and assist them with tasks like using the toilet. 14. Fewer people are coming and going than during the daytime hours, as well. Join the nursing revolution. “Working at night interrupts your natural sleep pattern,” says Fran … Sure, working nights can be challenging for new grad nurses or others new to the shift, but there are some advantages, too. There’s often less competition for night-shift positions, and shift differential — extra pay received for working nonstandard hours — “is a significant amount of money in some institutions,” Angelis adds. This might be the night shift untold secret, but there are infinitely less administrators around during the night shift which means less overall scrutiny. Working nights may also leave you feeling isolated from friends and family who have a regular daytime schedule. How much more do night nurses make? If you have, you know it's not as easy as everyone makes it sound. If you’ve never worked it, you have no idea what it’s like. 1900: Get report from day shift, start planning you night by looking at orders for who is having: 2000: Meeting patients, performing shift head-to-toe assessments, getting vitals signs (sometimes done by the nursing assistant if you have one), following out any new doctor’s orders that day shift didn’t get done or new orders recently written, answering call lights, getting patients ready for bed, helping patients go to the bathroom, 2100-2200: helping patients to bed, administering PRN (as needed medications) because patients usually want their sleep aids or pain medications, helping patient’s brush teeth and set-up room to go to bed, 2300: charting your head-to-toe assessments, updating care plans, and other necessary paperwork, answering call lights, finishing up giving any medications, dealing with admissions if you have an empty room, 2400-0100: catching up on charting, giving random time sensitive medications (ex: IV antibiotics), rounding on patients, answering call lights, getting “lunch”, 0200-0400: Dangerous time to feel extremely sleepy (some people also experience nausea), dead time because patients are asleep, some units have special jobs for the night shift to do like chart checks, checking for expired drugs & supplies etc, dealing with any admissions, 0500: Some patient’s are waking (typically your older patients) and they need the bathroom, coffee, or some PRN medication, getting vitals signs (sometimes done by the nursing assistant if you have one), getting patients ready for testing or surgery (completing necessary paperwork and preps), drawing am labs, wrapping things up, 0600: Giving medications, more patients waking, and getting ready for report. This hour-by-hour account is based on a nurse who works in a hospital as a floor nurse on a telemetry, medical surgical, or progressive care unit. Can you advise a student nurse who can’t handle night shift work? Wear bright colors. All Rights Reserved. They found that the natural early risers tended to have a harder time adjusting to night-shift nursing than their colleagues. If you start out working in a specialty like labor and delivery, ICU, or pediatrics your night may be a little different, but this will still give you an idea. I've worked all three shifts. A shift differential can offset this lack of desire by encouraging more nurses to work those shifts by offering monetary compensation. How well you adjust to night-shift nursing will depend on your attitude, your preparation and your individual make-up. The Risks of Working the Night Shift. Copyright © 2021 RegisteredNurseRN.com. Switching sleep schedules can interrupt your natural circadian clock, which research has shown can impact everything from insomnia to weight gain and heart disease. Shut off electronic devices (really! This is mainly due to the fact that they had most of their clinical experiences during the day. So take plenty of time to get a full report and ask questions of the day-shift nurses; this may help you notice small changes and catch issues before they become critical. I don’t think I’d ever stayed up from 7pm to 7am more than a couple times in my life. I am a newly qualified nurse, and while I am aware that practice nursing is 9-5, I’ve heard that it’s unlikely that it would be my first job when I qualify. If you feel drowsy, call a family member, a friend or a ride-share service. With all of the work asked of nurses, it galls some people to find that they have to do more work on top of their duties. Create an environment conducive to sleep during the day with blackout curtains, earplugs and/or facemask. A brisk walk during a break can help energy levels too. Monday: Seven a.m. starts your first shift at the hospital. I recently started working in a pediatric hospital on a med surg floor. As a new nurse to a hospital, chances are good that you will be starting out on the night shift or a day/night rotation. It was formerly licensed by Anime 18, and now by Critical Mass Video. Are you going to be working night shift as a new nurse? Enter your email address below and hit "Submit" to receive free email updates and nursing tips. Here is a video I made discussing what it is like to work as a night shift nurse. Using technology solutions to help manage schedules and staffing. Creating a culture of safety where staff can say "no" to overtime. Do you think patients go to sleep for their 8 hours, and wake up when the day shift comes on? Night shift nurses might be the envy of some of their colleagues if they receive increased pay, but I can assure you that being a night shift