It’s a completely unnatural time to be working, which encroaches not only on the day you work but the day before and the day after.
It’s like being effectively jet lagged once a week and research has proved the practice to be dangerous to physical and psychological well being .
Working nights can also be dangerous. You are on minimal staffing, have minimal resources , and in 40 years I have been involved in several violent situations , all centred on a night shift where help often didn’t come.
Night time, is also the time people are at their lowest ebb…..that’s why more people pass away in the wee small hours than anytime else.
My worst night shift ever was back in my psychiatric days
“ After I qualified as a staff nurse in mental health' I got a job in a prestigious psychiatric hospital in North Yorkshire. The hospital had only seven wards which were all situated within a beautiful Regency style building in it's own grounds. The wards were carpeted and sympathetically decorated in a period style and their day rooms filled with comfortable sofas and occasional furniture.It was a pleasant place in which to work.
I was placed on the mother and baby unit , where seriously ill post partum women and their offspring were admitted for treatment, but most of the other wards catered for acutely mentally ill patients, patients with cognitive impairments and people suffering severe epilepsy..
Staffing generally was very good , but when there was an emergency situation on a ward then an alarm bell would sound and each ward would send a " runner" to help with whatever problem was afoot. No wards were ever locked.
I was telling some of the junior staff this story last night whilst on a break, as a sort of lesson of how Intensive Care is one of the few places in nursing that is probably safest from assault and injury ....things in the early 1980s could be very different!
I remember one night at the hospital when at around 4am the alarm bell sounded. I was one of the five nurses who responded to the call,
The emergency was on the epilepsy assessment ward , a ward staffed by both general and mental health nurses. On duty were three nurses. A heavily pregnant girl, a young staff nurse just out of training and an experienced male staff nurse. All three had been sitting in what was essentially a glass box which overlooked the dormitory of patients on two sides.
The office was essentially an observation room.
Out of nowhere, a powerfully built male patient had suddenly become agitated and very confused and had hurled himself at the windows of the nurses station. He shattered the glass with his body, and like an animal he went for the nurses inside. The male nurse hit the emergency buzzer then bolted out of the office to get help, but as he ran, the office door bounced shut , locking the two women inside. The pregnant nurse, with great presence of mind clambered over a desk and jumped through a window into the grounds to safety but unfortunately the patient caught hold of the young female staff nurse before she could flee.
By the time we arrived on the scene a couple of minutes later, the patient had fractured her jaw and had broken her arm as well as biting her badly on the side of the face.
This was the only time , I have been truly frightened at work Over the years I have been personally abused many times by patients and relatives alike. I have been screamed at, shouted at, spat at and in one case threatened with a broken teapot! but this situation with a brain damaged patient and a young helpless staffnuse still lingers long in the mind.
A scary story to share with a group of nurses in the wee small hours of the morning eh?”
Out of nowhere, a powerfully built male patient had suddenly become agitated and very confused and had hurled himself at the windows of the nurses station. He shattered the glass with his body, and like an animal he went for the nurses inside. The male nurse hit the emergency buzzer then bolted out of the office to get help, but as he ran, the office door bounced shut , locking the two women inside. The pregnant nurse, with great presence of mind clambered over a desk and jumped through a window into the grounds to safety but unfortunately the patient caught hold of the young female staff nurse before she could flee.
By the time we arrived on the scene a couple of minutes later, the patient had fractured her jaw and had broken her arm as well as biting her badly on the side of the face.
This was the only time , I have been truly frightened at work Over the years I have been personally abused many times by patients and relatives alike. I have been screamed at, shouted at, spat at and in one case threatened with a broken teapot! but this situation with a brain damaged patient and a young helpless staffnuse still lingers long in the mind.
A scary story to share with a group of nurses in the wee small hours of the morning eh?”
But as usual things need a balance and this short take should fit the bill
“ Christmas Night 1986
It was very cold and snowy and I remember.
I wasn’t very happy.
I had just started work in the November.
A new staff nurse role, in a new city of York
I’d barely been there a month and still lived at the nurses’ home at Clifton Hospital a couple of miles out of the city.
I knew no one properly and I was homesick
And already I had been put onto night duty.
The ward was quiet.
A psychiatric admission ward with twelve or so general admission patients and an attached mother and baby unit with a half complement of two mums and two newborns.
We had three staff of duty. Staff nurses clive and I covered the main ward and Sue who was a motherly enrolled nurse took charge of the nursery.
