How to survive the night shift

Gaby

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I've done nearly 3 consecutive years of 5 night shifts per month. It is only until now that I'm getting the hang of it. On May, my schedule changes from doing most of my night shifts at the hospital, towards doing all of my night shifts at the clinic where I can actually get some sleep per night. That day can't come soon enough.

Although mine are 24 hour shifts, I thought I will share some tips. It might be helpful for those of us who are on any abnormal working schedule.

- Take a bottle of vitamin C + glycine to the night shift and drink as needed throughout the night. I take at least 16 grams of vitamin C per shift without laxative effects.
- When you finally sleep, do it in total darkness even if it is broad day light outside. Sleep as much as you need, nothing more and nothing less. If it is hard to reconcile sleep, then take some melatonin (0.5mg and building up the dose if needed). A magnesium bath before going to bed also helps to reconcile sleep.
- When the day finally arrives where you can sleep at night, then take a nap as soon as you get home from your night shift. Then go to bed at a decent hour that night with your melatonin dose in order to help reset the circadian rhythm.
- After night shifts, resist the urge to do anything or check stuff out. Concentrate on winding down from the night shift and going to sleep. Don't get distracted from that. There is a certain "euphoria" that comes after staying up so much time. Even if you feel wide awake, don't underestimate how hard night shifts are on your body. For me, it was incredibly much more difficult to recover when I didn't went to bed right after my night shift.
- I usually carry a thermos with tea or cocoa plus butter, coconut oil or coconut cream.
- I usually eat more carbs on night shifts. I carry a lunchbox with all my stuff: pistachios or cashews, fatty hot drink in thermos, my own unrefined salt, pork rinds, the vitamin C + glycine, and dark chocolate. Even if there is no time (nor appetite) to snack on everything, there is usually time to have something here and there. It makes the night shifts much more agreeable. People usually overeat on night shifts, best to have something at hand that is healthy.
- I usually take supplements in my night shifts, I carry them in a little bag: B vitamins, digestive enzymes, minerals, milk thistle, NAC, ALA, Bach flower remedies. This will vary according to your needs.
- Make sure you are still wide awake for your ride back home: drink coffee if necessary. There was once a woman in Costa Rica who fell asleep behind the wheel after a night shift. She was making a 2 hours drive back home through a very difficult road in the mountains. She died.
- Expect some mood changes from night shifts and take precautionary measures to deal with them. Some supplements that you didn't need before might become necessary. Energy levels might change. Focusing might be harder at the beginning. Now with iodine, it is a different story. In any case, it helps to keep things in perspective when you know that your body is tired or simply not sleeping at the required time. It is like knowing that you have "PMS" and not necessarily losing your mind. It usually takes one week to adjust to a new fixed schedule, so the second week will probably be easier. Those of us who have random night shifts per month, it is probably more chaotic but still doable.
- Smoking breaks, if doable. Those are very important. If it is not possible, then some nicotine gum will be helpful for your night shift. There are brands sweetened with xylitol :)
- Remember to pipe breathe!

This is what comes to mind. Hope it helps.
 
Thank you Gaby, very good tips, will reread them and will try to adopt them, i'm doing only night shifts so the only thing i can say is that it's tough, you have to adopt in your life different changes, adopt some good strategies( as adviced by you Gaby) in order to not go nuts :D, another thing that it helped me sleep well and feel well after waking up was, after work just before going to bed doing EE, it helped me a lot, though i stopped doing EE for a couple of weeks and to be honest i miss it a lot, will start doing EE again definitely.
 
Gaby said:
I've done nearly 3 consecutive years of 5 night shifts per month. It is only until now that I'm getting the hang of it. On May, my schedule changes from doing most of my night shifts at the hospital, towards doing all of my night shifts at the clinic where I can actually get some sleep per night. That day can't come soon enough.

Although mine are 24 hour shifts, I thought I will share some tips. It might be helpful for those of us who are on any abnormal working schedule.
[...]

This is what comes to mind. Hope it helps.