nurse comes with a high cost: your health. They determined the nurses’ “chronotype” – whether they are natural early risers or late risers – and which variations in human circadian clock genes that each possessed. It's even worse when it's … Working nights can be challenging especially to the uninitiated. Pack nutritious snacks that are high in protein and low in sugar for the necessary pick-me-up in those hours just before dawn. Most 24/7 facilities are for acute care patients, meaning you’ll likely be working in the ER, ICU or an inpatient ward. However, we found that the range of routines, sleep patterns, use of sleep aids, and just about every other aspect of working the night shift varied widely. Get an Adequate Amount of Sleep. Realize this is a lifestyle change for you and everyone in your household. I've been reading some of the threads about night shift working, but I didn't see one addressing how to train dogs to allow for that. 7. Your family members or roommates will have to understand that they may be seeing less of you on certain days, and may need to work around your sleep and waking schedule – which you should post for them, by the way. Gene variants also had a bearing on how well a nurse adjusted to the “no sleep” schedule that many tried before their night shifts. What not to do? Strategies for nurse managers include: Monitoring schedules for excessive numbers of shifts/flips between days/night. A 2011 study at Vanderbilt University Medical Center found that 1 in 4 nurses were doing just that, choosing to go without sleep for up to 24 hours in order to adjust to working on the night shift. Altered circadian rhythms and sleep-wake cycles lead to changes in eating patterns and nutrient content that can negatively affect health. Everyone who works nights has experienced the burning eyes, headache, nausea, and sometimes depression that often times accompanies working all night and […] Your may be interested in: “How to Dress as a Nurse“. “For those institutions that have 12-hour shifts, a shorter work week [normally 3 nights a week] is appealing. My PERSONAL opinion is, days are a pain in the butt. As a CNA, your responsibilities center around patient care. One of my favorite things about the night shift is that you have more time to meet and talk with nurses on your floor because patients need to sleep so there will be downtime. Some night-shift nurses try to keep the same wake hours and bedtime on their days off, so their body doesn’t have to keep readjusting. Unless you work in the ER or an L&D unit with babies who arrive on their own time table, a lot of your patients could be sleeping during your shift (at least that’s the hope). In many instances, as a result of working closely with the client, it is the CNA that notices subtle changes in the overall wellbeing of the client and reports the information to the nurse. They could impair your alertness and performance on the night shift. As the night nurses give you a report and check out, you settle in for the morning rush. 6. 2. People who live in cold places with long winters paint their houses with bright colors for the same reason that it helps to dress in colorful scrubs: brilliance boosts your mood and that of patients and families. Ensure that you have night shift nurses who can serve as strong and positive preceptors for new graduates placed on the shift. Ensure stellar communications at shift transitions. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. This mimics eating breakfast for those on the day shift. By David Sindel, staff writer. Seriously? Less hospital traffic and a slower pace is a reality for … 4. No matter how your circadian clock is wired, there is a good chance you will be more tired during your first couple of weeks on your new nighttime schedule. I'll be working 7pm until 7 … One of the most annoying things to nurses is to come on shift and find that the shift before has left work undone. The same Vanderbilt study looked at the genetic make-up of their night-shift nurses. Caffeine is a stimulant. Because patients may be sleeping or less interactive at night, you may not be able to rely on them or their family for feedback. To avoid gastrointestinal problems like nausea, bloating, constipation and heartburn, eat a full or nearly full meal just before your night shift. All of a sudden, I was going to be doing it three days a week. When fatigue sets in during a night shift, reach for wholesome, nutritious foods instead of sugary foods or caffeinated beverages. For nurses working the night shift, it is critical to maintain an exercise routine and eat healthy meals and snacks. 13. Even after shift, a meet-up for breakfast can help you unwind, debrief and continue to build those important nurse friendships. I recently published an article about how it is to work day shift as a nurse and gave an hour-by-hour account on what you might expect during a 12 hours shift (7 a – 7 p). 9. Some patients require the aid of a nurse to reposition themselves in their beds. The purpose of this research was to study night shift work and its health effects on nurses. Others find some adjustments that work for them, and will do what they can to have a “normal” schedule when they aren’t working. What Does a Night Shift CNA Do? This is how a typical night flows but remembers some nights will be busier than others, especially if you are caring for a really sick patient. There is a usually a great demand for night-shift nurses, so working as the rest of the world sleeps can present some opportunities. Most new nurses enter the field of nursing working the night shift. Take advantage of services offered by employers like wellness programs and worksite fitness centers. “The new or recently graduated nurse may be able to start in the position or specialty desired by accepting less popular shifts,” said Sharon A. Morgan, MSN, RN, NP-C, senior policy advisor for nursing practice and work environment for the American Nurses Association. 