Around midnight Sue and I were in the darkened office, each of us feeding a baby.
I couldn’t see her face properly just a glint of her glasses from the lights from the snowy garden.
She was asking me about me, and I had been yacking on in the dark for an age.
I had no idea what I was doing but my baby was large and content and sleepy so from the get go..so I was lucky.
“ Are you gay John? “ she seemed to ask me out of nowhere and she nodded when I defensively replied no, just a little too quickly .
“it’s ok if you were you know? ” She said slowly in her broad flat Yorkshire accent “I’ve always loved gay men”
And in the comfortable silence that followed, something quietly and inexplicably shifted in me
As we fed babies in the dark on Christmas Day”
Beautiful story. And it is okay to be gay, but no one now should have to tell you that. You know now. But, I love her for being so good to you. Beth (Gemma's Person)
ReplyDeleteBeth
DeleteIt was a lifetime ago. Literally
This comment has been removed by the author.
ReplyDeleteA scary story indeed. Did that staff nurse leave the profession, do you know? It must have really shaken her confidence.
ReplyDeleteI think she didn’t return , but I can honestly not remember the fall out from that night
DeleteIn the weeks after our son in law died my daughter would go over to her brother's house where there were newborn twins and she would just sit in a comfortable chair with one or other of them for hours.
ReplyDeleteI was a young man of 25 , I had never really held a baby before
DeleteI have a nephew who suffered several broken bones from similar patients. His response, bless him, was "He didn't mean it." or "He didn't know he was doing it." I hope the young staff nurse recovered and kept nursing. And Sue sounds a wise soul.
ReplyDeleteI don’t think she did , and you can’t blame her
DeleteLate 70s I spent a few weeks in a big institution as that - having been addicted to valium - One evening during visiting time an agitated very large strong woman shouting about religion marched around the small groups of tables seating patients and visitors waving a homemade banner - Nurses struggled and took her noisily to a padded cell - A couple of us looked through the door - Next day we heard she passed away aftrr a heart attack x
ReplyDeleteMany of the deaths in psychiatric nursing in its infancy was of exhaustion
DeleteIt’s very scary how a patient can seem fine one minute and then be able to attack you in a split second,been there lucky wasn’t injured too badly thankfully x
ReplyDeleteIt is stories such as these that make me realise that I am far too much of a wimp to be a nurse. It takes a special type of character to be able to do that.
ReplyDeleteI’ve said it before all you need is a sense of humour and an ability to breathe through your mouth
DeleteThank you for sharing these stories. I love to hear them.
ReplyDeleteLazy blogging I know, ‘ ?
DeleteWonderful stories and uneraseable memories, told so well (WILL you get on and write that book? All you have to do is cut and paste Going Gently!) So well that we won't forget them either.
ReplyDeleteWhen my daughter was in the sixth form, the students were encouraged to spend an afternoon a week doing voluntary work, and because her boyfriend's mum was a teaching assistant there, she volunteered at the local special school.
She enjoyed it, learnt a lot, and all went well until one very large teenage boy had some sort of fit and was convulsing. My tiny daughter threw herself at him to stop him hurting himself, helped him become still, talked to him quietly and brought him through it all before professional help arrived.
Her boyfriend's mum brought her home, told the story and said those fatal words: "I think she's a born nurse." And she still is, far too many years later. Sometimes your life's purpose finds you rather than the other way round.
It was a good time to be a nurse , on reflection, good morale ,
DeleteThankyou for sharing.
ReplyDeleteYou hear many comments about how unhealthy and overweight many staff look in hospital.
I just think, You do a job with unsocial hours...with insufficient staff...often too short breaks...questionable menus in the canteen...swinging between being rushed off your feet, and sitting doing paperwork, and added stress..
No wonder some end up overweight...
But then you balance it with the cameraderie between staff, and the patients who make it all worthwhile
I couldn't do it.
Some good points well made
DeleteI agree, it’s eaZy to be lazy about self when you are tired generally
I don't know how you make it through the 12 hour overnight shifts, I don't think I could.
ReplyDeleteI think the same recently
DeleteIt's so true that you never know what a patient is capable of until it's too late or almost too late. Methinks some of those wards should have been locked in your first story.
ReplyDeleteAs a petite woman, I am grateful not to have run into any situation so daunting.