Thank you for sharing 3 years worth of hard learnt tips Gaby. :)

It's understandable that shift work needs to be done but it always seems as though the person organising those times has devised the most disruptive schedule their imaginations, and the law, will allow for. It’s even more shocking that doctors, whom society apparently respects, are put through schedules like that. imho of course.

I worked reception/security night shift once for 6 months - a breeze compared to what you and others describe - and what i found amusing was, suffering from insomnia, i often felt really, really tired almost as soon as my shift started. I recall coming home and eating, struggling to sleep then waking up an hour or so before the next shift. It was 10 years ago and before i came to the forum so i think i coped by drinking soda... :halo:

But since i still struggle with sleep and so can be tired if i have an unexpected appointment, i can say that: Vitamin C especially is a great to have on stand by and then to take often throughout; pipe breathing really helps to centre me if i'm feeling wrought and tired, and it some how helps locate a few hidden reserves of energy too. I'd also highly recommend the fatty drink option - i have a butter coffee and/or a coffee fat bomb and both are without doubt the best for maintaining stable energy (the fast seems to buffer the caffeine and fat is energy in itself). If i'm super tired (and therefore a bit hungry) then a bit of protein in the form of pate or sliced meats is perfect, because too much effort digesting makes me tired. Which is also why i recommend the fatty drinks because regular sips take little effort digesting. Oh and magnesium malate seemed to take the achy edge off when i was having some muscle problems and tiredness made it worse so that may help some; the malate alone is supposed to provide some energy (the supplement actually had a small amount of carbs in them).

Kudos to all those working so hard :rockon: :hug2:
 
Thanks for sharing those tips, Gaby.

I learned some similar strategies last year. On Saturdays I would be up at 8am and often wouldn't get to sleep until around the same time on the Sunday morning.

I echo what you've said about fatty drinks and cigarette breaks. Also about focusing on getting to sleep when you get home and making it more of a nap. If I got to sleep at 8am on Sunday morning, I'd tend to wake up around 11am. And then, like you, I would have a magnesium chloride bath that evening and get to bed at a normal time. And like you said, if you need to drink coffee at some point, then just do it. I would be doing a three to four hour drive home on those Sunday mornings so I had to use coffee sometimes.

Something I also found helpful was fasting for the 24hr period, after having breakfast on the Saturday morning. I don't know if that's healthy on a body that is awake for so long, but it worked well for me. I never tried the vitamin C, though. Does that give you energy, make you feel more awake, give you a boost?
 
An article from today which highlights the effects of tough shift patterns, as well as the usual struggles society currently forces on us. In the UK doctors are already close to striking - i think they called one off recently - due to the work load and shift pattern. In this case she worked on the helplines but one can imagine it's a constellation of issues which all came to a head. It wouldn't be surprising that her shift pattern probably interfered with her thinking, as per Gaby's comments about it effecting your emotions. It also mentions the hospital previously missed childs death so chances are it's being run badly which obviously makes tough conditions even worse:
NHS 111 call centre worker 'was found hanged in staff toilet at end of four 12-hour night shifts' at same trust that missed fatal sepsis in tragic one-year-old

Emma Alsopp, 22, died after hanging herself during her break from work
Colleagues at non-emergency helpline HQ in Devon found her in toilet
Had complained to family and friends about the pressures of the call centre
Operated by South Western Ambulance Service NHS Foundation Trust
Same health board responsible for 111 failings in death of tot William Mead

By Euan McLelland For MailOnline

Published: 09:41, 28 January 2016 | Updated: 13:04, 28 January 2016

An NHS 111 operator killed herself in her staff toilet halfway through her fourth 12-hour night shift in a row.

Emma Alsopp was found hanged at a non-emergency call centre in Devon, run by the same NHS trust under fire for failing to save the life of toddler William Mead.

The 22-year-old had complained to family and friends about the pressures of her job at the South Western Ambulance Service NHS Foundation Trust's (SWASFT) West Hub office in Exeter in the weeks before her death.

She is said to have felt under enormous stress coping with both the number and urgency of calls the centre was receiving.