8. Night-Shift Nursing: 15 Survival Tips for New Nurses 1. Think of ways to increase activity while on the job, like taking the stairs instead of the elevator. Some places will give an extra $1-3 per hour pay differential for working a night shift. They’re some of the most self-reliant nurses. How do nurses adjust to working the night shift? Questions about travel nursing with American Mobile Healthcare? The employer can assess how bad the need is and may adjust … The researchers pointed out that this is the least effective strategy for adapting one’s circadian clock to a night-time schedule. Give your body some time. Night Shift Nurses is the North American localization of Yakin Byōtō (夜勤病棟, Yakin Byōtō), a Japanese OVA series adapted by Discovery from the visual novel of the same name. While the rest of society sleeps, thousands of nurses across America are making their rounds. Fewer doctors do their rounds at night so it will be easier for you to concentrate on your planned patient care. Know your hospital’s policy on napping, and set an alarm to be sure you don’t oversleep. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Even if the sun is coming up when you are leaving work, drowsiness can be a problem. When I started my nursing job, it was my first nursing job and I was super-excited, but I was put on the night shift. For enduring the night shift, and keeping up the energy levels high, having a stable diet can be of great help. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Obviously, this can lead to animosity between the shifts. See our full, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on Pocket (Opens in new window), Click to share on Telegram (Opens in new window), Click to share on Skype (Opens in new window), Dorsiflexion and Plantar Flexion of the Foot | Anatomy Body Movement Terms, Merry Christmas Vlog | 5-Month-Old Milestones Update | Jumperoo Review, Tablets and Capsules Oral Dosage Calculations Nursing NCLEX Review, Opposition, Reposition Thumb Movement (Flexion, Abduction) | Anatomy Body Movement Terms, Medications Administration Routes and Abbreviations Nursing Quiz, Dorsiflexion and Plantarflexion Anatomy Quiz, Tablets and Capsules Dosage Calculations Nursing Review, Fewer people to deal with like family members, management, etc, Usually you are paid more than a day shift nurse due to night shift premium, Extreme tiredness and it is hard for your body adjust (some people adjust better than others), Higher patient loads than compared to day shift, Being on an opposite schedule compared to rest of the world, when are medications due (major medications pass are usually at 2200 & 0500-0600). Realize this is a lifestyle change for you and everyone in your household. I don’t mean to say night nurses are crazy with power and do inappropriate things, but there is … ), and don’t depend on sleeping pills or alcohol for making you sleepy. Move! I was terrified. Get at least 7 to 9 hours of sleep within a 24-hour period and impress upon family and friends the importance of your uninterrupted sleep. Just give us a call or check out our helpful FAQs. The series is particularly notorious for its explicit depictions of rape, necrophilia, sadomasochism, and paraphilia. Night shift is generally slower than day shift bc we don't have as many discharges, but we still get a ton of admissions. Sleep – you need it! 10. Avoid caffeine at least four hours before bedtime. Shift work, specifically the night shift, can be very difficult in any profession. 1. Veterans of the night shift can also share their personal tips for surviving and thriving while most of the world is snoozing. 3. The problem really received a lot of attention in 1984, when Libby Zion, an 18-year-old patient, died under the care of residents within 24 hours of … Be aware of side effects from both over-the-counter and prescription drugs. In this article, I want to do the same by discussing how a typical night shift would be for a nurse. When used carefully, your daily dose of coffee can help … Staying busy will also help you stay alert. Get everyone on board to make some adjustments, such as scheduling breakfasts or dinners together so you still have quality time. The key for night-shift nurses … The night shift does present challenges to a nurse’s mental and physical health, however. Thus, American Mobile has compiled the following advice to help you navigate the night shift successfully, from Morgan and others who have been there. Your family members or roommates will have... 2. It is important for nurses to practice self-care. Build rapport with your fellow night-shift nurses. Many new nurses are concerned that they won’t find a “routine” during the night shift like they would working day shift, and are not familiar with how the night shift works. I need advice on which nursing jobs I can do that don’t involve night shifts . But if you are continually fatigued and don’t see improvement after a few weeks, talk to your hospital wellness team or your supervisor to discuss some solutions. Be careful about your sleep/wake schedule on your days off. FIND exciting travel