There always are more stories and I love picturing you and your co-nurse feeding the newborns on Christmas morning. What a wonderful Christmas gift the other nurse gave you that morning!
Hugs!
In my experience the women bore themselves better than most of the men , in any altercation
Deleteloved your writing of these two very differing night shifts! The first, rather frightening....the second made me smile and *almost* shed a tear at the sheer love I imagined during that shift. And no, night shifts are not healthy for ANY human body..... I was fortunate (after 40 yrs in the medical field) only to work a total of 20 night shifts in the very beginning.....and I felt like a zombie the entire time!
ReplyDeleteSusan M/ Calif.
PS wondering whether the nurse Sue is someone you have kept in contact with. She sounds like wonderful person
ReplyDeleteSusan M/ Calif
In international work environment protocols, people on shift, an especially permanent night duty, have special protection and my Dog, there are reasons for it!! Demand your safety! You are a good man.
ReplyDeletePersonal experiences make great stories, and nurses have loads of them.
ReplyDeleteNursing is not for the faint of heart. It takes a strong will, dedication and love of the field.. Night shifts might be okay for the night owls out there but as you state they wreak havoc on our internal clocks. You've experienced a lot in your nursing career. It is time for a change and counselling will be a good move. My mother was a surgical nurse and she had stories too.
ReplyDeleteYou have lived an interesting life, John.
ReplyDeleteAs I read your accounts of your experiences , I realize we owe the nursing profession a great deal of respect and a lot more support doing your job. And, one on one gratitude with the nurses you come into contact in your or your family's life.
ReplyDeleteLinda from Alabama
I was attacked by two patients during my nursing career - kicked in the face, my fault - the patient was under observation having a psychotic epidode, and another where I was punched very hard by an aggressive patient with Huntingdon's who gave me a black eye. Not my fault, he'd pinned a female nurse to the wall in the office and I unknowingly opened the office door to be welcomed by his fist. His daughter was stood right behind me. I really didn't enjoy night shifts either, especially in the large city hospital that I worked in as a newly qualified staff nurse. That said, I wouldn't have half the interesting stories I have if I hadn't done it, something I'm sure the majority of nurses could echo.
ReplyDeleteMaybe you should have said, "Are you heterosexual Sue? It's all right if you are. I have always liked straight women."
ReplyDeleteIt's frightening what can happen to people who are only trying to help others. Police, firemen, ambulance drivers, and nurses, all seem to be targets these days. What has happened to the world?
ReplyDeleteI am afraid the animals are taking over,CM. Beth
DeleteI have seen the effect of night shifts on close family and it was so bad for their health. You describe well the extremes of a terrifying at night in a hospital at night and also the quiet, close moment between yourself and Sue while feeding the babies.
ReplyDeleteYou've had a lot of life experience and it has all led you to this point in your life. My son worked very hard shift patterns as a police call room handler, he was like a zombie after the switch from four 12 hour nights on to 12 hour days on. I don't know how he managed it for over ten years.
ReplyDeleteI've had friends who worked nights, and their lives were work and sleep and not much else. I rarely saw them, and when I did, they were zombies. You have lived an interesting life, John, and your stories are so vivid. I love how well you can pull the curtain back on a scene, and allow us to see and feel it.
ReplyDeleteI like the way you have shown both sides of the coin John. Gay people of both sexes suffered in silence in the days when I was young. It was never spoken about. Thank goodness those days are over. My dearest friend is gay, happily with a partner and they 're accepted in their community just as every one else is.
ReplyDeleteAs to working night shifts - I am beginning to get an insight into this side of things and a couple of my carers do occasional night work and it really messes up their lives for a couple of days afterwards.
There are MANY workers who work on night shifts, not only medical staff.
ReplyDeleteAnd your point is ?
DeleteI once worked an overnight shift. It was at a Target store rather than a hospital, so obviously nothing went on like you described. But the whole thing, which lasted about four months, certainly left me disoriented. I often didn't know what day it was!
ReplyDeleteJet lag is jet lag Kirk
DeleteWhen Sue asked her question, when you denied it, and when she responded that it was okay if you were gay...was that the first time that you'd been assured of that? That it was okay? That you were okay? Had you ever received that message before that night?
ReplyDeleteI think of your course, and the importance of validation, and it has struck me that you, of all the people in the world, know exactly how important and life changing that can be: simply hearing that you are okay.
No it was my first “ toe in the pond” so hats off to her and her response
Delete