Her colleagues found her dead shortly after her break when working the last of four night shifts in November last year.

Speaking to The Sun, her father Christopher, 46, said: 'She said it could be stressful and some of the people who rang 111 should have rung 999 with the stuff she said was coming through.

Three more tragic children failed by NHS hotline: Deaths...
Investions special - PRINT BEFORE WEB Pic taken August 2014 , 9 months Shows: William Mead who died after contracting an infection. The parents of a baby boy who died after developing an infection said doctors could have done more to prevent his death, an inquest has heard. William Mead, who lived in Penryn with his parents Melissa and Paul Mead, was 12 months old when he died on December 14 last year. An inquest at Truro Coroner's Court today heard he had an abscess in his left lung caused by the bacterial infection streptococcus A. Mrs Mead told the hearing that more tests should have been carried out during visits to the Three Spires Medical Practice in Truro before he died and claimed his death was preventable. SARAH VINE: What's the point of the NHS if it can't spot a...


'She'd become disillusioned.'


In a post made on a tribute webpage set up in his daughter's memory, Mr Alsopp laid bare his agony at his daughter's passing, adding: 'We will never understand why.

'We all miss you so much it hurts to mention your name. But I promise to bear that pain every single day (sic). You will not be forgotten.'

The 22-year-old had complained to family and friends about the pressures of her job at the South Western Ambulance Service NHS Foundation Trust's (SWASFT) West Hub office in Exeter in the weeks before her death

A bombshell NHS England report this week concluded that 111 advisers required better training in spotting when there was a need to probe further into callers' ailments and when to escalate cases.

The service has since been slammed by critics as being unsafe for seriously ill children, with many voicing concerns that box-ticking process used by operators can miss life-threatening symptoms.

It was published in the wake of one-year-old William Mead's death from sepsis.

It stated that the tot may have been alive today had a 111 call handler realised just how ill he was.
The Exeter call centre (pictured) is the sister of the Dorset helpline where Melissa and Paul Mead's concerns about their gravely ill son William were overlooked

Melissa and Paul Mead's only child died as a result of a catalogue of errors and missed opportunities by both doctors and the helpline.

Although he had been ill for three months, vital warning signs were missed when the couple called the Dorset helpline - sister of the Devon call centre Ms Alsopp was an employee of.

The report into William's death established that there were a staggering 16 failures in his care, each one of them contributing to his final fatal illness.

Without proper diagnosis, William developed pneumonia, and fluid and an abscess on his lung, which led to his death from sepsis.
A bombshell report into the NHS out-of-hours hotline this week slammed the service as being unsafe for seriously ill children. It was published in the wake of one-year-old William Mead's death from sepsis, It stated that the tot (pictured) may have been alive today had a 111 call handler realised just how ill he was
+4

A bombshell report into the NHS out-of-hours hotline this week slammed the service as being unsafe for seriously ill children. It was published in the wake of one-year-old William Mead's death from sepsis, It stated that the tot (pictured) may have been alive today had a 111 call handler realised just how ill he was

Mrs Mead said: ‘I will never come to terms with what happened. It was needless, a chronology of errors and missed opportunities.'

One of Ms Alsopp's colleagues last night said of the call centre: 'It's the worst place to work. I dread going in.'

The South Western Ambulance Service NHS Foundation Trust described her death as 'deeply saddening'.

A spokeswoman added: 'Our thoughts continue to be with Emma’s family, friends and colleagues.”

Following the NHS England probe, it is to halt its 111 service after it was revealed a mere 45 per cent of calls were answered within the 60-second target.

A date for a coroner's inquest into Ms Alsopp's death has yet to be arranged.

For confidential support call the Samaritans on 116123 or visit a local Samaritans branch, see www.samaritans.org for details


Read more: http://www.dailymail.co.uk/news/article-3420512/NHS-111-call-centre-worker-hanged-staff-toilet-end-four-12-hour-night-shifts-trust-missed-fatal-sepsis-tragic-one-year-old.html#ixzz3yqKjhaUN
 
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