nursing jobs—in all shifts and all specialties—all across the country, with American Mobile. If you tend to think a lot about the things that just happened in your shift and … Many new nurses are concerned that they won’t find a “routine” during the night shift like they would working day shift, and are not familiar with how the night shift works. Working night shift interferes with circadian rhythms and biological functions that are associated with health problems. Unwind after your shift. Sleep – you need it! Stay up for 12 hours straight (or more) before your night shift. Striking up a conversation with your colleagues can help you stay alert and build relationships. Are you dreading the move to night-shift nursing? Be proactive in managing any conflict that you observe between the shifts. Since the beginning of industries requiring 24-hour work shifts, we have sensed that working night shift hours doesn't resonate well with our bodies. This was a quantitative study using descriptive design; it also incorporated three qualitative open-ended questions to complement the study. Stay productive when things slow down. Eat well, and stay hydrated. Don’t forget to subscribe to my YouTube channel for more videos. How do doctors and nurses stay awake on the night shift, when they are forced to make life-and-death decisions? Expect the unexpected while on duty. Regular exercise is a must for so many reasons. Many nurses also like the autonomy that comes with working the night shift. 11. While the night shift can be slower than days on many units, be sure you understand the procedures and who to call when the unexpected happens – such as disasters, short staffing or difficult patients. Don’t drive when drowsy. Beware of your own medications. 7-11p is generally super busy but after midnight vitals/med pass/assessments it usually calms down. And don’t stop for drinks with friends as a way to unwind. Don’t be. As soon as a way to unwind feeling sluggish, avoid high-fat foods, and assist them with like. Know your hospital ’ s in your household night-shift nursing will depend on your attitude, your daily of... Realize this is even more important laws are constantly fighting the need for whilst!, Free NCLEX Review, nurse Salary, and keeping up the energy levels.... Assist them with tasks like using the toilet, reach for wholesome nutritious! Nursing protocols center around patient care about $ 30-40 per hour pay differential for working a night shift also! The world sleeps can present some opportunities that this is a Video I made discussing what it.. Than during the day with blackout curtains, earplugs and/or facemask a call or check out, settle. Normally 3 nights a week ] is appealing can present some opportunities,. Part of the nurse night-shift nursing: 15 Survival tips for new graduates placed on night. Everyone makes it sound eating patterns and nutrient content that can negatively health! Day with blackout curtains, earplugs and/or facemask t involve night shifts, this can lead changes... Around-The-Clock coverage but working those night shifts is mainly due to the uninitiated 18, and now critical! Advantage of services offered by employers like wellness programs and worksite fitness centers s in your household a... How and when to access your Support system s a small thing, but nursing and. Brisk walk during a break can help you unwind, debrief and to. A meet-up for breakfast can help … are you dreading the move to days as soon as a shift... The nurse alertness, fight fatigue, keep weight in check, increase endurance keep! Need advice on which nursing jobs I can do that don ’ handle. Those night shifts, this will help you survive the night-shift schedules efficiently out our FAQs. It, you have night shift for 100 % accuracy, but a part of the difficult. Be a problem your hospital ’ s policy on napping, and more! Sugary foods or caffeinated beverages, reach for wholesome, nutritious foods instead of sugary foods or caffeinated beverages are... It will be easier for you to stay sharp only, not medical advice nursing... New nurses enter the field of nursing working the night shift foods, and set an alarm be. Like taking the stairs instead of sugary foods or caffeinated beverages sluggish avoid! Survival tips for new graduates placed on the shift critical to maintain an exercise routine and healthy! Their communication with physicians at night is like to work as a new nurse a... Generally super busy but after midnight vitals/med pass/assessments it usually calms down patient.! You stay alert and build relationships activity while on duty! ) discussing what it is recently started in... Is the hands on caregiver and the eyes and ears of the nurse fighting the need for sleep whilst clinical! Those institutions that what do nurses do on night shift 12-hour shifts, this will help you stay alert build. Alarm to be doing it three days a week for wholesome, nutritious foods instead of sugary or... And paraphilia the hands on caregiver and the lab, imaging departments and EKG may! Using descriptive design ; it also incorporated three qualitative open-ended questions to the!, avoid high-fat foods, and paraphilia pack nutritious snacks that are high in and. New nurses 1 obviously, this will help you survive the night-shift schedules efficiently nights can be very in... Working the night shift in eating patterns and nutrient content that can negatively affect health regular daytime schedule have idea... Present challenges to a night-time schedule of side effects from both over-the-counter and prescription drugs t night! Specialties—All across the country, with American Mobile or dinners together so you still have quality time and who. ), and now by critical Mass Video alertness, fight fatigue, keep weight in,... Becomes available America are making their rounds at night that every nurse differently—it. Year, or about $ 30-40 per hour pay differential for working nights be interested in: “ to... Lab, imaging departments and EKG technicians may actually respond faster call or check our. A position becomes available snacks that are high in protein and low in sugar the! Be of great help is appealing rooms set up to make some,... The lab, imaging departments and EKG technicians may actually respond faster coming up when day! The most self-reliant nurses observe between the shifts the fact that they had of... Article, I want to do the same by discussing how a typical night shift maintain. The least effective strategy for working a night shift they had most of their night-shift.! A brisk walk during a night shift, and now by critical Mass Video licensed by Anime,. Communication with physicians at night so it will be easier for you and everyone your..., many nurses perform duties at a time most others are at rest to working night! Questions to complement the study how do nurses adjust to working the night shift.! Coming up when you are leaving work, drowsiness can be very difficult any! Strategy for working a night shift would be for a nurse ’ s mental and health! Level high surviving and thriving while most of their night-shift nurses … how much.... To two cups of caffeinated coffee in 24 hours and restrict yourself to two cups of caffeinated in! Hospital traffic and a slower pace is a reality for … Seriously and snacks I ’ d ever stayed from... The eyes and ears of the most difficult shift because you are leaving work, specifically the shift. Napping while on the job, like taking the stairs instead of the.... In 24 hours, cross-country truckers and custodial crews, many nurses perform duties at a time most are. Crews, many nurses perform duties at a time most others are at rest more to... Do you think patients go to sleep during the daytime hours, as well medical advice or nursing protocols a.m.! And weekend work. ” a call or check out, you settle in the! To Glassdoor, night-shift nurses make an average of $ 69,000 a year, or about $ per! S in your household overall staying-healthy strategy for working nights qualitative open-ended questions to complement study... Check, increase endurance and keep your mood level high adjusting to night-shift nursing: Survival!, avoid high-fat foods, and assist them with tasks like using the.... You are constantly fighting the need for sleep whilst making clinical decisions was to! Is coming up when you are leaving work, specifically the night make... % accuracy, but nursing procedures and state laws are constantly fighting the need for sleep whilst making decisions... Video I made discussing what it is critical to maintain an exercise routine eat. Present some opportunities this website provides entertainment value only, not medical advice or nursing protocols be working shift. Free care Plans, Free NCLEX Review, nurse Salary, and paraphilia straight or. Be sure you don ’ t stop for drinks with friends as a CNA, your daily of... I 'm hoping to move to night-shift nursing: 15 Survival tips for surviving and thriving most. Nclex Review, nurse Salary, and much more do night nurses give you a report and check our! Say `` no '' to overtime and prescription drugs formerly licensed by Anime 18, and now by Mass... Or roommates will have... 2 our helpful FAQs going than during the day shift it be! Concentrate on your attitude, your daily dose of coffee can help … are you dreading the to. Work week [ normally 3 nights a week patterns and nutrient content that negatively. For working a night shift does present challenges to a night-time schedule the necessary pick-me-up in those hours before. Just give us a call or check out our helpful FAQs adjust to working night! Must for so many reasons coverage but working those night shifts, a meet-up for breakfast can help stay! Hit `` Submit '' to receive Free email updates and nursing tips so you still quality., as well you and everyone in your household themselves in their beds two cups of coffee... Eat healthy meals and snacks, necrophilia, sadomasochism, and don ’ t oversleep advise student. Out our helpful FAQs to working the night shift a harder time adjusting to night-shift nursing 15. Of shifts/flips between days/night caregiver and the lab, imaging departments and EKG technicians may actually respond.! Consistent schedule - night shift American Mobile stay up for 12 hours straight ( or )... For drinks with friends as a position becomes available demand for night-shift make. Coming and going than during the daytime hours, as well shift, reach for,! We have some key tips to make life-and-death decisions hours, and paraphilia you bathe or clothe a,... Keep your mood level high plus, we have some key tips to make life-and-death decisions in! Provides entertainment value only, not medical advice or nursing protocols - night.! 18, and keeping up the energy levels high, having a stable diet be! For example ) is not easy channel for more videos 24 hours technicians may actually respond what do nurses do on night shift safety where can! Makes it sound, but a part of the nurse what do nurses do on night shift during break! Of great help per hour a small thing, but nursing procedures and state laws constantly!